Physician

Shannon Leah Schmidt

According to 2025 Medicare claims, Shannon Schmidt (NPI: 1033351465) practices hematology/oncology in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is THEDACARE, INCORPORATED (NPI: 1376656959; TIN: 391509362) and primary practice location at 54911-8735. Schmidt is affiliated with the THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Schmidt's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 212 traditional Medicare patients, billed 2,730 HCPCS/CPT codes, and received $150,879 in Medicare payments. The top billing code was 78815 (Nuclear medicine study from skull base to mid-thigh with ct scan). Part D data shows 852 prescription claims across 232 beneficiaries totaling $1,511,431 in drug costs, led by Verzenio (Abemaciclib). DME data shows 12 claims. Open Payments data shows 1 records totaling $102. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $11,315 to $150,879. Similarly, Part D prescription costs have moved sharply higher in recent years, from $387 to $1,511,431. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	38	339	$11,315
2017	135	7,194	$89,181
2018	188	6,681	$98,747
2019	250	786	$68,935
2020	203	753	$51,776
2021	191	757	$66,960
2022	203	1,726	$79,086
2023	211	1,941	$110,022
2024	212	2,730	$150,879

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	N/R	13	$387
2016	13	56	$8,429
2017	77	265	$33,021
2018	112	414	$260,364
2019	155	538	$415,195
2020	186	763	$748,054
2021	214	780	$528,511
2022	191	676	$711,748
2023	225	843	$1,735,196
2024	232	852	$1,511,431

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	11	$4,341
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	37	$3,015
2022	N/R	N/R	N/R
2023	N/R	16	$6,611
2024	N/R	12	$494

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
78815	Nuclear medicine study from skull base to mid-thigh with ct scan	27	28	$1,133
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	27	28	$250
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	232	$125
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	161	$85
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	140	273	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Verzenio	Abemaciclib	14	392	$249,944
Orserdu	Elacestrant Hcl	11	324	$242,175
Eliquis	Apixaban	41	1,510	$27,925
Anastrozole	Anastrozole	268	18,760	$4,610
Exemestane	Exemestane	22	1,020	$2,299

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0657	Segmental pneumatic appliance for use with pneumatic compressor, chest	Y	N/R	12	$494

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$102	PFIZER INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Shannon Leah Schmidt?

Tedicare shows public-source Medicare data for Shannon Leah Schmidt (NPI 1033351465), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Shannon Leah Schmidt have ACO affiliation data?

Shannon Leah Schmidt is shown with ACO affiliation data for THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Shannon Leah Schmidt?

Shannon Leah Schmidt is linked to THEDACARE, INCORPORATED (billing NPI 1376656959) in the available physician profile data.

Does Shannon Leah Schmidt have Open Payments data?

Shannon Leah Schmidt has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.