Physician

Paul Mathew Swanson, MD

According to 2025 Medicare claims, Paul Swanson, MD (NPI: 1861448243) practices hematology/oncology in the Port St. Lucie, FL market, with the plurality of this provider's patient population coming from St. Lucie, FL. This provider's primary affiliated billing organization is HEM ONC ASSOCIATES OF THE TREASURE COAST, PA (NPI: 1205882867; TIN: 650696665) and primary practice location at 34996-3349. Swanson is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), participating under the MSSP model.

Swanson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,016 traditional Medicare patients, billed 190,133 HCPCS/CPT codes, and received $3,275,701 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 1,442 prescription claims across 279 beneficiaries totaling $4,098,596 in drug costs, led by Xtandi (Enzalutamide). DME data shows 70 claims. Open Payments data shows 9 records totaling $174. 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. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $7,824 and ending at $3,306.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,569	362,716	$3,593,396
2016	1,637	416,199	$3,773,319
2017	1,581	400,958	$3,857,981
2018	1,372	288,097	$3,494,385
2019	1,417	366,825	$3,396,799
2020	1,248	342,821	$4,041,347
2021	1,302	323,153	$4,322,599
2022	1,166	263,095	$4,081,392
2023	1,095	250,113	$4,258,372
2024	1,016	190,133	$3,275,701

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	320	1,878	$3,139,869
2016	331	2,000	$3,047,903
2017	321	1,888	$3,161,501
2018	290	1,709	$3,695,161
2019	313	1,716	$3,505,748
2020	318	1,798	$3,725,881
2021	316	1,859	$3,501,586
2022	309	1,836	$3,648,861
2023	315	1,741	$3,388,183
2024	279	1,442	$4,098,596

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	12	117	$41,367
2016	12	142	$47,537
2017	N/R	205	$36,078
2018	N/R	62	$6,476
2019	N/R	31	$3,548
2020	N/R	N/R	N/R
2021	N/R	73	$4,710
2022	N/R	40	$1,562
2023	N/R	18	$1,781
2024	N/R	70	$3,286

* / # = 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	476	1,568	$68
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	169	264	$65
80053	Blood test, comprehensive group of blood chemicals	505	1,427	$10
36415	Insertion of needle into vein for collection of blood sample	586	1,655	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	660	2,236	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtandi	Enzalutamide	59	1,770	$828,366
Lenalidomide	Lenalidomide	39	1,092	$464,440
Imbruvica	Ibrutinib	44	1,268	$390,192
Lupron Depot	Leuprolide Acetate	34	3,850	$263,338
Rituxan	Rituximab	13	364	$237,445

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	24	$1,782
E0656	Segmental pneumatic appliance for use with pneumatic compressor, trunk	Y	N/R	11	$445
E0657	Segmental pneumatic appliance for use with pneumatic compressor, chest	Y	N/R	11	$436
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$426
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$197

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$174	Incyte 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 Paul Mathew Swanson, MD?

Tedicare shows public-source Medicare data for Paul Mathew Swanson, MD (NPI 1861448243), 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 Paul Mathew Swanson, MD have ACO affiliation data?

Paul Mathew Swanson, MD is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290).

What billing organization is linked to Paul Mathew Swanson, MD?

Paul Mathew Swanson, MD is linked to HEM ONC ASSOCIATES OF THE TREASURE COAST, PA (billing NPI 1205882867) in the available physician profile data.

Does Paul Mathew Swanson, MD have Open Payments data?

Paul Mathew Swanson, MD has 9 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.