MELISSA SCHMALZ, DO
Family Medicine Physician · GRAND JCT, CO
Individual Active NPI 1790906261
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 332 | 1,863 | $261,930 | $125,679 | $92,832 |
| 2023 | 328 | 1,573 | $232,523 | $121,438 | $88,688 |
| 2022 | 319 | 1,470 | $212,692 | $117,512 | $88,479 |
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 | 403 | $91 | $56 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 332 | $129 | $87 |
| 36415 | Insertion of needle into vein for collection of blood sample | 201 | $9 | $9 |
| 83036 | Hemoglobin a1c level | 118 | $10 | $10 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 118 | $130 | $130 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 61 | $181 | $133 |
| G0008 | Administration of influenza virus vaccine | 41 | $33 | $33 |
| 90662 | Influenza vaccine split virus, preservative free | 40 | $79 | $79 |
| 81003 | Automated urinalysis test | 37 | $2 | $2 |
| 96372 | Injection of drug or substance under skin or into muscle | 24 | $15 | $10 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 16 | $16 | $5 |
| 69209 | Removal of impacted ear wax by washing | 15 | $20 | $14 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | DR46810 | CO |
| Family Medicine Physician | 207Q00000X | RL-0464 | SD |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Family Medicine Physician providers in Colorado
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- NPI 1629858857
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- NPI 1750466819
- NPI 1679733695
- NPI 1649703042
- NPI 1477167567
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.