Gail F Schwartz MD PA

Gail F Schwartz MD PA was paid $134K by Medicaid between Jan 2018 and Sep 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoGAIL F SCHWARTZ MD PA
BALTIMORE, MD 21204

33aNPI1518925486assigned 05/02/2006

33bProvider typeOphthalmology Physician

28Total paid$134K

24GClaims3,494

24DCodes billed8

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Ophthalmology Physician providers in Maryland

Rank by total paid#31 of 124

Median peer was paid$19K

This provider vs. median7.0×

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

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

Year	Claims	Paid
2018	398	$22K
2019	432	$14K
2020	327	$4K
2021	424	$11K
2022	673	$26K
2023	775	$33K
2024incomplete	465	$23K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	46%	1,185	1,100	$62K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	18%	528	511	$24K
92133		15%	785	752	$19K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.8%	156	138	$8K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	5.2%	153	147	$7K
92020		4.9%	496	476	$7K
92250		3.2%	121	120	$4K
92083		2.2%	70	68	$3K

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.

From NPPES

Who's on the registration

Authorized officialSCHWARTZ, GAIL (OWNER PRES)