James E Swonder MD PC

James E Swonder MD PC was paid $8K by Medicaid between Jan 2018 and Apr 2018, across 3 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 46% of everything it billed.

33Billing provider infoJAMES E SWONDER MD PC
RICHMOND, IN 47374

33aNPI1518083484assigned 03/22/2007

33bProvider typeGastroenterology Physician

28Total paid$8K

24GClaims244

24DCodes billed3

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Gastroenterology Physician providers in Indiana

Rank by total paid#23 of 33

Median peer was paid$32K

This provider vs. median0.3×

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	244	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	46%	62	41	$4K
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	43%	137	95	$4K
43450		12%	45	22	$964.25

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.

From NPPES

Who's on the registration

Authorized officialSWONDER, JAMES (OWNER)