Schwalje, Adam

Schwalje, Adam was paid $48K by Medicaid between Sep 2022 and Dec 2024, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 53% of everything it billed.

33Billing provider infoSCHWALJE, ADAM
IOWA CITY, IA 52242

33aNPI1174904890assigned 06/18/2015

33bProvider typeOtolaryngology Physician

28Total paid$48K

24GClaims867

24DCodes billed7

24AFirst – last monthSep 2022 – Dec 2024

Compared with peers

Next to other Otolaryngology Physician providers in Iowa

Rank by total paid#11 of 17

Median peer was paid$64K

This provider vs. median0.7×

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
2022	59	$4K
2023	361	$16K
2024incomplete	447	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	53%	328	321	$25K
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	17%	129	126	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	15%	148	139	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	142	137	$5K
92567		2.8%	89	81	$1K
92579		<1%	14	13	$323.12
92587		<1%	17	14	$225.25

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.