Physician

Stephen L Schwartz, MD

According to 2025 Medicare claims, Stephen Schwartz, MD (NPI: 1104937044) practices urology in the Terre Haute, IN market, with the plurality of this provider's patient population coming from Vigo, IN. This provider's primary affiliated billing organization is UNION ASSOCIATED PHYSICIANS CLINIC, LLC (NPI: 1891028379; TIN: 27-0581401) and primary practice location at 47807-1037. Schwartz is affiliated with the IRCCO (ACO ID: A2619), Central Florida ACO (ACO ID: A2801), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Schwartz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 465 traditional Medicare patients, billed 14,895 HCPCS/CPT codes, and received $136,989 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 2,151 prescription claims across 442 beneficiaries totaling $87,894 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 166 claims. Open Payments data shows 34 records totaling $802. 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 declined steadily, from $309,177 to $136,989. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $167,057 to $87,894. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

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$177K$354K2015 Medicare payment: $309,177 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $353,594 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $306,879 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $332,535 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $193,280 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $200,540 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $214,882 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $197,984 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $185,446 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $136,989 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201592422,225$309,177
20161,08522,488$353,594
201789721,255$306,879
201889523,042$332,535
201972612,792$193,280
202066612,970$200,540
202164513,935$214,882
202259812,903$197,984
202354611,933$185,446
202446514,895$136,989

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$99K$199K2015 Drug cost: $167,057 (USD; Tot_Drug_Cst)2016 Drug cost: $175,712 (USD; Tot_Drug_Cst)2017 Drug cost: $198,535 (USD; Tot_Drug_Cst)2018 Drug cost: $162,553 (USD; Tot_Drug_Cst)2019 Drug cost: $123,101 (USD; Tot_Drug_Cst)2020 Drug cost: $98,977 (USD; Tot_Drug_Cst)2021 Drug cost: $77,248 (USD; Tot_Drug_Cst)2022 Drug cost: $89,742 (USD; Tot_Drug_Cst)2023 Drug cost: $140,401 (USD; Tot_Drug_Cst)2024 Drug cost: $87,894 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154722,993$167,057
20165142,977$175,712
20175242,719$198,535
20185282,801$162,553
20194612,298$123,101
20204192,187$98,977
20214312,032$77,248
20224462,151$89,742
20234172,056$140,401
20244422,151$87,894

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$20K$40K2015 Medicare payment: $20,439 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $12,214 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $21,281 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $21,118 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $19,834 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $26,413 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $38,366 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $37,018 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $39,418 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $40,113 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R138$20,439
2016N/R110$12,214
201724133$21,281
201837198$21,118
201930224$19,834
202040224$26,413
202135258$38,366
202228204$37,018
202332200$39,418
202423166$40,113

* / # = 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 more213381$86
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more340526$57
74018X-ray of abdomen, 1 view166237$18
51798Ultrasound measurement of bladder capacity after voiding278425$6
81001Manual urinalysis test with examination using microscope, automated397712$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron321,920$28,470
GemtesaVibegron20960$14,888
Tamsulosin HclTamsulosin Hcl63652,763$8,509
FinasterideFinasteride57849,901$7,807
SilodosinSilodosin755,070$6,276

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachNN/R30$24,843
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachN1267$14,125
A4332Lubricant, individual sterile packet, eachN1169$1,144

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.34$802Astellas Pharma US Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Stephen L. Schwartz, MD?

Tedicare shows public-source Medicare data for Stephen L. Schwartz, MD (NPI 1104937044), 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 Stephen L. Schwartz, MD have ACO affiliation data?

Stephen L. Schwartz, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), Central Florida ACO (MSSP, ACO ID A2801), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Stephen L. Schwartz, MD?

Stephen L. Schwartz, MD is linked to UNION ASSOCIATED PHYSICIANS CLINIC, LLC (billing NPI 1891028379) in the available physician profile data.

Does Stephen L. Schwartz, MD have Open Payments data?

Stephen L. Schwartz, MD has 34 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.