Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wyoming (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ryan Swan (NPI 1154357267)

Field	Value
Entity Type	Individual
Organization	Ryan Swan
Address	5715 E 2nd St
City	Casper
State	WY
ZIP	82609
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicare	$369.2K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the dataset: total Medicare revenue is $369.2K and there is no Medicaid billing on file. The absence of any Medicaid revenue means analyses should treat Medicare as the dominant and only recorded payer for this provider’s billed services.

Revenue is highly concentrated in a small set of inpatient E/M codes: the precomputed top-3 Medicare codes account for 92.0% of total Medicare revenue, driven by 99232 (57.0%), 99233 (23.1%), and 99223 (12.0%). This concentration indicates most reimbursement is tied to a narrow set of hospital-based evaluation-and-management services.

The code mix points to a practice focused on hospital inpatient and observation care rather than outpatient procedures. The top codes are 99232, 99233, and 99223 (subsequent and initial hospital inpatient/observation E/M) with a material contribution from 99239 (discharge day management), and the average paid amounts rise with higher-complexity codes ($61 for 99232, $92 for 99233, $131 for 99223), consistent with a high-acuity inpatient caseload.

Claim volume confirms heavy inpatient throughput: 99232 shows 3.4K claims, 99233 has 925 claims, 99223 has 337 claims, and 99239 has 331 claims. Combined with the total Medicare revenue of $369.2K, this pattern suggests a workflow concentrated on frequent, shorter-payment inpatient follow-up visits alongside fewer, higher-paid initial or complex inpatient encounters.

Competitive standing on Medicare for these specific codes is well above typical peers. 99232 ranks #358 of 177383 providers (100th percentile; extreme outlier), 99233 ranks #2239 of 128818 (98th percentile; notably above typical national volume), and 99223 ranks #2449 of 139583 (98th percentile; extreme outlier), indicating unusually high national volume for the provider on core inpatient E/M services.

Several codes are flagged as statistical outliers, reinforcing the provider’s atypical scale for inpatient E/M: 99232 and 99223 are described as "extreme outlier, far above typical national volume," 99233 as "notably above typical national volume," and 99239 as "extreme outlier." These labels signal consistently elevated activity relative to national peers for hospital-based evaluation and management.

Tenure is long-standing: the NPI was enumerated on 2006-06-23 (approximately 20 years ago). That longevity, paired with concentrated inpatient billing, suggests an established practice pattern or long-term hospital affiliation that has persisted over years of Medicare billing.

From an operational and payor-risk perspective, the provider exhibits high concentration risk: 92.0% of Medicare revenue comes from three codes and there is no Medicaid revenue on file. This creates vulnerability to changes in inpatient E/M reimbursement, hospital privileging/contracting, or shifts in site-of-service patterns, and should be considered when benchmarking financial stability or negotiating network arrangements.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,450	$60	$210.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	930	$90	$85.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	340	$130	$44.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	330	$90	$29.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Ryan Swan — 4 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1	110	70	$90	$11.3K
99232	1	190	90	$60	$11K
99223	2	130	40	$130	$7.8K
99239	1	90	50	$80	$6.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ryan Swan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wyoming Physiatry Inc	WY	Rehabilitation Practitioner	$0	$11.1K

Nearby Providers

Other providers in the same ZIP code as Ryan Swan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Community Action Programs Of Wyoming, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$25.8M
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Emg Casper Mw LLC	WY	Assisted Living Facility	$0	$5.9M
Casper Children's Center, LLC	WY	Pediatrics Physician	$0	$4M
Wyoming Behavioral Institute	WY	Psychiatric Hospital	$0	$2.7M
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Stephen Brown	WY	Child & Adolescent Psychiatry Physician	$0	$2.4M
2nd Street Dental, LLC	WY	Dental Clinic/Center	$0	$2.4M
Solutions Counseling Services LLC	WY	Community/Behavioral Health Agency	$0	$2.1M
Surfin Smiles LLC	WY	Pediatric Dentistry	$0	$2M

Ryan Swan — Billing Profile & Reimbursement Data

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Ryan Swan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References