Physician

Michael John Swartz, M.D.

According to 2025 Medicare claims, Michael Swartz, M.D. (NPI: 1225174402) practices radiation oncology in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is DAKOTA WEST RADIATION ONCOLOGY PC (NPI: 1447343827; TIN: 460426677) and primary practice location at 57701-7375. Swartz is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Swartz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 413 traditional Medicare patients, billed 2,887 HCPCS/CPT codes, and received $204,349 in Medicare payments. The top billing code was 77263 (Complex radiation therapy planning). Part D data shows 78 prescription claims across 38 beneficiaries totaling $1,744 in drug costs, led by Tamsulosin Hcl (Tamsulosin Hcl). 2019 DME data shows 12 claims. Open Payments data shows 1 records totaling $26. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	299	1,777	$136,766
2016	316	2,125	$150,493
2017	315	2,256	$164,991
2018	366	2,625	$186,563
2019	394	2,385	$173,867
2020	378	2,153	$167,180
2021	392	2,281	$168,645
2022	398	2,240	$171,916
2023	379	2,021	$145,855
2024	413	2,887	$204,349

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	22	59	$1,416
2016	28	58	$1,699
2017	27	54	$998
2018	26	43	$861
2019	33	68	$1,393
2020	34	76	$1,405
2021	22	59	$1,568
2022	30	74	$1,495
2023	27	66	$1,566
2024	38	78	$1,744

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	12	$287
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
77263	Complex radiation therapy planning	101	107	$127
77334	Design and construction of complex radiation treatment device	106	246	$46
77014	Ct guidance for insertion of radiation therapy fields	155	1,241	$34
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	166	226	$26
77300	Calculation of radiation therapy dose	91	160	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tamsulosin Hcl	Tamsulosin Hcl	17	810	$290

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$26	Novartis Pharmaceuticals Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Michael John Swartz, M.D.?

Tedicare shows public-source Medicare data for Michael John Swartz, M.D. (NPI 1225174402), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Michael John Swartz, M.D. have ACO affiliation data?

Michael John Swartz, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Michael John Swartz, M.D.?

Michael John Swartz, M.D. is linked to DAKOTA WEST RADIATION ONCOLOGY PC (billing NPI 1447343827) in the available physician profile data.

Does Michael John Swartz, M.D. have Open Payments data?

Michael John Swartz, M.D. has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.