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

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

Michael Swann (NPI 1972607158)

Field	Value
Entity Type	Individual
Organization	Michael Swann
Address	3850 S National Ave
City	Springfield
State	MO
ZIP	65807
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

MICHAEL SWANN is listed under the Mohs-Micrographic Surgery Physician taxonomy and has been enumerated since 2006-09-11 (~20 years ago). His lifetime Medicare revenue on file is $1.6M and there is no Medicaid billing on file, indicating an effectively single-payer (Medicare) revenue base for the period covered.

Revenue is concentrated in a small set of CPT/HCPCS codes: the top 3 Medicare codes by revenue account for 39.4% of this provider's total Medicare revenue, driven by 17311 ($258.9K, 17.7%), Q4159 ($197.2K, 13.5%), and 99214 ($120.3K, 8.2%). This concentration shows a mix of procedural Mohs work, product/compound billing, and higher-level office evaluation services contributing the plurality of revenue.

The code mix is consistent with an operational model centered on Mohs surgery with substantial ancillary services: Mohs codes 17311 (657 claims, $258.9K) and 17312 (267 claims, $79.8K) appear among top drivers, and 17313 also contributes revenue, which together indicate routine performance of staged excisions with histopathologic assessment. These Mohs volumes are typical nationally for 17311 (ranks #278 of 2969, 91th percentile; typical, unremarkable volume for this code) rather than dominant.

Ancillary and adjunctive treatments are a prominent part of the practice pattern. High-volume topical/photodynamic-related items appear in the top revenue list — J7345 shows 62K claims with $62K revenue (4.2%) and ranks #7 of 767 (99th percentile; extreme outlier), and 96567 appears with 300 claims and $27.3K revenue (1.9%) and ranks #3 of 876 (100th percentile; extreme outlier) — signaling unusually large use of aminolevulinic acid topical products and photosensitizing procedures relative to peers.

Office-based evaluation and management activity is unusually large for this provider: 99214 (1.5K claims, $120.3K, 8.2%) ranks #3855 of 479517 (99th percentile; extreme outlier) and 99213 (1.7K claims, $94.8K, 6.5%) ranks #1485 of 457151 (100th percentile; extreme outlier). These extreme outlier labels indicate the provider delivers a very high volume of established patient visits, suggesting significant on-site pre- and post-procedure management or broader longitudinal patient care alongside procedural work.

The practice performs a broad range of reconstructive and procedural dermatologic surgery beyond Mohs: notable contributors include complex repairs and grafts such as 13132 (255 claims, $46.7K, 3.2%) which ranks #164 of 3088 (95th percentile; notably above typical), 15260 (62 claims, $41.5K, 2.8%) at the 90th percentile, and multiple flap codes (14041, 14301, 14060) in the top 25. This mix signals capacity for reconstruction and defect repair after tumor extirpation rather than a strictly excision-only practice.

Competitive standing is mixed across service lines: for core Mohs work the provider appears typical nationally (e.g., 17311 at the 91th percentile), while several adjunctive, biopsy, and topical therapy codes are extreme outliers (for example J7345 rank #7 of 767, 96567 rank #3 of 876, 11102 rank #156 of 18797 at the 99th percentile). In sum, the provider is not a dominant national Mohs volume leader but is unusually active compared with peers in specific ancillary/therapeutic and E/M services.

The absence of any Medicaid billing on file combined with $1.6M in Medicare revenue suggests a payer mix that is heavily concentrated in Medicare beneficiaries; this single-payer footprint may influence referral networks, reimbursement exposure, and access to state-level programs. Analysts evaluating contracting or network participation should note the lack of Medicaid activity when assessing the provider's population coverage and payer risk.

Medicare: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	660	$390	$258.9K
Q4159	Affinity, per square centimeter (add-on, list separately in addition to primary procedure)	620	$320	$197.2K
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…	1,470	$80	$120.3K
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…	1,690	$60	$94.8K
0394T	N/A	510	$170	$84.7K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	270	$300	$79.8K
J7345	Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	62,000	$1	$62K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	1,050	$60	$61.8K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	260	$180	$46.7K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	1,390	$30	$44.4K

Showing 1–10 of 47

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Michael Swann — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

47 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	6	60	240	$400	$128.4K
Q4159	1	10	200	$320	$104.6K
0394T	1	10	510	$170	$84.6K
17312	9	50	140	$300	$48.7K
17313	13	40	60	$400	$26.5K
13132	8	60	70	$190	$20.4K
14041	5	20	20	$660	$19.7K
77280	10	70	50	$140	$19.6K
15260	1	30	20	$700	$18.3K
14060	12	40	20	$550	$18.1K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brett Neill	MO	MOHS-Micrographic Surgery Physician	$317.9K	$0
Elizabeth Spenceri	MO	MOHS-Micrographic Surgery Physician	$203K	$0
Stacy Vienhage	MO	Physician Assistant	$106.4K	$0
John Cangelosi	TX	Anatomic Pathology & Clinical Pathology Physician	$100.4K	$0
Wesley Wormington	MN	Physician Assistant	$5.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Supported Living And Employment Services, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$276.6M
Easy Living Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$183.2M
Lester E Cox Medical Centers	MO	General Acute Care Hospital	$0	$112.3M
Healthcare Services Of The Ozarks, Inc	MO	Home Health Agency	$0	$60.3M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$51.5M
Abilities First	MO	Case Management Agency	$0	$45.8M
Southwest Center For Independent Living	MO	In Home Supportive Care Agency	$0	$45.3M
Lester E Cox Medical Centers	MO	Land Ambulance	$0	$25.8M
Seniorage Area Agency On Aging	MO	Case Management Agency	$0	$19.2M
Maxim Healthcare Services, Inc.	MO	Home Health Agency	$0	$17.7M

Michael Swann — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References