Physician
Roy, Swapna
Roy, Swapna was paid $616K by Medicaid between Jan 2018 and Mar 2024, across 40 billing codes. Its largest line is 96156, — 21% of everything it billed.
33Billing provider infoROY, SWAPNA
PLACENTIA, CA 92870
PLACENTIA, CA 92870
33aNPI1639193873assigned 07/27/2006
33bProvider typePediatrics Physician
28Total paid$616K
24GClaims19,197
24DCodes billed40
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#194 of 1,490
Median peer was paid$15K
This provider vs. median41×
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 | 4,575 | $121K | |
| 2019 | 5,191 | $151K | |
| 2020 | 4,724 | $157K | |
| 2021 | 2,200 | $97K | |
| 2022 | 1,180 | $57K | |
| 2023 | 1,023 | $32K | |
| 2024incomplete | 304 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 21% | 1,981 | 1,943 | $131K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 3,603 | 3,058 | $121K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12% | 1,185 | 1,160 | $76K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 916 | 794 | $47K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 743 | 693 | $39K |
| 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 | 5.9% | 846 | 703 | $37K |
| 97803 | 5.6% | 1,796 | 1,786 | $34K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 421 | 399 | $24K |
| 96151 | 3.7% | 1,061 | 1,049 | $23K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 279 | 274 | $20K |
| 92551 | 2.3% | 1,140 | 1,134 | $14K | |
| 99381 | 1.3% | 93 | 81 | $8K |
28 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 404 | $6K |
| 90670 | <1% | 636 | $6K | |
| 90686 | <1% | 525 | $5K | |
| 90680 | <1% | 434 | $4K | |
| 96127 | <1% | 557 | $3K | |
| 96150 | <1% | 145 | $3K | |
| 90744 | <1% | 303 | $3K | |
| 81000 | <1% | 816 | $2K | |
| 90698 | <1% | 226 | $2K | |
| 90700 | <1% | 166 | $1K | |
| 90648 | <1% | 137 | $1K | |
| 90633 | <1% | 95 | $846.00 | |
| 83655 | <1% | 46 | $681.61 | |
| 90651 | <1% | 66 | $594.00 | |
| 90685 | <1% | 64 | $576.00 | |
| 92552 | <1% | 39 | $526.91 | |
| 90734 | <1% | 37 | $333.00 | |
| 90713 | <1% | 34 | $306.00 | |
| 90707 | <1% | 29 | $261.00 | |
| 99173 | <1% | 91 | $243.76 | |
| 97802 | <1% | 13 | $236.69 | |
| 90716 | <1% | 25 | $225.00 | |
| 90620 | <1% | 15 | $126.00 | |
| 90658 | <1% | 12 | $108.00 | |
| 86580 | <1% | 49 | $3.36 | |
| 85999 | <1% | 48 | $3.01 | |
| 81001 | 0% | 48 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 73 | $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.