MARTY LEE SCHMIDT, MD
NPI 1639130248, individual, Hobbs, NM, Pediatrics
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARTY LEE SCHMIDT, MD |
| Type | Individual |
| Status | Active |
| NPI issued | March 31, 2006, last updated April 1, 2019 |
| Practice location | 2410 N FOWLER ST, Hobbs, NM 88240-2312, 575-392-2040 |
| Specialties | Pediatrics (208000000X, license 0422840 KS) Pediatrics (208000000X, primary, license MD20070006 NM) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.5M | 36% | $59 | $44 (top 5% from $110) | 71st percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $875K | 21% | $91 | $60 (top 5% from $133) | 79th percentile | |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | $226K | 6% | $96 | $71 (top 5% from $112) | 89th percentile | |
| 99392 | Medicaid service code | $201K | 5% | $101 | $78 (top 5% from $124) | 83rd percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $168K | 4% | $96 | $67 (top 5% from $121) | 85th percentile | |
| 99393 | Medicaid service code | $141K | 3% | $94 | $78 (top 5% from $121) | 75th percentile | |
| 99394 | Medicaid service code | $126K | 3% | $96 | $83 (top 5% from $128) | 69th percentile | |
| T1015 | Medicaid service code | $122K | 3% | $50 | $182 (top 5% from $488) | 10th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 20 | 18 | $811 | $79 | $41 | 1.9x | 2.1x (90th percentile 4.3x) |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 36 | 17 | $584 | $25 | $16 | 1.5x | 2.5x (90th percentile 3.9x) |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 11 | 11 | $178 | $25 | $16 | 1.5x | 2.6x (90th percentile 4.1x) |
| 81002 | Urinalysis, manual test | 19 | 18 | $65 | $26 | $3 | 7.6x | 3.5x (90th percentile 7.6x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
4 providers in Lea County, NM carry an indicator in the public record, with $7.1M at stake between them. The most common is more hours than a day holds, on 3 of them, followed by part of a provider network on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | NEW MEXICO HEALTHCARE SERVICES LLC Hobbs, NM, ranked 1423 | $50K |
|
| 5 | JERRIED NOSEFF Hobbs, NM, ranked 10757 | $2.6M | |
| 5 | LANCE DELONG Hobbs, NM, ranked 10767 | $2.4M | |
| 5 | JOSE GARCIA Hobbs, NM, ranked 10803 | $2.1M |
Recent enforcement in NM
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.