SWARTS PEDIATRICS PLLC
1280 E CALVADA BLVD, PAHRUMP, NV 89048
NPI Number
1205427762
Practice location · View on Google Maps
SOS Verification: Pending Review
Multiple SOS Matches
Total Medicaid Payments
$93,398
-89% vs specialty average
Patients Seen
1,978
Total Claims
2,604
$ Per Patient
$47
Specialty avg: $37
Specialty Rank
#151 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.3
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2021 | $51,213 | |
| 2022 | $42,186 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 564 | $28,742 | 30.8% | $51 |
| 99203 | New patient office visit — moderate problem | 245 | $18,968 | 20.3% | $77 |
| 90460 | Giving a vaccine to a child, including talking with the family about it | 413 | $10,497 | 11.2% | $25 |
| 99383 | Wellness checkup — new patient, ages 5-11 | 152 | $10,441 | 11.2% | $69 |
| 99382 | Wellness checkup — new patient, ages 1-4 | 109 | $5,186 | 5.6% | $48 |
| 99391 | Wellness checkup — infant (under 1 year) | 78 | $5,059 | 5.4% | $65 |
| 90461 | Additional vaccine given to a child at the same visit | 268 | $4,901 | 5.2% | $18 |
| 99384 | Wellness checkup — new patient, ages 12-17 | 62 | $3,238 | 3.5% | $52 |
| 99212 | Office visit for a minor problem (established patient) | 79 | $2,138 | 2.3% | $27 |
| 90471 | Giving a vaccine by injection (shot) | 167 | $1,731 | 1.9% | $10 |
| 99381 | Wellness checkup — new patient, infant (under 1 year) | 38 | $1,730 | 1.9% | $46 |
| 90472 | Additional vaccine injection at the same visit | 51 | $569 | 0.6% | $11 |
| 96127 | Brief emotional or behavioral screening (like a depression or anxiety questionnaire) | 40 | $111 | 0.1% | $3 |
| 96110 | Developmental screening test for children (autism, learning, speech) | 12 | $89 | 0.1% | $7 |
| 90688 | Vaccine or immunization | 60 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 38 | $0 | 0.0% | $0 |
| 99173 | Other medical service | 228 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.