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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathan Swain
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    Nathan Swain — Billing Profile & Reimbursement Data

    NPI 1306167531 · Flagstaff, AZ · Physical Medicine & Rehabilitation Physician

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    Nathan Swain is a physical medicine & rehabilitation physician provider located in Flagstaff, Arizona. This profile covers 32 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
    OrganizationNathan Swain
    Address525 N Switzer Canyon Dr
    CityFlagstaff
    StateAZ
    ZIP86001
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedJune 22, 2010

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

    Payer SourceTotal Paid
    Medicare$249.1K
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…810$90$71.3K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).340$100$32.2K
    99204The 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…230$110$24.6K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…230$80$17.8K
    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…250$60$15.8K
    J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg2,700$10$13.5K
    64484This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the lumbar or sacral region. The code applies to each additional level…260$40$11.4K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…80$80$5.9K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…70$70$5.4K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…30$160$5.1K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644832025090$210$31K
    6463517521060$390$30.3K
    9921463310,410120$80$20.6K
    6449316722070$190$18.8K
    J731818601,800$10$14.3K
    95913335040$210$13K
    958867914090$70$12.1K
    992152,3313,27050$120$11.9K
    6463612616060$160$10.6K
    644906216040$200$10.1K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amber RandallAZOrthopaedic Surgery Physician$323.1K$0
    Marshall MeierAZPhysical Medicine & Rehabilitation Physician$306.7K$0
    Darius MoezziAZSports Medicine (Orthopaedic Surgery) Physician$266.7K$0
    Jennifer AlmendarezAZPhysician Assistant$219.9K$0
    John FlintAZOrthopaedic Hand Surgery Physician$198.5K$0
    Ross JonesAZOrthopaedic Surgery of the Spine Physician$185.1K$0
    Ernest MonsonAZFamily Nurse Practitioner$161.8K$0
    Todd LudwigAZSports Medicine (Orthopaedic Surgery) Physician$136.1K$0
    Melissa OgdenAZNurse Practitioner$108.1K$0
    David BrownAZMedical Physician Assistant$88.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Flagstaff Medical CenterAZGeneral Acute Care Hospital$0$63.3M
    Flagstaff Medical CenterAZLand Ambulance$0$46.2M
    Flagstaff Medical CenterAZAir Ambulance$0$37.6M
    New Life Wellness FlagstaffAZCommunity/Behavioral Health Agency$0$14.6M
    Northern Arizona Healthcare CorporationAZFamily Medicine Physician$0$11.4M
    Flagstaff Emergency PhysiciansAZEmergency Medicine Physician$0$10.4M
    Flagstaff Dentistry 4 Kids, PLLCAZGeneral Practice Dentistry$0$10.4M
    North Country Healthcare, Inc.AZPediatrics Physician$0$7.5M
    Emeritol Lo Flagstaff LLCAZAssisted Living Facility$0$6.5M
    Alexander HuAZInternal Medicine Physician$3.8M$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.

    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. Arizona Distribution
    Nathan Swain — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona