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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Paul Swanson (NPI 1861448243)

Field	Value
Entity Type	Individual
Organization	Paul Swanson
Address	1871 Se Tiffany Ave
City	Port St Lucie
State	FL
ZIP	34952
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	29,800	$40	$1.3M
99213	The 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…	2,080	$70	$143.8K
J0897	Injection, denosumab, 1 mg	6,360	$20	$120.8K
J1449	Injection, eflapegrastim-xnst, 0.1 mg	3,170	$30	$82.4K
Q5119	Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg	3,270	$20	$75.2K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	50	$1,200	$61K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	520	$110	$55K
J1952	Leuprolide injectable, camcevi, 1 mg	670	$70	$45.7K
99214	The 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…	300	$100	$29.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,960	$10	$23.7K

Showing 1–10 of 72

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 72 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Paul Swanson — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

72 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	28	210	16,100	$40	$802.7K
78815	227	370	70	$740	$121.8K
J0897	297	1,060	3,290	$20	$106.5K
J1449	28	40	3,560	$30	$99.2K
A9552	145	250	70	$390	$56.4K
Q5119	5	40	1,850	$20	$50.1K
J1952	4	10	670	$70	$47.4K
J0885	179	240	6,630	$10	$45.6K
Q5106	74	110	3,030	$10	$26.7K
96413	102	730	200	$100	$26.1K

Showing 1–10 of 72

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Iannotti	FL	Hematology & Oncology Physician	$2.3M	$0
Jeremy Jones	FL	Hematology & Oncology Physician	$2.3M	$0
Heather Yeckes-rodin	FL	Hematology & Oncology Physician	$1.9M	$0
Richard Held	FL	Diagnostic Radiology Physician	$1.6M	$0
Seth Rosen	FL	Hematology & Oncology Physician	$1.5M	$0
Phu Tran	FL	Hematology & Oncology Physician	$1.2M	$10.9K
David Weyn	FL	Diagnostic Radiology Physician	$937.5K	$0
George Kainz	FL	Diagnostic Radiology Physician	$549.8K	$0
Jerry Carroll	FL	Magnetic Resonance Imaging (MRI) Internal Medicine Physician	$537.3K	$0
Frantz Francisque	FL	Hematology & Oncology Physician	$138.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Health Services Of Florida, Inc.	FL	General Acute Care Hospital	$0	$11.4M
James Melotek	FL	Radiation Oncology Physician	$1.5M	$0
Port St Lucie Surgery Center Ltd	FL	Ambulatory Surgical Clinic/Center	$529.8K	$612.1K
Vijaya Chundi	FL	Diagnostic Radiology Physician	$833.5K	$0
Joseph Charles	FL	Diagnostic Radiology Physician	$736.3K	$0
The Surgical Center Of The Treasure Coast, LLC	FL	Ambulatory Surgical Clinic/Center	$726.4K	$0
Joseph Wierzbicki	FL	Sports Medicine (Family Medicine) Physician	$717.8K	$0
Jay Kuchera	FL	Anesthesiology Physician	$509.7K	$0
Loel Warsch	FL	Anesthesiology Physician	$495.1K	$0
Mark Powers	FL	Orthopaedic Surgery Physician	$442.6K	$0

Paul Swanson — Billing Profile & Reimbursement Data

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Paul Swanson — 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