Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Broker,cramer & Swanson Ent, PC

Broker,cramer & Swanson Ent, PC was paid $78K by Medicaid between Dec 2020 and Oct 2024, across 9 billing codes. Its largest line is 31231, — 45% of everything it billed.

33Billing provider infoBROKER,CRAMER & SWANSON ENT, PC
PHOENIXVILLE, PA 19460
33aNPI1568761062assigned 03/23/2011
28Total paid$78K
24GClaims1,595
24DCodes billed9
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers

Next to other Allergy & Immunology Physician providers in Pennsylvania

Rank by total paid#14 of 45
Median peer was paid$46K
This provider vs. median1.7×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
202050$4K
2021330$13K
2022365$15K
2023703$40K
2024incomplete147$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31231 45% 363 342 $35K
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 23% 423 384 $18K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 517 499 $15K
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 8.2% 121 106 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.1% 79 73 $2K
92557 1.0% 31 30 $805.06
92588 <1% 14 13 $568.80
92550 <1% 34 31 $396.32
69210 <1% 13 13 $308.08

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 officialBROKER, BRIAN (PRESIDENT)