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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Stanford Schwimer
๐Ÿ“ก
MDIndividual

Stanford Schwimer, MD

NPI: 1285796151
Beverly Hills, CA
10 years of data
Diagnostic Radiology
$3.4M
Total Payments
33.3K
Beneficiaries
34.0K
Services
2.48x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$3.4M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $3.4M over 10 years
22.48x markup ratio (above median)
398th percentile in Diagnostic Radiology by payments
47 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $3.4M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.

Medicare payments to this provider grew 135% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$285.51$128.762.22x$156.75$206.6K2.1K2.0K
2015$326.17$92.053.54x$234.12$181.2K1.9K1.9K
2016$442.19$131.043.37x$311.15$268.5K2.6K2.5K
2017$445.13$132.483.36x$312.65$309.9K3.1K3.0K
2018$375.07$98.013.83x$277.06$336.6K3.4K3.3K
2019$419.60$129.553.24x$290.05$382.0K3.9K3.8K
2020$371.15$104.613.55x$266.54$334.8K3.4K3.3K
2021$443.85$132.343.35x$311.51$414.5K4.1K4.0K
2022$411.72$109.723.75x$302.00$448.8K4.5K4.4K
2023$410.27$104.493.93x$305.78$486.5K5.2K5.1K

Top Procedures (20)

76641Ultrasound of one breast
$759.0K
5.6K services$134.50/svc1.85x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$543.5K
8.2K services$66.56/svc1.43x markup
77066Mammography of both breasts
$506.2K
3.8K services$133.29/svc2.21x markup
G0204Diagnostic mammography, producing direct digital image, bilateral, all views
$240.2K
1.8K services$132.35/svc1.82x markup
77067Mammography of both breasts
$212.0K
1.4K services$153.61/svc1.85x markup
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow
$199.9K
800 services$249.86/svc1.42x markup
G0202Screening mammography, producing direct digital image, bilateral, all views
$187.9K
1.3K services$146.93/svc1.60x markup
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206)โš  6.1x markup
$168.0K
3.6K services$46.91/svc6.10x markup
77080Bone density measurement using dedicated X-ray machineโš  7.2x markup
$80.8K
1.8K services$45.70/svc7.23x markup
77063Screening digital tomography of both breastsโš  4.9x markup
$71.6K
1.2K services$61.06/svc4.88x markup
76830Ultrasound pelvis through vagina
$59.9K
557 services$107.47/svc1.94x markup
19083Biopsy of breast accessed throught the skin with ultrasound guidance
$54.8K
100 services$547.56/svc1.62x markup
74176CT scan of abdomen and pelvisโš  8.3x markup
$39.9K
241 services$165.47/svc8.26x markup
76856Ultrasound of pelvis
$39.3K
440 services$89.35/svc2.69x markup
76645Ultrasound of breasts
$33.5K
425 services$78.76/svc1.99x markup
71250CT scan chestโš  6.3x markup
$25.6K
213 services$120.09/svc6.29x markup
77065Mammography of one breast
$24.3K
242 services$100.52/svc2.64x markup
76536Ultrasound of head and neckโš  4.3x markup
$20.2K
203 services$99.45/svc4.27x markup
G0206Diagnostic mammography, producing direct digital image, unilateral, all views
$18.9K
177 services$106.79/svc1.94x markup
76700Ultrasound of abdomenโš  4.2x markup
$16.6K
169 services$98.11/svc4.15x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
76641Ultrasound of one breast5.6K$759.0K$134.501.85x
99213Established patient office or other outpatient visit, typically 15 minutes8.2K$543.5K$66.561.43x
77066Mammography of both breasts3.8K$506.2K$133.292.21x
G0204Diagnostic mammography, producing direct digital image, bilateral, all views1.8K$240.2K$132.351.82x
77067Mammography of both breasts1.4K$212.0K$153.611.85x
93975Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow800$199.9K$249.861.42x
G0202Screening mammography, producing direct digital image, bilateral, all views1.3K$187.9K$146.931.60x
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206)3.6K$168.0K$46.916.10x
77080Bone density measurement using dedicated X-ray machine1.8K$80.8K$45.707.23x
77063Screening digital tomography of both breasts1.2K$71.6K$61.064.88x
76830Ultrasound pelvis through vagina557$59.9K$107.471.94x
19083Biopsy of breast accessed throught the skin with ultrasound guidance100$54.8K$547.561.62x
74176CT scan of abdomen and pelvis241$39.9K$165.478.26x
76856Ultrasound of pelvis440$39.3K$89.352.69x
76645Ultrasound of breasts425$33.5K$78.761.99x
71250CT scan chest213$25.6K$120.096.29x
77065Mammography of one breast242$24.3K$100.522.64x
76536Ultrasound of head and neck203$20.2K$99.454.27x
G0206Diagnostic mammography, producing direct digital image, unilateral, all views177$18.9K$106.791.94x
76700Ultrasound of abdomen169$16.6K$98.114.15x

Markup Analysis

Charge-to-Payment Ratio

2.48x

This provider submits charges 2.48 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.48x means for every $100 Medicare pays, this provider initially charges $248. This is higher than the national average.

Location

Beverly Hills, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Diagnostic Radiology providers in CA for peer comparison.

Stanford Schwimer (you)
$3.4M
Stephen Liu, M.D.
$37.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Stephen Liu, M.D.Modesto, CA$37.2Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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