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 Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana 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. Montana (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.

Russell Swan (NPI 1225304918)

Field	Value
Entity Type	Individual
Organization	Russell Swan
Address	1925 N 22nd Ave Ste 201
City	Bozeman
State	MT
ZIP	59718
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 27, 2012

Payer Source	Total Paid
Medicare	$560K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the sole payer presence on file: Total Medicare revenue is $560K and there is no Medicaid billing on file, making the provider effectively single‑payer in the available dataset. The absence of any Medicaid entries suggests their patient mix and revenue exposure are concentrated in the Medicare population rather than diversified across state programs.

Revenue is highly concentrated in a narrow set of surgical codes: the top 3 Medicare codes by revenue account for 87.4% of this provider's total Medicare revenue, with 66984 alone accounting for 67.1% of Medicare revenue, 66821 for 12.1%, and 66991 for 8.2%. This concentration indicates that a small number of high-value procedures drive nearly all billed Medicare dollars.

The code mix indicates a surgical ophthalmology practice focused on cataract care and related anterior-segment procedures. High-revenue codes include 66984 (cataract extraction with IOL insertion), 66821 (YAG capsulotomy for posterior capsular opacification), and 66991 (IOL insertion with concurrent anterior segment aqueous drainage device), which together reflect a service line centered on cataract surgery and some glaucoma device interventions.

Competitive standing is mixed across procedures: 66984 (cataract extraction) ranks #1933 of 15965 providers nationally (88th percentile), a generally typical national volume for that code despite its large share of this provider’s revenue; 66821 ranks #638 of 10087 (94th percentile), placing the provider well above many peers on posterior capsulotomy volume; and 66991 ranks #64 of 1445 (95th percentile, notably above typical national volume), indicating above‑typical activity in combined IOL plus anterior‑segment drainage device cases.

There is an extreme procedural outlier in diagnostic/biometry testing: 92136 appears with 1.2K claims and $36.2K revenue (6.5% of Medicare revenue) and ranks #55 of 8731 providers nationally (99th percentile; extreme outlier). This suggests unusually high use of biometric measurements or related noninvasive IOL‑power work, consistent with a substantial cataract surgery throughput or protocolized pre/post operative testing.

Evaluation-and-management services are a small portion of reported Medicare activity, with 99214 (34 claims, $3.2K; 20th percentile nationally) and 99204 (22 claims, $2.9K; 32nd percentile nationally) appearing at modest volumes. The low relative contribution of E/M revenue versus surgical codes reinforces that the practice operates primarily as a procedure‑focused surgical specialty rather than as a high‑volume general ophthalmology clinic.

Provider tenure is established: the NPI was enumerated on 2012-03-27 (~14 years ago), indicating a longstanding presence in the market. Combined with sustained Medicare billing, this tenure supports interpretation of the procedural concentration as an ongoing business model rather than a short‑term fluctuation.

The lack of any Medicaid billing on file constrains payer diversification and suggests the provider’s commercial or state‑program contracting exposure is limited in the available records. For payers or network planners, this pattern flags a Medicare‑aged surgical patient mix and may inform referral strategies or negotiations focused on cataract and anterior‑segment procedural capacity.

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	1,040	$360	$375.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	250	$270	$67.7K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	100	$440	$46.2K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	1,210	$30	$36.2K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	40	$510	$20.9K
66174	The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.	20	$250	$4.9K
99214	The 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…	30	$90	$3.2K
99204	The 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…	20	$130	$2.9K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	10	$210	$2.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Russell Swan — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66991	3	10	50	$1,370	$79.5K
66984	6	120	50	$490	$78.1K
66982	9	30	30	$600	$29.6K
66174	3	10	30	$700	$21.5K
66821	5	70	50	$220	$18.3K
99214	1,459	1,810	100	$70	$12.4K
92136	2	30	270	$30	$8.9K
65855	11	10	30	$150	$7.1K
99204	489	780	30	$100	$4.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K
Stacey Wells	AK	Radiation Oncology Physician	$2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wojj Pediatric Dentistry	MT	Dental Clinic/Center	$0	$3.3M
Smiles Across Montana	MT	Dental Hygienist	$0	$1.9M
West Bozeman Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$1.9M	$55K
Psychiatry Associates PC	MT	Psychiatry Physician	$0	$1.4M
Marc Comaratta	MT	Retina Specialist (Ophthalmology) Physician	$1.2M	$124.7K
Foundation Therapy Services Inc	MT	Speech-Language Pathologist	$0	$1.1M
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$1M
Montana Psychiatry, PLLC	MT	Psychiatry Physician	$0	$1M
Kenneth Olson	MT	Addiction Psychiatry Physician	$29.3K	$809.9K
Aaron Bruce	MT	Dermatology Physician	$682.7K	$0

Russell Swan — Billing Profile & Reimbursement Data

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Russell 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