Physician

Lauren C Schwartz, MD

According to 2025 Medicare claims, Lauren Schwartz, MD (NPI: 1093991267) practices family practice in the Amherst Town-Northampton, MA market, with the plurality of this provider's patient population coming from Hampshire, MA. This provider's primary affiliated billing organization is VALLEY MEDICAL GROUP, P.C. (NPI: 1912924705; TIN: 042945394) and primary practice location at 01027-1046. Schwartz is affiliated with the Pioneer Valley Accountable Care, LLC (ACO ID: A5040) and Dartmouth Health Performance Network, LLC (ACO ID: A5414), participating under the MSSP model.

Schwartz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 631 traditional Medicare patients, billed 7,234 HCPCS/CPT codes, and received $217,034 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 7,047 prescription claims across 467 beneficiaries totaling $568,083 in drug costs, led by Eliquis (Apixaban). DME data shows 131 claims. No Open Payments records. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $261,065 to $568,083. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $6,147 and ending at $21,068.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$137K$274K2015 Medicare payment: $142,278 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $186,931 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $219,614 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $233,267 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $274,150 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $235,361 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $228,398 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $201,768 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $203,691 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $217,034 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155424,492$142,278
20166435,824$186,931
20177686,549$219,614
20188257,096$233,267
20191,0288,511$274,150
20209577,451$235,361
20219557,485$228,398
20226136,552$201,768
20236316,795$203,691
20246317,234$217,034

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$292K$583K2015 Drug cost: $261,065 (USD; Tot_Drug_Cst)2016 Drug cost: $315,491 (USD; Tot_Drug_Cst)2017 Drug cost: $335,257 (USD; Tot_Drug_Cst)2018 Drug cost: $401,175 (USD; Tot_Drug_Cst)2019 Drug cost: $413,067 (USD; Tot_Drug_Cst)2020 Drug cost: $384,613 (USD; Tot_Drug_Cst)2021 Drug cost: $375,884 (USD; Tot_Drug_Cst)2022 Drug cost: $422,411 (USD; Tot_Drug_Cst)2023 Drug cost: $583,024 (USD; Tot_Drug_Cst)2024 Drug cost: $568,083 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153105,004$261,065
20163804,732$315,491
20173424,845$335,257
20184084,991$401,175
20194054,703$413,067
20204234,933$384,613
20213944,910$375,884
20224075,230$422,411
20234826,090$583,024
20244677,047$568,083

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$3.1K$6.2K2015 Medicare payment: $3,701 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $4,110 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $3,824 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2,163 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,503 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,245 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $473 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,700 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $4,145 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $6,180 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201533140$3,701
201615125$4,110
201711143$3,824
201812107$2,163
20191282$1,503
2020N/R92$4,245
2021N/R37$473
20221168$1,700
202314145$4,145
202412131$6,180

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more290756$89
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month208438$47
80061Blood test, lipids (cholesterol and triglycerides)334490$13
36415Insertion of needle into vein for collection of blood sample438986$9
80048Blood test, basic group of blood chemicals (calcium, total)297540$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1174,643$87,746
TrulicityDulaglutide421,346$46,427
MounjaroTirzepatide28812$30,086
OzempicSemaglutide24924$28,331
JanuviaSitagliptin Phosphate11990$17,233

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R32$2,492
E1161Manual adult size wheelchair, includes tilt in spaceYN/R11$2,278
E0261Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattressYN/R11$413
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R20$360
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1223$284

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Lauren C. Schwartz, MD?

Tedicare shows public-source Medicare data for Lauren C. Schwartz, MD (NPI 1093991267), 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 Lauren C. Schwartz, MD have ACO affiliation data?

Lauren C. Schwartz, MD is shown with ACO affiliation data for Pioneer Valley Accountable Care, LLC (MSSP, ACO ID A5040) and Dartmouth Health Performance Network, LLC (MSSP, ACO ID A5414).

What billing organization is linked to Lauren C. Schwartz, MD?

Lauren C. Schwartz, MD is linked to VALLEY MEDICAL GROUP, P.C. (billing NPI 1912924705) in the available physician profile data.

Does Lauren C. Schwartz, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.