Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Bedford › NPI 1528601739
NP / PA

Swartz, Ashley

Swartz, Ashley was paid $530K by Medicaid between Feb 2020 and Dec 2024, across 12 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.

33Billing provider infoSWARTZ, ASHLEY
BEDFORD, PA 15522
33aNPI1528601739assigned 10/21/2019
28Total paid$530K
24GClaims10,297
24DCodes billed12
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers

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

Rank by total paid#6 of 93
Median peer was paid$3K
This provider vs. median206×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20203,111$170K
20213,548$193K
20222,000$105K
2023816$31K
2024incomplete822$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 88% 3,134 2,251 $468K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.0% 3,396 2,585 $27K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.4% 415 406 $23K
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 1.3% 317 288 $7K
80305 <1% 2,467 1,766 $2K
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 <1% 16 16 $1K
87428 <1% 39 37 $915.74
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 112 109 $860.37
96127 <1% 33 32 $135.16
36415 Collection of venous blood by venipuncture 0% 206 202 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 41 41 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 121 120 $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.