SETH SCHMOLL, DO
Sports Medicine (Preventive Medicine) Physician · SIOUX FALLS, SD
Individual Active NPI 1528470853
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 196 | 395 | $38,207 | $27,018 | $19,974 |
| 2023 | 146 | 422 | $39,472 | $23,333 | $17,304 |
| 2022 | 93 | 703 | $67,771 | $28,346 | $20,760 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 100 | $60 | $46 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 92 | $77 | $56 |
| 20610 | Aspiration and/or injection of fluid from large joint | 75 | $45 | $35 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 45 | $122 | $84 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 35 | $56 | $43 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 14 | $92 | $63 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | ✓ | 14276 | SD |
| Family Medicine Physician | 207Q00000X | 02004796A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 02004796A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 14276 | SD |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.