Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Barbara Swartz (NPI 1811082324)

Field	Value
Entity Type	Individual
Organization	Barbara Swartz
Address	2122 Health Dr Sw Ste 160
City	Wyoming
State	MI
ZIP	49519
Taxonomy	Epilepsy Physician
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicare	$4.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95724	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The complete study…	10	$250	$3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$120	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Barbara Swartz — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99222	4,210	4,810	30	$100	$5K
95724	2	10	10	$250	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alameda Health System	CA	General Acute Care Hospital	$0	$172.2M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$64.6M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$57.8M
Alameda Health System	CA	Assisted Living Facility	$0	$30.6M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$26.9M
Ira Schachar	CA	Retina Specialist (Ophthalmology) Physician	$3.9M	$4.1M
Khosrow Mehrany	CA	Specialist	$7.7M	$0
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Rahul Khurana	CA	Ophthalmology Physician	$2.3M	$1.8M
Sara Haug	CO	Retina Specialist (Ophthalmology) Physician	$3.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metropolitan Hospital	MI	General Acute Care Hospital	$0	$101M
Airway Oxygen Inc	MI	Oxygen Equipment & Supplies (DME)	$0	$8.3M
Great Lakes Healthcare Resources, LLC	MI	Home Health Agency	$0	$6.8M
Certified Emergency Medicine Specialists, PC	MI	Emergency Medical Services (Emergency Medicine) Physician	$0	$6.7M
Great Lakes Healthcare Resources-lakeshore LLC	MI	Home Health Agency	$0	$6.5M
Mershed Alsamara	MI	Internal Medicine Physician	$296.2K	$0
Allan Coates	MI	Gastroenterology Physician	$175.4K	$0
Paul Dwyer	MI	Emergency Medicine Physician	$125.2K	$0
Eric Kozfkay	MI	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$72.1K	$0
Kyle Pfeifer	MI	Diagnostic Radiology Physician	$17K	$50.1K

Barbara Swartz — Billing Profile & Reimbursement Data

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Barbara Swartz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References