Ben Shwachman MD Apc

Ben Shwachman MD Apc was paid $90K by Medicaid between Jan 2018 and Jun 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 81% of everything it billed.

33Billing provider infoBEN SHWACHMAN MD APC
COVINA, CA 91723

33aNPI1679790778assigned 04/19/2007

33bProvider typeInterventional Pain Medicine Physician

28Total paid$90K

24GClaims2,019

24DCodes billed3

24AFirst – last monthJan 2018 – Jun 2022

Compared with peers

Next to other Interventional Pain Medicine Physician providers in California

Rank by total paid#16 of 47

Median peer was paid$9K

This provider vs. median10.0×

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	559	$16K
2019	543	$21K
2020	373	$17K
2021	344	$23K
2022	200	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	81%	1,279	1,257	$73K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	328	328	$14K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	3.9%	412	406	$4K

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 officialSHWACHMAN, BEN (PRESIDENT)