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NPI 1306853627 · San Marcos, TX · Diagnostic Radiology Physician
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Stephen Swearingen is a diagnostic radiology physician provider located in San Marcos, Texas. This profile covers 73 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Stephen Swearingen |
| Address | 1301 Wonder World Dr |
| City | San Marcos |
| State | TX |
| ZIP | 78666 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | August 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $129.9K |
| Medicaid | $14.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
73 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 230 | $60 | $14.8K |
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 290 | $40 | $10.3K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 300 | $30 | $8.6K |
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 290 | $30 | $8.2K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 130 | $60 | $8K |
| 71275 | In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a… | 90 | $60 | $5.8K |
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 70 | $70 | $5.3K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 800 | $10 | $4.8K |
| 70553 | In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows… | 60 | $80 | $4.6K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 110 | $40 | $3.9K |
Showing 1–10 of 73
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 73 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
73 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 77067 | 345 | 880 | 210 | $60 | $26.1K |
| 77063 | 327 | 840 | 200 | $40 | $14.1K |
| 70553 | 360 | 770 | 50 | $120 | $11.1K |
| 74177 | 287 | 1,940 | 90 | $80 | $10.7K |
| 72148 | 384 | 930 | 50 | $90 | $9.6K |
| 74183 | 463 | 500 | 40 | $140 | $8.3K |
| 70450 | 436 | 1,410 | 170 | $30 | $7.9K |
| 73721 | 316 | 560 | 40 | $100 | $7.7K |
| 93880 | 917 | 1,800 | 40 | $100 | $6.7K |
| 73221 | 321 | 490 | 40 | $100 | $6.2K |
Showing 1–10 of 73
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 160 | $40 | $6.2K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 80 | $50 | $4.2K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 730 | $1 | $2.2K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 30 | $40 | $1.1K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 200 | $10 | $1000 |
| G9322 | Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given | 50 | $0 | $0 |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction… | 120 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 163 | 280 | 270 | $80 | $170.9K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 255 | 340 | 510 | $30 | $90.3K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 297 | 550 | 970 | $10 | $82K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 165 | 200 | 160 | $60 | $65.9K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 304 | 550 | 290 | $10 | $40.6K |
| G9637 | Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction… | 39 | 50 | 490 | $1 | $1 |
| G9322 | Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given | 3 | 10 | 40 | $0 | $0 |
Other providers in the same ZIP code as Stephen Swearingen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cole Consolidated Rehab LLC | TX | Rehabilitation Clinic/Center | $0 | $14.2M |
| San Marcos-hays County Emergency Medical Services Incorporated | TX | Land Ambulance | $1M | $1.4M |
| Richard Lawson | TX | Radiation Oncology Physician | $1.6M | $0 |
| Manuel Galan | TX | Family Nurse Practitioner | $1.4M | $0 |
| Jason Smith | TX | Hematology & Oncology Physician | $906.9K | $0 |
| Margaret Kelner | TX | Family Nurse Practitioner | $846.2K | $0 |
| Christus Santa Rosa Outpatient Surgery - New Braunfels, LP | TX | Ambulatory Surgical Clinic/Center | $712.1K | $0 |
| Robert Parker | TX | Podiatrist | $218.5K | $182K |
| Curtis Solomon | TX | Interventional Cardiology Physician | $320.4K | $0 |
| Kirk Painter | TX | Physical Therapist | $271.1K | $0 |
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