Physician
Schwartz, Lester
Schwartz, Lester was paid $672K by Medicaid between Jan 2018 and Aug 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoSCHWARTZ, LESTER
BLOOMFIELD, CT 06002
BLOOMFIELD, CT 06002
33aNPI1730262445assigned 10/24/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$672K
24GClaims14,758
24DCodes billed30
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Connecticut
Rank by total paid#10 of 16
Median peer was paid$839K
This provider vs. median0.8×
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 | 2,195 | $124K | |
| 2019 | 2,266 | $120K | |
| 2020 | 2,152 | $90K | |
| 2021 | 2,439 | $108K | |
| 2022 | 3,234 | $121K | |
| 2023 | 2,160 | $90K | |
| 2024incomplete | 312 | $19K |
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 | 33% | 2,216 | 2,026 | $221K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,508 | 2,209 | $162K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 691 | 657 | $97K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.2% | 2,008 | 1,888 | $62K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 1,031 | 916 | $37K |
| 99401 | 3.1% | 655 | 603 | $21K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 156 | 148 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 147 | 142 | $15K |
| 92567 | 1.6% | 883 | 797 | $11K | |
| 99173 | 1.3% | 1,403 | 1,289 | $9K | |
| 96127 | 1.0% | 452 | 413 | $7K | |
| 92551 | <1% | 1,233 | 1,130 | $7K |
18 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 32 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 31 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $1K |
| 0071A | <1% | 27 | $1K | |
| 99188 | <1% | 57 | $940.00 | |
| 0154A | <1% | 14 | $560.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 28 | $550.00 |
| 0072A | <1% | 13 | $480.00 | |
| 0073A | <1% | 12 | $480.00 | |
| D1206 | Topical application of fluoride varnish | <1% | 28 | $440.00 |
| 99050 | <1% | 12 | $129.70 | |
| 90686 | 0% | 816 | $0.00 | |
| 91307 | 0% | 79 | $0.00 | |
| 91315 | 0% | 14 | $0.00 | |
| 90672 | 0% | 145 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 91311 | 0% | 21 | $0.00 | |
| 90685 | 0% | 20 | $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.