Swan, Alexander

Swan, Alexander was paid $399K by Medicaid between Jul 2022 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoSWAN, ALEXANDER
AVENEL, NJ 07001

33aNPI1346218856assigned 03/09/2006

33bProvider typeNephrology Physician

28Total paid$399K

24GClaims36,922

24DCodes billed50

24AFirst – last monthJul 2022 – Dec 2024

Compared with peers

Next to other Nephrology Physician providers in New Jersey

Rank by total paid#16 of 117

Median peer was paid$38K

This provider vs. median10×

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	617	$18K
2023	10,963	$125K
2024incomplete	25,342	$256K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	83%	12,497	5,609	$330K
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	6.1%	657	609	$24K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.7%	169	169	$11K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.3%	64	64	$5K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.2%	1,572	891	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	630	609	$3K
93000		<1%	548	544	$3K
90756		<1%	481	473	$3K
99490	Ccm add 20min	<1%	152	147	$2K
3078F		<1%	3,034	1,712	$2K
3074F		<1%	2,046	1,288	$1K
H0001	Alcohol and/or drug assessment	<1%	376	376	$1K

38 more codes

G0444	Annual depression screening, 5 to 15 minutes	<1%	396	$1K
99204	Doctor's office visit, new patient (more involved)	<1%	34	$1K
99454		<1%	169	$1K
99397		<1%	329	$947.42
36410		<1%	1,306	$874.18
99457		<1%	170	$527.38
3075F		<1%	1,106	$517.34
81003		<1%	1,050	$415.71
90674		<1%	46	$297.24
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	1,335	$73.35
3080F		<1%	33	$30.51
3079F		<1%	430	$29.18
3044F		<1%	544	$27.04
3077F		<1%	372	$15.59
1170F		<1%	270	$13.56
1125F		<1%	255	$13.56
1159F		<1%	270	$13.56
1160F		<1%	269	$13.56
G9275	Documentation that patient is a current non-tobacco user	<1%	373	$12.00
3048F		<1%	386	$9.69
99000		<1%	1,470	$6.32
3049F		<1%	192	$5.44
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	399	$3.15
3050F		<1%	91	$2.89
1157F		<1%	270	$2.00
1158F		<1%	270	$2.00
94760		<1%	13	$0.02
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	<1%	372	$0.02
1036F		0%	393	$0.00
1000F		0%	393	$0.00
S0257	Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)	0%	269	$0.00
99606		0%	269	$0.00
J3590	Unclassified biologics	0%	12	$0.00
90863		0%	270	$0.00
3016F		0%	392	$0.00
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	0%	31	$0.00
3725F		0%	398	$0.00
99605		0%	49	$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.