Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidThaisa Swanson
    Ask Trek AI about this page

    Thaisa Swanson — Billing Profile & Reimbursement Data

    NPI 1215422951 · Albuquerque, NM · Nurse Practitioner

    Customize your policy alerts

    Sign up for Thaisa Swanson — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Thaisa Swanson is a nurse practitioner provider located in Albuquerque, New Mexico. This profile covers 7 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationThaisa Swanson
    Address2211 Lomas Blvd Ne
    CityAlbuquerque
    StateNM
    ZIP87106
    TaxonomyNurse Practitioner
    NPI EnumeratedJune 26, 2018

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

    Payer SourceTotal Paid
    Medicare$87K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,010$70$67.9K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…110$100$10.5K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…70$50$3K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.30$80$2.7K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$80$1.2K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…20$50$890
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…20$50$830

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993099130180$70$24.7K
    99310289080$100$15.9K
    99349314060$80$9.1K
    99308468090$50$8.1K
    994977710030$60$4.3K
    99348263060$50$3.8K
    99316113020$90$3.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inpatient Consultants Of North Carolina, PCNCInternal Medicine Physician$0$12.1M
    Tamara ChittendenNCInternal Medicine Physician$371.4K$0
    Blair HollNCInternal Medicine Physician$327.7K$0
    Brandon HaubnerNCFamily Medicine Physician$301.7K$0
    Radu ButucNMInternal Medicine Physician$287.9K$0
    Effat BanikarimNMFamily Medicine Physician$223.3K$0
    Rabi KutobNCFamily Medicine Physician$222.8K$0
    John NelsonNCFamily Medicine Physician$214.5K$0
    Pamela HarrisNCFamily Medicine Physician$197.7K$0
    John ButchkoCOAdult Medicine Physician$193.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unm HospitalNMGeneral Acute Care Hospital$0$462.9M
    Presbyterian Healthcare ServicesNMGeneral Acute Care Hospital$0$345.3M
    Unm Medical Group IncNMMulti-Specialty Clinic/Center$0$113.5M
    Dungarvin New Mexico LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$84.6M
    Perinatal Associates Of New Mexico, LtdNMMaternal & Fetal Medicine Physician$0$62.6M
    Optumcare New Mexico LLCNMFamily Medicine Physician$0$23.6M
    Unm HospitalNMPsychiatric Hospital Unit$228.5K$17.6M
    Family Eye Care/children's Eye Center Of New Mexico, P.C.NMOphthalmology Physician$0$13.3M
    Pediatrix Medical Group Of New Mexico, P.C.NMNeonatal-Perinatal Medicine Physician$0$11.9M
    Guardian Flight LLCNMAir Ambulance$372.6K$6.9M

    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. New Mexico Distribution
    Thaisa Swanson — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico