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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshley Swartz
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    Ashley Swartz — Billing Profile & Reimbursement Data

    NPI 1255939237 · San Antonio, TX · Family Nurse Practitioner

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    Ashley Swartz is a family nurse practitioner provider located in San Antonio, Texas. This profile covers 8 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
    OrganizationAshley Swartz
    Address9502 Huebner Rd Ste 101
    CitySan Antonio
    StateTX
    ZIP78240
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedOctober 13, 2020

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

    Payer SourceTotal Paid
    Medicare$36.9K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0475Injection, baclofen, 10 mg140$140$19.6K
    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…210$60$12.1K
    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…20$80$2K
    62370The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…30$60$1.5K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…20$40$720
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…10$50$560
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…10$40$530
    J1100Injection, dexamethasone sodium phosphate, 1 mg70$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0475710260$130$37.1K
    9921428,36832,500110$80$17.6K
    992136,19629,79070$60$8.4K
    62370698060$60$5.6K
    2055319425030$40$1.9K
    992021,0421,22020$40$1.5K
    7694277796020$30$1.2K
    J11002,5693,060210$1$50

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ricardo AlvaradoTXPain Medicine Physician$286.8K$0
    Christine VidouriaTXPhysical Medicine & Rehabilitation Physician$107.2K$82.5K
    Matthew MorreyTXOrthopaedic Surgery Physician$185.2K$0
    Jesse DeleeTXOrthopaedic Surgery Physician$73.3K$0
    Zibin ZhaoTXOrthopaedic Surgery Physician$67.4K$0
    Michael JonesTXSurgery of the Hand (Plastic Surgery) Physician$48.9K$0
    Jose SablanTXNurse Practitioner$22.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aim Care Home Health Inc.TXIn Home Supportive Care Agency$0$40.3M
    Deer Oaks Geriatric Services P CTXClinical Psychologist$0$17M
    Lhcg Cxxiv, LLCTXIn Home Supportive Care Agency$0$14M
    Richard LaneTXRetina Specialist (Ophthalmology) Physician$4.8M$0
    Sarah HolyTXRetina Specialist (Ophthalmology) Physician$3.5M$0
    Manjulatha BadamTXUndersea and Hyperbaric Medicine (Preventive Medicine) Physician$2.9M$0
    Moises ChicaTXRetina Specialist (Ophthalmology) Physician$2.8M$0
    Calvin MeinTXOphthalmology Physician$2.5M$0
    Sridhar BeeramTXHematology & Oncology Physician$1.8M$0
    Lama HashishTXRheumatology Physician$1.8M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Ashley Swartz — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas