Schmalz, William

Schmalz, William was paid $132K by Medicaid between Oct 2019 and Dec 2024, across 8 billing codes. Its largest line is 11043, — 67% of everything it billed.

33Billing provider infoSCHMALZ, WILLIAM
LYNDHURST, NJ 07071

33aNPI1689852428assigned 02/04/2008

33bProvider typeSurgery Physician

28Total paid$132K

24GClaims6,391

24DCodes billed8

24AFirst – last monthOct 2019 – Dec 2024

Compared with peers

Next to other Surgery Physician providers in New Jersey

Rank by total paid#19 of 82

Median peer was paid$8K

This provider vs. median17×

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
2019	159	$889.26
2020	1,009	$7K
2021	1,008	$2K
2022	1,255	$14K
2023	1,341	$36K
2024incomplete	1,619	$70K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
11043		67%	950	333	$88K
99308	Subsequent nursing facility care, per day, straightforward	13%	2,663	1,298	$18K
99309	Subsequent nursing facility care, per day, low to moderate complexity	11%	1,647	831	$15K
99310	Prolong nursin fac eval 15m	4.4%	146	60	$6K
99307		1.9%	805	409	$3K
99306	Prolong nursin fac eval 15m	<1%	63	63	$1K
99305		<1%	46	45	$1K
99304		<1%	71	70	$646.68

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.