Swanson, Margaret

Swanson, Margaret was paid $98K by Medicaid between Nov 2020 and Jun 2023, across 8 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 32% of everything it billed.

33Billing provider infoSWANSON, MARGARET
DU BOIS, PA 15801

33aNPI1386639367assigned 09/15/2005

33bProvider typeFamily Nurse Practitioner

28Total paid$98K

24GClaims2,355

24DCodes billed8

24AFirst – last monthNov 2020 – Jun 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Pennsylvania

Rank by total paid#142 of 1,075

Median peer was paid$8K

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
2020	276	$12K
2021	1,341	$55K
2022	96	$3K
2023	642	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9088	Services provided in an urgent care center (list in addition to code for service)	32%	1,081	1,066	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27%	552	541	$27K
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	15%	204	204	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	159	159	$12K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	10%	290	288	$10K
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	1.6%	13	13	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	43	43	$561.98
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	13	13	$351.00

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.