Physician

William F Schmalz, MD

According to 2025 Medicare claims, William Schmalz, MD (NPI: 1689852428) practices general practice in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Passaic, NJ. This provider's primary affiliated billing organization is SKILLED BIOLOGICS, INC. (NPI: 1376386763) and primary practice location at 07470-2208.

Schmalz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,020 traditional Medicare patients, billed 5,212 HCPCS/CPT codes, and received $581,238 in Medicare payments. The top billing code was 99310 (Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes). Part D data shows 181 prescription claims across 70 beneficiaries totaling $13,464 in drug costs, led by Alprazolam (Alprazolam). DME data shows 27 claims. Open Payments data shows 6 records totaling $121. 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 moved from a lower plateau to a higher plateau, from $42,680 to $581,238. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $23,989 and ending at $13,464. 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.

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$291K$581K2015 Medicare payment: $42,680 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $50,044 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $49,464 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $43,825 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $199,313 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $404,196 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $537,851 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $501,349 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $472,727 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $581,238 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015418832$42,680
2016453944$50,044
2017451945$49,464
2018393856$43,825
20197982,898$199,313
20208494,199$404,196
20211,2906,908$537,851
20221,0946,076$501,349
20231,1105,833$472,727
20241,0205,212$581,238

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$12K$25K2015 Drug cost: $23,989 (USD; Tot_Drug_Cst)2016 Drug cost: $21,465 (USD; Tot_Drug_Cst)2017 Drug cost: $14,179 (USD; Tot_Drug_Cst)2018 Drug cost: $24,504 (USD; Tot_Drug_Cst)2019 Drug cost: $19,416 (USD; Tot_Drug_Cst)2020 Drug cost: $536 (USD; Tot_Drug_Cst)2024 Drug cost: $13,464 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015178494$23,989
2016208598$21,465
2017231569$14,179
2018235596$24,504
2019169415$19,416
2020N/R30$536
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
202470181$13,464

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$1.9K$3.8K2024 Medicare payment: $3,752 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R27$3,752

* / # = 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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes121407$139
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes530533$122
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6682,713$97
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5973$90
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more327476$67

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
AlprazolamAlprazolam12340$49
MeloxicamMeloxicam15414$17

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A6196Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressingNN/R12$3,293
A6219Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressingNN/R15$459

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$121Novo Nordisk 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 William F. Schmalz, MD?

Tedicare shows public-source Medicare data for William F. Schmalz, MD (NPI 1689852428), 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 William F. Schmalz, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to William F. Schmalz, MD?

William F. Schmalz, MD is linked to SKILLED BIOLOGICS, INC. (billing NPI 1376386763) in the available physician profile data.

Does William F. Schmalz, MD have Open Payments data?

William F. Schmalz, MD has 6 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.