What is Justin Swain's specialty?

Justin Swain (NPI 1417009499) is a Medicare-billing provider whose primary specialty is Physician Assistant in Mt Pleasant, SC.

Where does Justin Swain practice?

Justin Swain practices in Mt Pleasant, SC, based on the location reported in the CMS Medicare provider datasets for NPI 1417009499.

How much does Medicare pay Justin Swain?

Justin Swain (NPI 1417009499) received approximately $38K in total Medicare Part B payments, serving 233 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1417009499

Justin SwainPA-C

PRACTICENOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLCSee all providers at this practice →

Physician AssistantMt Pleasant, SCI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

441

Unique beneficiaries

—

Total services

553

Distinct HCPCS

Medicare payment

$31K

Peer benchmark

Total Medicare services vs. 1,812 Physician Assistant providers in SC — above median (cohort median 383).

PRESCRIBING · PART D · 2024

Total Rx claims

624

Beneficiaries

—

Total drug cost

$7K

Distinct drugs

Brand share

25.2%

Top prescribed drugs

Cephalexin133 claims

Hydrocodone/Acetaminophen119 claims

Cyclobenzaprine Hcl58 claims

Tizanidine Hcl57 claims

Naloxone Hcl43 claims

QUALITY · MIPS · 2024

Final MIPS score

70.3

Quality

43.6

Cost

69.1

Improvement activities

40.0

Promoting interop.

86.0

Payment adjustment

-0.56%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$461

Payment records

By payment type

Food and Beverage$461

Top paying entities

Food and Beverage$461

REFERRAL NETWORK

Where Justin Swain's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 7 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ELAB SOLUTIONS CORPORATION	18	18
The Southeastern Spine Institute Ambulatory Surgery Center, Llc Ambulatory Surgical Center · Mt. Pleasant, SC	17	38
Thomas Anderson Neurosurgery · Mt Pleasant, SC	15	28
Janet Dagostino Family Practice · San Angelo, TX	14	21
Deborah Lay Internal Medicine · Charleston, SC	12	18

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
Steven Poletti Orthopedic Surgery · Mt Pleasant, SC	86	242
EAST COOPER COMMUNITY HOSPITAL, INC.	40	61
MURPHY, ADRIANNE	26	42
Chuong Le Neurology · San Jose, CA	22	35
Caitlin Tuggle Physician Assistant · Mt Pleasant, SC	17	24
Charles Weinheimer Anesthesiology · Mount Pleasant, SC	16	19
Jay Gottesman Anesthesiology · Charleston, SC	13	14

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events