OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Providers
  3. Kim Swanson
❤️
MDIndividual

Kim Swanson, M.D.

NPI: 1598816688
Newport Beach, CA
10 years of data
Cardiology
$3.2M
Total Payments
22.1K
Beneficiaries
37.5K
Services
2.69x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$3.2M
Specialty median$193.1K

📋 Key Findings

1Billed $3.2M over 10 years
22.69x markup ratio (above median)
397th percentile in Cardiology by payments
45 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.2M in total Medicare payments ranks in the 97th percentile of Cardiology providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$344.92$100.893.42x$244.03$305.7K2.8K1.9K
2015$335.26$91.953.65x$243.31$333.5K3.3K2.1K
2016$276.55$87.053.18x$189.50$325.3K3.3K2.3K
2017$248.70$97.262.56x$151.44$324.2K3.4K2.2K
2018$213.48$86.672.46x$126.81$295.8K3.5K2.2K
2019$213.00$87.792.43x$125.21$339.7K4.4K2.2K
2020$231.15$89.312.59x$141.84$292.8K3.9K2.0K
2021$202.91$88.422.29x$114.49$350.7K4.4K2.5K
2022$238.71$93.272.56x$145.44$311.4K4.1K2.2K
2023$237.09$92.032.58x$145.06$356.4K4.5K2.6K

Top Procedures (20)

93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function
$982.5K
5.5K services$178.91/svc2.97x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$748.1K
8.8K services$84.60/svc1.94x markup
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report⚠ 3.4x markup
$656.7K
2.9K services$223.15/svc3.42x markup
99213Established patient outpatient visit, total time 20-29 minutes
$300.5K
4.1K services$73.59/svc2.04x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck⚠ 3.1x markup
$120.5K
681 services$176.93/svc3.15x markup
99205New patient office or other outpatient visit, typically 60 minutes
$90.2K
540 services$166.95/svc2.11x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 3.9x markup
$76.7K
6.0K services$12.84/svc3.91x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$64.0K
568 services$112.62/svc1.97x markup
76770Ultrasound behind abdominal cavity
$44.5K
426 services$104.38/svc2.70x markup
93793Anti-clotting management for patient taking warfarin
$35.4K
3.6K services$9.78/svc2.05x markup
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days
$21.1K
906 services$23.30/svc2.87x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days
$17.6K
868 services$20.25/svc2.90x markup
76706Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm)
$14.8K
118 services$125.71/svc2.04x markup
93288Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection
$14.0K
358 services$39.15/svc2.69x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$10.6K
99 services$107.11/svc2.09x markup
G0250Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
$8.9K
1.3K services$6.97/svc2.15x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report⚠ 3.8x markup
$8.2K
245 services$33.31/svc3.75x markup
99291Critical care, first 30-74 minutes
$7.8K
43 services$180.42/svc1.94x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$5.5K
92 services$59.60/svc1.99x markup
93228Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour EKG up to 30 days⚠ 4.0x markup
$2.8K
140 services$20.00/svc3.96x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function5.5K$982.5K$178.912.97x
99214Established patient office or other outpatient, visit typically 25 minutes8.8K$748.1K$84.601.94x
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report2.9K$656.7K$223.153.42x
99213Established patient outpatient visit, total time 20-29 minutes4.1K$300.5K$73.592.04x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck681$120.5K$176.933.15x
99205New patient office or other outpatient visit, typically 60 minutes540$90.2K$166.952.11x
93000Routine EKG using at least 12 leads including interpretation and report6.0K$76.7K$12.843.91x
99215Established patient office or other outpatient, visit typically 40 minutes568$64.0K$112.621.97x
76770Ultrasound behind abdominal cavity426$44.5K$104.382.70x
93793Anti-clotting management for patient taking warfarin3.6K$35.4K$9.782.05x
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days906$21.1K$23.302.87x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days868$17.6K$20.252.90x
76706Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm)118$14.8K$125.712.04x
93288Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection358$14.0K$39.152.69x
99222Initial hospital inpatient care, typically 50 minutes per day99$10.6K$107.112.09x
G0250Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent1.3K$8.9K$6.972.15x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report245$8.2K$33.313.75x
99291Critical care, first 30-74 minutes43$7.8K$180.421.94x
99232Subsequent hospital inpatient care, typically 25 minutes per day92$5.5K$59.601.99x
93228Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour EKG up to 30 days140$2.8K$20.003.96x

Markup Analysis

Charge-to-Payment Ratio

2.69x

This provider submits charges 2.69 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.69x means for every $100 Medicare pays, this provider initially charges $269. This is higher than the national average.

Location

Newport Beach, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Cardiology providers in CA for peer comparison.

Kim Swanson (you)
$3.2M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, CA$38.1M✓ Clear
Mehran Khorsandi, M.D.,Los Angeles, CA$36.4M✓ Clear
Shashi Sharma, D.M.Visalia, CA$35.4M✓ Clear

Related

Browse
← Back to Provider Directory
State
All providers in CA →
Specialty
All Cardiology providers →
Tool
Compare this provider →
Analysis
Fraud Watchlist →
Search
Search all providers →

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data