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    OpenPayerNPI Medicare & MedicaidJohn Swanson
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    John Swanson — Billing Profile & Reimbursement Data

    NPI 1487646949 · Billings, MT · Physician Assistant

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    John Swanson is a physician assistant provider located in Billings, Montana. 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.

    (source: NPPES NPI Registry)

    Table of contents

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationJohn Swanson
    Address2825 8th Ave N
    CityBillings
    StateMT
    ZIP59101
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 19, 2005

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

    Payer SourceTotal Paid
    Medicare$21K
    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
    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…320$50$16.9K
    99203The provider sees a new 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 provider…40$50$1.9K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…30$30$890
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…20$40$640
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.20$20$260
    71046In 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…10$20$230
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…60$1$120
    69209The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort.10$10$110

    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
    99309476090$70$9.3K
    992131721,73090$50$7.2K
    9920330470030$70$3.1K
    87428172020$50$1.1K
    7104614917040$10$1.1K
    8788062010$20$260
    69209324020$10$190
    810033018030$1$90

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scl Health Medical Group - Billings LLCMTClinic/Center$0$32.2M
    Scl Health MontanaMTGeneral Acute Care Hospital$0$13.5M
    Scl Health MontanaMTDurable Medical Equipment & Medical Supplies$0$2.7M
    Douglas DebenhamINRadiation Oncology Physician$1.8M$0
    Scl Health MontanaMTEmergency Care Clinic/Center$0$867.8K
    Scl Health MontanaMTOncology Clinic/Center$0$448.6K
    Jared HeatonUTMOHS-Micrographic Surgery Physician$447.3K$0
    Joshua HolsteadLAUrology Physician$389.5K$0
    Scl Health MontanaMTClinic/Center$0$385.9K
    Catherine BrignoniCANeurology Physician$328.9K$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. Montana Distribution
    John Swanson — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana