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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBaleigh Swaney
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    Baleigh Swaney — Billing Profile & Reimbursement Data

    NPI 1215556311 · Pell City, AL · Registered Nurse

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    Baleigh Swaney is a registered nurse provider located in Pell City, Alabama. This profile covers 2 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
    OrganizationBaleigh Swaney
    Address74 Plaza Dr
    CityPell City
    StateAL
    ZIP35125
    TaxonomyRegistered Nurse
    NPI EnumeratedApril 9, 2020

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

    Payer SourceTotal Paid
    Medicare$450
    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    76937The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.30$10$280
    36410In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.30$10$190

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    769373513020$10$410
    3641042020$10$320

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Birmingham Internal Medicine Associates, LLCALInternal Medicine Physician$0$2.7M
    Ross BarnettALDiagnostic Radiology Physician$955.3K$0
    Shawn SmithALInternal Medicine Physician$137.4K$0
    Carl RussellALFamily Medicine Physician$136.4K$0
    Michael DupreALFamily Medicine Physician$125.8K$0
    Joseph JohnsonALFamily Medicine Physician$119.6K$0
    Ashley PauldinALFamily Nurse Practitioner$109.9K$0
    Scott BoykenALSports Medicine (Family Medicine) Physician$107.3K$0
    Laura JohnsonALFamily Medicine Physician$100.5K$0
    Andrew SmithALFamily Medicine Physician$95.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Dental Associates, LLCALPediatric Dentistry$0$5.5M
    The Children's Hospital Of AlabamaALPediatrics Physician$0$4.6M
    St. Vincent's St. Clair, LLCALGeneral Acute Care Hospital$0$2.4M
    Main Street Clinic, LLCALPediatrics Physician$0$2M
    Leaps Academy IncALPediatric Occupational Therapist$0$1.8M
    St Clair County Health Dept-pell City Fp ClinicALPublic Health or Welfare Agency$0$1.5M
    Alabama Anesthesiology And Pain Consultants P.C.ALAnesthesiology Physician$0$1.1M
    Inri Medical Associates, PCALFamily Medicine Physician$0$1M
    Rutwij JotaniALFamily Medicine Physician$155.4K$0
    Fazal RahimALNeurology Physician$126.7K$0

    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. Alabama Distribution
    Baleigh Swaney — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama