WILLIAM SCHMALZ, MD
General Practice Physician · LYNDHURST, NJ
Individual Active NPI 1689852428
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,020 | 5,212 | $772,054 | $729,455 | $581,238 |
| 2023 | 1,110 | 5,833 | $644,186 | $596,312 | $472,727 |
| 2022 | 1,094 | 6,076 | $713,681 | $632,802 | $501,349 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2,713 | $123 | $97 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 533 | $154 | $122 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 476 | $86 | $67 |
| 11047 | Removal of bone, each additional 20.0 sq cm or less | 415 | $143 | $116 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 407 | $175 | $139 |
| 11044 | Removal of bone, 20.0 sq cm or less | 192 | $373 | $301 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 121 | $258 | $208 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 73 | $111 | $90 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 65 | $156 | $126 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 59 | $208 | $168 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 53 | $87 | $71 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 30 | $18 | $14 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | 25MA0342000 | NJ |
| Surgery Physician | 208600000X | 293147 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.