Swinker, Margaret
Swinker, Margaret was paid $193K by Medicaid between Nov 2020 and Dec 2024, across 8 billing codes. Its largest line is V2020, Frames, purchases — 33% of everything it billed.
33Billing provider infoSWINKER, MARGARET
BROWNSVILLE, PA 15417
BROWNSVILLE, PA 15417
33aNPI1487618187assigned 04/12/2006
33bProvider typeOptometrist
28Total paid$193K
24GClaims4,348
24DCodes billed8
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#139 of 983
Median peer was paid$20K
This provider vs. median9.6×
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 | 88 | $4K | |
| 2021 | 942 | $41K | |
| 2022 | 1,065 | $46K | |
| 2023 | 1,252 | $56K | |
| 2024incomplete | 1,001 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 33% | 1,186 | 1,156 | $64K |
| 92250 | 31% | 1,322 | 1,260 | $59K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 16% | 859 | 797 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 689 | 670 | $28K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.0% | 138 | 138 | $8K |
| 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 | 1.1% | 55 | 53 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 50 | 39 | $1K |
| 92015 | Determination of refractive state | <1% | 49 | 49 | $220.50 |
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.