Swerdin, Michael

Swerdin, Michael was paid $417K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.

33Billing provider infoSWERDIN, MICHAEL
VALLEY STREAM, NY 11581

33aNPI1295730273assigned 06/16/2005

33bProvider typeOphthalmology Physician

28Total paid$417K

24GClaims9,187

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#189 of 1,085

Median peer was paid$34K

This provider vs. median12×

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	1,166	$58K
2019	1,518	$67K
2020	1,577	$80K
2021	2,006	$98K
2022	1,737	$82K
2023	626	$17K
2024incomplete	557	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	53%	3,213	3,199	$220K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	31%	1,261	1,257	$130K
92015	Determination of refractive state	7.7%	3,807	3,795	$32K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	4.2%	421	407	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.5%	334	327	$14K
92133		<1%	114	113	$2K
92134		<1%	24	24	$422.91
92083		<1%	13	13	$371.93

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.