Swafford, Kathy

Swafford, Kathy was paid $276K by Medicaid between Jan 2018 and May 2023, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoSWAFFORD, KATHY
CARBONDALE, IL 62901

33aNPI1871583849assigned 10/21/2005

33bProvider typePediatrics Physician

28Total paid$276K

24GClaims7,118

24DCodes billed22

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#445 of 1,805

Median peer was paid$55K

This provider vs. median5.0×

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	888	$34K
2019	1,485	$56K
2020	1,691	$64K
2021	1,263	$51K
2022	1,431	$56K
2023	360	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	54%	3,183	2,603	$149K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	16%	595	497	$45K
96110	Developmental screening, with scoring and documentation, per standardized instrument	9.2%	1,489	1,314	$25K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	9.1%	373	311	$25K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	3.7%	138	113	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	3.5%	380	355	$10K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.6%	56	44	$4K
90670		<1%	304	257	$3K
96127		<1%	92	72	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	65	50	$847.80
90686		<1%	61	60	$548.87
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	22	12	$438.20

10 more codes

90734	<1%	18	$372.90
36416	<1%	76	$303.40
83655	<1%	23	$272.78
81002	<1%	89	$213.20
90648	<1%	29	$185.60
90672	<1%	21	$134.40
85018	<1%	60	$132.24
90698	<1%	19	$121.60
90660	<1%	13	$81.25
90633	<1%	12	$76.80

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.