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    OpenPayerNPI Medicare & MedicaidJohn Swangim
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    John Swangim — Billing Profile & Reimbursement Data

    NPI 1184672727 · Glen Allen, VA · Podiatrist

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    John Swangim is a podiatrist provider located in Glen Allen, Virginia. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Swangim
    Address3974 Springfield Rd
    CityGlen Allen
    StateVA
    ZIP23060
    TaxonomyPodiatrist
    NPI EnumeratedMay 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$134K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…700$70$47.8K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…660$30$22.5K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…100$100$9.8K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…70$110$8K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.230$30$7.5K
    11306The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.60$90$5.5K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.190$30$4.9K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…70$70$4.6K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.70$60$4.3K
    87640The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.120$30$3.9K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    877981830690$30$159.2K
    874811920200$30$59K
    992147,45912,890140$80$21K
    87653202050$30$15.5K
    87500112090$30$14.7K
    87640103080$30$12.6K
    11056124190110$60$11.6K
    11721119250190$30$11.4K
    9921343612,44090$60$10K
    11307233030$90$6.5K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Porte Clinic Company LLCINInternal Medicine Physician$0$18.8M
    Beacon Medical Group, Inc.INUrgent Care Clinic/Center$0$7.2M
    Beacon Medical Group, Inc.INPediatrics Physician$0$4.7M
    Beacon Medical Group, Inc.INFamily Medicine Physician$0$4.7M
    Beacon Medical Group, Inc.INCritical Care Medicine (Internal Medicine) Physician$0$4.6M
    Beacon Medical Group, Inc.INPsychiatry Physician$0$4.4M
    Beacon Medical Group, Inc.INFamily Medicine Physician$0$3.4M
    Natali BalogINRheumatology Physician$2.4M$0
    Aaron BradleyGAFoot & Ankle Surgery Podiatrist$1.7M$0
    Adam DuhlNJMaternal & Fetal Medicine Physician$128.8K$1.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patient First Richmond Medical Group PLLCVAFamily Medicine Physician$0$75.4M
    Henrico Area Mental Heatlh And Developmental ServicesVAMental Health Clinic/Center (Including Community Mental Health Center)$0$64.7M
    Rca Laboratory Services, LLCVAClinical Medical Laboratory$5.3M$17.1M
    Virginia Center For Addiction MedicineVAAddiction Medicine (Internal Medicine) Physician$0$19.7M
    Patient First Maryland Medical Group, PLLCVAFamily Medicine Physician$0$19.5M
    Family Integrated Counseling ServicesVACommunity/Behavioral Health Agency$0$17.8M
    Patient First Pennsylvania Medical Group PLLCVAUrgent Care Clinic/Center$0$14.6M
    Patient First Richmond Physician's Group PCVAUrgent Care Clinic/Center$0$11.1M
    Renewing Stability LLCVACommunity/Behavioral Health Agency$0$8.4M
    Patient First Maryland Physician's Group PCVAFamily Medicine Physician$0$7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    John Swangim — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia