Swails, James

Swails, James was paid $7K by Medicaid between May 2018 and Jul 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.

33Billing provider infoSWAILS, JAMES
ATHENS, GA 30606

33aNPI1417972126assigned 07/13/2006

33bProvider typePediatrics Physician

28Total paid$7K

24GClaims173

24DCodes billed5

24AFirst – last monthMay 2018 – Jul 2018

Compared with peers

Next to other Pediatrics Physician providers in Georgia

Rank by total paid#164 of 220

Median peer was paid$57K

This provider vs. median0.1×

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	173	$7K

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	55%	88	65	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	26%	48	45	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	19%	13	12	$1K
4040F		0%	12	12	$0.00
90670		0%	12	12	$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.