Physician
Charles H Mcswain DO PC
Charles H Mcswain DO PC was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 70% of everything it billed.
33Billing provider infoCHARLES H MCSWAIN DO PC
LAS VEGAS, NV 89106
LAS VEGAS, NV 89106
33aNPI1164753851assigned 01/20/2010
33bProvider typeFamily Medicine Physician
28Total paid$118K
24GClaims10,684
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Nevada
Rank by total paid#99 of 388
Median peer was paid$27K
This provider vs. median4.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,863 | $17K | |
| 2019 | 2,904 | $25K | |
| 2020 | 2,023 | $16K | |
| 2021 | 2,001 | $16K | |
| 2022 | 865 | $12K | |
| 2023 | 886 | $26K | |
| 2024incomplete | 142 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 70% | 3,894 | 3,703 | $83K |
| 99306 | Prolong nursin fac eval 15m | 14% | 404 | 373 | $17K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.9% | 173 | 160 | $12K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.3% | 201 | 111 | $5K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 1.1% | 82 | 81 | $1K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,331 | 3,052 | $0.00 |
| 1123F | 0% | 2,599 | 2,364 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCSWAIN, CHARLES (OWNER)