Physician

Orrin Scott Swayze, M.D.

According to 2025 Medicare claims, Orrin Swayze, M.D. (NPI: 1588667521) practices orthopedic surgery in the Marietta, GA market, with the plurality of this provider's patient population coming from Cobb, GA. This provider's primary affiliated billing organization is PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLC (NPI: 1194815175; TIN: 582293749) and primary practice location at 30060-9403. Swayze is affiliated with the WellStar Clinical Partners Medicare ACO, LLC (ACO ID: A4803), participating under the MSSP model.

Swayze's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 741 traditional Medicare patients, billed 19,571 HCPCS/CPT codes, and received $400,050 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 860 prescription claims across 373 beneficiaries totaling $7,723 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). DME data shows 35 claims. Open Payments data shows 8 records totaling $410. 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 have declined steadily, from $20,076 to $7,723. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,325 and ending at $1,790.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	800	7,157	$408,882
2016	822	6,463	$475,350
2017	1,029	6,285	$529,377
2018	851	5,768	$455,090
2019	924	5,955	$482,356
2020	832	7,930	$472,376
2021	787	6,553	$382,733
2022	727	11,547	$372,433
2023	785	17,290	$422,322
2024	741	19,571	$400,050

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	334	768	$20,076
2016	459	970	$25,668
2017	546	1,324	$27,362
2018	521	1,208	$22,224
2019	471	1,066	$23,799
2020	432	1,288	$16,619
2021	388	1,009	$15,420
2022	365	894	$13,754
2023	410	1,126	$15,385
2024	373	860	$7,723

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	24	35	$1,966
2017	28	40	$1,686
2018	25	25	$1,002
2019	34	46	$1,593
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	11	23	$675
2023	12	14	$7,708
2024	34	35	$22,467

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	324	$94
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	487	763	$66
20610	Aspiration and/or injection of fluid from large joint	376	724	$57
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	346	2,486	$1
J1100	Injection, dexamethasone sodium phosphate, 1 mg	354	2,527	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	152	1,731	$1,517
Celecoxib	Celecoxib	69	2,699	$1,148
Gabapentin	Gabapentin	76	2,340	$745
Cephalexin	Cephalexin	88	582	$731
Methocarbamol	Methocarbamol	65	1,012	$365

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L1833	Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf	N	23	24	$13,132
L1686	Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment	N	11	11	$9,336

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$410	Zimmer Biomet Holdings, Inc.
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 Orrin Scott Swayze, M.D.?

Tedicare shows public-source Medicare data for Orrin Scott Swayze, M.D. (NPI 1588667521), 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 Orrin Scott Swayze, M.D. have ACO affiliation data?

Orrin Scott Swayze, M.D. is shown with ACO affiliation data for WellStar Clinical Partners Medicare ACO, LLC (MSSP, ACO ID A4803).

What billing organization is linked to Orrin Scott Swayze, M.D.?

Orrin Scott Swayze, M.D. is linked to PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLC (billing NPI 1194815175) in the available physician profile data.

Does Orrin Scott Swayze, M.D. have Open Payments data?

Orrin Scott Swayze, M.D. has 8 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.