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

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

Jesse Swift (NPI 1235491994)

Field	Value
Entity Type	Individual
Organization	Jesse Swift
Address	1483 E Ridgeline Dr Ste 100
City	South Ogden
State	UT
ZIP	84405
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 8, 2012

Payer Source	Total Paid
Medicare	$727.7K
Medicaid	$0

Key Findings

This provider’s clinical billing footprint is effectively single‑payer Medicare: lifetime Medicare revenue is $727.7K and there is no Medicaid billing on file ("none below"). The absence of any Medicaid claims suggests a practice focused on Medicare-aged patients or one that does not participate in Medicaid reimbursement, which has implications for payer contracting and patient mix analyses.

Revenue is highly concentrated in a very small set of codes: the precomputed top‑3 Medicare codes account for 82.4% of the provider’s total Medicare revenue. In particular, J0178 (Injection, aflibercept) alone represents $482.3K or 66.2% of Medicare revenue, while 92014 and 67028 contribute $63.8K (8.8%) and $54.2K (7.4%) respectively, indicating a narrow revenue base dominated by drug administration and related office services.

The code mix (J0178, 67028, 92014 plus imaging codes such as 92134 and 92133) points to a retina‑focused ophthalmology practice that runs a high-volume in‑office injection/service line and supports it with diagnostic imaging. The presence of 92134 (OCT imaging, $29.8K, 4.1%) and J7999 (compounded drug, $21K, 2.9%) further supports an operational model combining procedural injections, in‑office diagnostics, and on‑site medication administration or compounding.

From a competitive standing perspective, the provider is a modest national participant for the top drug code: J0178 ranks #1631 of 3204 (49th percentile) and is described as "typical, unremarkable volume for this code," indicating neither a high outlier nor a dominant aflibercept injector nationally. For established‑patient comprehensive exams, 92014 ranks #2723 of 35415 (92nd percentile) but is also labeled "typical, unremarkable volume for this code," suggesting the provider’s exam volume sits within expected national patterns for that service despite a relatively high percentile rank.

Surgical and procedural cataract workstream exists but is not dominant: 66984 (routine cataract extraction with IOL) accounts for $37.1K (5.1% of Medicare revenue) and related procedures such as 66821 have modest counts, indicating a supplementary surgical component rather than a primary cataract surgery center. This mix implies the practice likely balances clinic‑based injection and diagnostics with a lower volume of operative cataract throughput.

Operationally and financial risk-wise, reliance on a single high-cost drug code (J0178 at 66.2% of Medicare revenue) concentrates reimbursement exposure to changes in aflibercept utilization or payment policy. The presence of J7999 (305 claims, $21K) indicates an ancillary in‑office medication/compounding revenue stream that somewhat diversifies income but does not materially reduce concentration risk tied to J0178.

The provider’s NPI has been enumerated since 2012-06-08 (~14 years ago), indicating an established practice tenure. This longevity supports stable billing patterns observed in the Medicare dataset and suggests historical continuity in service mix (retina injections and diagnostic imaging) rather than a newly shifted specialty focus.

Across the reported Medicare codes there are no flagged statistical outliers in the plain‑English labels provided; multiple high‑revenue and diagnostic codes are described as "typical, unremarkable volume for this code." That consistent labeling implies the provider’s utilization and volume patterns fall within expected ranges for ophthalmology/retina peers rather than representing anomalous billing behavior requiring immediate outlier investigation.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	700	$690	$482.3K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	780	$80	$63.8K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	610	$90	$54.2K
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…	90	$410	$37.1K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	1,030	$30	$29.8K
J7999	Compounded drug, not otherwise classified	310	$70	$21K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	160	$60	$9.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	30	$250	$7.1K
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…	60	$110	$6.3K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	40	$100	$4.2K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Jesse Swift — 1 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	18	40	620	$690	$683.2K
66984	74	150	90	$520	$80.3K
67028	24	60	440	$90	$61.7K
J7999	5	20	120	$70	$16.9K
92014	12	330	140	$70	$16.6K
66821	69	100	40	$230	$13.1K
99214	2,998	4,080	80	$80	$11.6K
92134	20	250	70	$30	$7.6K
92012	37	160	60	$50	$5.9K
92235	7	20	30	$90	$5.4K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Gunther	UT	Retina Specialist (Ophthalmology) Physician	$2.3M	$3K
Brice Williams	UT	Ophthalmology Physician	$738.3K	$24.4K
Jason Rupp	UT	Ophthalmology Physician	$201K	$0
Benjamin Dastrup	UT	Ophthalmology Physician	$188.9K	$30
Theron Tilgner	AZ	Orthopaedic Surgery Physician	$173.3K	$0
Jackson Lever	UT	Ophthalmology Physician	$123.5K	$0
Nicholas Carlevato	NV	Vascular & Interventional Radiology Physician	$45.1K	$0
Terry Nevins	NV	Family Medicine Physician	$43.3K	$950
Sarah Draves	NV	Nurse Practitioner	$29.1K	$0
Jerel Brandt	ID	Surgery Physician	$18.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia Ogden Medical Center, Inc.	UT	General Acute Care Hospital	$0	$17.6M
Carl Gray	UT	Hematology & Oncology Physician	$3.9M	$1.7M
Amer Homsi	UT	Vascular Surgery Physician	$3.9M	$0
Ihc Health Services Inc	UT	Home Health Agency	$0	$2.4M
Weber School District	UT	Local Education Agency (LEA)	$0	$2.4M
Applegate Homecare & Hospice, LLC	UT	Home Health Agency	$0	$2.3M
Associates Of Pathology, P.C.	UT	Anatomic Pathology & Clinical Pathology Physician	$0	$1M
Mountainstar Ogden Pediatrics LLC	UT	Pediatrics Physician	$0	$1M
Connect2kids	UT	Foster Care Agency	$0	$986.4K
Apria Healthcare LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$905K

Jesse Swift — 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