Physician
Mcswain, Charles
Mcswain, Charles was paid $207K by Medicaid between Jan 2018 and Apr 2023, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 47% of everything it billed.
33Billing provider infoMCSWAIN, CHARLES
LAS VEGAS, NV 89119
LAS VEGAS, NV 89119
33aNPI1235100801assigned 01/31/2006
33bProvider typeFamily Medicine Physician
28Total paid$207K
24GClaims4,692
24DCodes billed8
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Family Medicine Physician providers in Nevada
Rank by total paid#69 of 388
Median peer was paid$27K
This provider vs. median7.8×
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 | 3,326 | $130K | |
| 2019 | 566 | $19K | |
| 2020 | 183 | $7K | |
| 2021 | 240 | $20K | |
| 2022 | 280 | $22K | |
| 2023 | 97 | $8K |
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 | 47% | 1,459 | 1,362 | $98K |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 44% | 2,300 | 973 | $92K |
| 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 | 3.2% | 99 | 93 | $7K |
| 80305 | 2.6% | 387 | 349 | $5K | |
| 99306 | Prolong nursin fac eval 15m | 1.8% | 28 | 27 | $4K |
| 99401 | <1% | 54 | 31 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 184 | 170 | $0.00 |
| 1123F | 0% | 181 | 167 | $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.