Kessler-Schwartz, Susan

Kessler-Schwartz, Susan was paid $102K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 38% of everything it billed.

33Billing provider infoKESSLER-SCHWARTZ, SUSAN
SCHENECTADY, NY 12304

33aNPI1538105358assigned 06/21/2006

33bProvider typeOphthalmology Physician

28Total paid$102K

24GClaims3,045

24DCodes billed10

24AFirst – last monthFeb 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#390 of 1,085

Median peer was paid$34K

This provider vs. median3.0×

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	42	$2K
2019	240	$9K
2020	192	$9K
2021	595	$14K
2022	626	$23K
2023	751	$26K
2024incomplete	599	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	38%	929	900	$39K
92083		33%	926	882	$34K
92250		12%	559	545	$13K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	8.1%	147	147	$8K
92133		3.4%	147	145	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.4%	42	42	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.2%	12	12	$1K
92134		<1%	40	40	$788.84
92020		<1%	12	12	$326.69
99072		0%	231	218	$0.00

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.