Schwam, Elana

Schwam, Elana was paid $8K by Medicaid between Jan 2019 and Jul 2020, across 10 billing codes. Its largest line is 87389, Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies — 15% of everything it billed.

33Billing provider infoSCHWAM, ELANA
CAMBRIDGE, MA 02138

33aNPI1265911556assigned 08/08/2018

33bProvider typePrimary Care Nurse Practitioner

28Total paid$8K

24GClaims234

24DCodes billed10

24AFirst – last monthJan 2019 – Jul 2020

Compared with peers

Next to other Primary Care Nurse Practitioner providers in Massachusetts

Rank by total paid#10 of 21

Median peer was paid$7K

This provider vs. median1.3×

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
2019	166	$6K
2020	68	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	15%	33	33	$1K
84443	Thyroid stimulating hormone (TSH)	15%	29	26	$1K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	12%	13	13	$1K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	12%	13	13	$1K
86780		11%	40	40	$951.87
80061	Lipid panel	8.9%	25	25	$749.71
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	8.3%	14	13	$701.12
80048	Basic metabolic panel (calcium, ionized)	7.5%	27	24	$631.86
83036	Hemoglobin; glycosylated (A1C)	6.4%	28	28	$535.09
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.3%	12	12	$195.84

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.