Swarthout, Lewis

Swarthout, Lewis was paid $1.83M by Medicaid between Feb 2020 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.

33Billing provider infoSWARTHOUT, LEWIS
COLORADO SPRINGS, CO 80915

33aNPI1437593894assigned 04/29/2013

33bProvider typePsychiatric/Mental Health Nurse Practitioner

28Total paid$1.83M

24GClaims21,504

24DCodes billed5

24AFirst – last monthFeb 2020 – Oct 2024

Compared with peers

Next to other Psychiatric/Mental Health Nurse Practitioner providers in Colorado

Rank by total paid#5 of 103

Median peer was paid$44K

This provider vs. median42×

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	1,372	$111K
2021	5,257	$393K
2022	6,582	$561K
2023	5,950	$555K
2024incomplete	2,343	$215K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	78%	17,656	13,579	$1.43M
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	14%	2,796	2,037	$262K
99205	Prolong outpt/office vis	7.0%	858	776	$128K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	114	107	$16K
96127		<1%	80	78	$681.10

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.