Dr. Andrew Schwartz, MD
204 State Rd, Lehighton, PA 18235 • +1-914-555-2316
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Lehighton Percentiles
NPI #1134189467 • CBSA Regional • Gastroenterology
Anchored in Lehighton, PA 18235, Dr. Andrew Schwartz, MD (NPI 1134189467) logged 899 annual procedures (top-decile high-throughput specialist (99th percentile in Lehighton), 26.1th PA percentile, -0.71σ) with sub-specialty concentration in 34 Active CMS HCPCS Codes.
Procedural volume for Dr. Schwartz is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 333 annual services, $197–$270 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 225/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 189/yr).
Self-pay new patient consultations with Dr. Schwartz (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.89/5 modern protocol openness score across 25 patient logs.
From 204 State Rd in Lehighton (+1-914-555-2316), Dr. Schwartz, MD (18-year clinical track record) delivers 34 Active CMS HCPCS Codes care.
Top 10% Gastroenterology volume leader in Lehighton, PA
899 annual services across 499 beneficiaries
Standard deviations from PA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 333 | 99th | $197 – $270 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 225 | 99.5th | $474 – $650 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 189 | 99.5th | $394 – $539 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 90 | 99.5th | $528 – $723 |
| 99204 | New Patient Digestive & Hepatology Consultation | 63 | 99.5th | $277 – $380 |
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Dr. Andrew Schwartz, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Schwartz National Provider Identifier | NPI #1134189467 (MD) | CMS NPPES Registry (18235) |
| Dr. Schwartz Lehighton CMS Volume Rank | 99.00th Pct (899 CMS svcs; Z -0.715σ) | CMS Medicare Part B (PA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lehighton, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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