Clinic
Swenson Medical Group Professional Corporation
Swenson Medical Group Professional Corporation was paid $183K by Medicaid between Jan 2018 and Sep 2021, across 27 billing codes. Its largest line is 59425, — 41% of everything it billed.
33Billing provider infoSWENSON MEDICAL GROUP PROFESSIONAL CORPORATION
YREKA, CA 96097
YREKA, CA 96097
33aNPI1649315029assigned 02/21/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$183K
24GClaims10,244
24DCodes billed27
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#120 of 422
Median peer was paid$25K
This provider vs. median7.5×
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 | 3,363 | $72K | |
| 2019 | 2,943 | $49K | |
| 2020 | 2,313 | $39K | |
| 2021 | 1,625 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 41% | 869 | 587 | $74K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 16% | 437 | 277 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 3,260 | 3,013 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 740 | 733 | $24K |
| 90670 | 2.9% | 597 | 596 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 705 | 704 | $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 | 1.5% | 278 | 260 | $3K |
| 90680 | 1.5% | 305 | 305 | $3K | |
| 90698 | 1.5% | 301 | 301 | $3K | |
| 81002 | 1.5% | 1,109 | 680 | $3K | |
| 90656 | <1% | 86 | 86 | $2K | |
| 90657 | <1% | 174 | 173 | $2K |
15 more codes
| 90686 | <1% | 98 | $1K | |
| 90654 | <1% | 115 | $1K | |
| 90648 | <1% | 99 | $891.00 | |
| 90633 | <1% | 78 | $729.49 | |
| 90744 | <1% | 78 | $699.75 | |
| 99460 | <1% | 12 | $621.16 | |
| 99462 | <1% | 17 | $469.24 | |
| 90723 | <1% | 48 | $432.00 | |
| 92552 | <1% | 265 | $360.47 | |
| 90710 | <1% | 25 | $225.00 | |
| 85018 | <1% | 492 | $114.37 | |
| 90734 | <1% | 12 | $108.00 | |
| 90715 | <1% | 12 | $108.00 | |
| 90696 | <1% | 12 | $108.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 20 | $43.85 |
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 officialSWENSON, RICHARD (OWNER)