Swaringen, Sandra
Swaringen, Sandra was paid $61K by Medicaid between Jan 2018 and Apr 2019, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 62% of everything it billed.
33Billing provider infoSWARINGEN, SANDRA
NORTH WILKESBORO, NC 28659
NORTH WILKESBORO, NC 28659
33aNPI1396841813assigned 09/15/2006
33bProvider typeOptometrist
28Total paid$61K
24GClaims1,790
24DCodes billed5
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#278 of 636
Median peer was paid$41K
This provider vs. median1.5×
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 | 1,378 | $47K | |
| 2019 | 412 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 62% | 513 | 480 | $38K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 16% | 107 | 102 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 575 | 560 | $9K |
| 92370 | 6.9% | 582 | 571 | $4K | |
| 92341 | <1% | 13 | 13 | $233.99 |
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.