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    OpenPayerNPI Medicare & MedicaidMorgan Swanstrom
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    Morgan Swanstrom — Billing Profile & Reimbursement Data

    NPI 1659661452 · Mechanicsville, VA · Orthopaedic Hand Surgery Physician

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    Morgan Swanstrom is a orthopaedic hand surgery physician provider located in Mechanicsville, Virginia. This profile covers 19 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
    OrganizationMorgan Swanstrom
    Address8200 Meadowbridge Rd Ste 200
    CityMechanicsville
    StateVA
    ZIP23116
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedApril 13, 2011

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

    Payer SourceTotal Paid
    Medicare$204.3K
    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.

    19 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…590$70$38.5K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…110$310$34.5K
    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…260$110$29.8K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$650$14.4K
    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…140$90$12.4K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.240$40$10K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…50$180$8.6K
    73130In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.300$30$8K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…20$470$7.9K
    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…110$70$7.7K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992146,31012,890140$80$21K
    25447194020$580$15.6K
    6472129030$420$15.4K
    2648093020$580$14.4K
    26055269030$290$13.3K
    9921359012,44090$60$10K
    64718123020$440$8K
    99204706,85040$110$5.9K
    992035964,92030$70$3.8K
    205501035030$40$2.2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthovirginia, Inc.VAMulti-Specialty Clinic/Center$0$23.8M
    Anne Arundel Dermatology LLCMDDermatology Physician$0$7.3M
    Mark JonesVAOrthopaedic Foot and Ankle Surgery Physician$667K$0
    Joshua HerzogVAOrthopaedic Surgery Physician$659.3K$0
    Abilio ReisVAOrthopaedic Surgery Physician$472K$0
    William NordtVASports Medicine (Orthopaedic Surgery) Physician$459K$0
    Anthony GregoriaVAPhysical Therapist$438.8K$0
    Zdzislaw RatajczakVASports Medicine (Family Medicine) Physician$424.4K$3.2K
    Charles GibellatoVAPhysical Medicine & Rehabilitation Physician$426.8K$0
    Charles FranklinVARheumatology Physician$425.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bon Secours Memorial Regional Medical Center LLCVAGeneral Acute Care Hospital$0$41.9M
    Heavenly Helpers In-home ServicesVAIn Home Supportive Care Agency$0$15.3M
    Structured Living LLCVACommunity/Behavioral Health Agency$0$6.3M
    Ideal Ride Transportation Services, LLCVANon-emergency Medical Transport (VAN)$0$5.9M
    Maura HaganVAHematology & Oncology Physician$1.9M$0
    Lindsay HoltzVARheumatology Physician$1.5M$19.8K
    Angela VanlandinghamVAHematology & Oncology Physician$1.2M$0
    James BaldwinVAFoot & Ankle Surgery Podiatrist$989.9K$0
    Seaborn WadeVAHematology & Oncology Physician$978.3K$0
    Dean CavenVACardiovascular Disease Physician$762K$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. Virginia Distribution
    Morgan Swanstrom — 7 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia