Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Schmetterer, Lawrence

Schmetterer, Lawrence was paid $151K by Medicaid between Aug 2018 and Oct 2024, across 6 billing codes. Its largest line is 36465, — 60% of everything it billed.

33Billing provider infoSCHMETTERER, LAWRENCE
YOUNGSTOWN, OH 44515
33aNPI1497848154assigned 10/02/2006
33bProvider typeSpecialist
28Total paid$151K
24GClaims1,254
24DCodes billed6
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in Ohio

Rank by total paid#69 of 219
Median peer was paid$46K
This provider vs. median3.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201812$696.12
202115$1K
2022128$8K
2023541$29K
2024incomplete558$111K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
36465 60% 155 42 $90K
93971 19% 617 199 $28K
93970 9.8% 160 151 $15K
99205 Prolong outpt/office vis 8.8% 185 161 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.0% 111 108 $3K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 26 24 $1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.