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

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

Susan Swanson (NPI 1942372339)

Field	Value
Entity Type	Individual
Organization	Susan Swanson
Address	6131 Luther Ln
City	Dallas
State	TX
ZIP	75225
Taxonomy	Ophthalmology Physician
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicare	$231.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	730	$80	$60.8K
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…	420	$90	$37.1K
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…	460	$70	$30.7K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	180	$140	$24.6K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	490	$50	$21.9K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	600	$30	$15K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	40	$310	$11.6K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	70	$100	$7.5K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	220	$30	$6.3K
67700	In this procedure, the provider surgically incises the eyelid to drain a pocket of infection.	20	$220	$4.2K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Susan Swanson — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	241	2,700	100	$80	$21K
66821	427	700	50	$230	$20K
99214	4,628	32,500	110	$80	$17.6K
68761	13	170	30	$140	$9.2K
99213	1,895	29,790	70	$60	$8.4K
92134	394	1,690	70	$30	$8.3K
92004	566	2,070	40	$90	$6.1K
99204	9,514	16,380	30	$110	$5.6K
92083	35	1,590	50	$40	$4.1K
99203	6,698	10,820	30	$70	$3.4K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curtis Brown	TX	Ophthalmology Physician	$187.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keerthi Prasad	TX	Vascular & Interventional Radiology Physician	$666.7K	$0
Barbara Baxter	TX	Allergy & Immunology (Internal Medicine) Physician	$524.9K	$0
John King	TX	Anesthesiology Physician	$85.2K	$0
Gregory Dott	TX	Neuromusculoskeletal Medicine & OMM Physician	$63.8K	$0
Cynthia Beauchamp	TX	Ophthalmology Physician	$15.9K	$0

Susan Swanson — Billing Profile & Reimbursement Data

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Susan 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