Marc A Swanson, OD
Optometry · San Carlos
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 2
Offices
2 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Swanson’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$39,214
Medicare paid this office $39,214 for 339 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Return visit (30+ min) | 149 | $15,306 | $103 |
| New patient complete exam of visual system | 54 | $6,713 | $124 |
| Short return visit (20+ min) | 66 | $5,092 | $72 |
| New patient visit (30+ min) | 41 | $3,647 | $89 |
| Established patient complete exam of visual system | 29 | $2,930 | $101 |
See all 8 services
| Return visit (30+ min) | 149 | $15,306 | $103 |
| New patient complete exam of visual system | 54 | $6,713 | $124 |
| Short return visit (20+ min) | 66 | $5,092 | $72 |
| New patient visit (30+ min) | 41 | $3,647 | $89 |
| Established patient complete exam of visual system | 29 | $2,930 | $101 |
| Imaging of retina | 38 | $1,490 | $39 |
| Photography of the retina | 45 | $1,424 | $32 |
| Imaging of optic nerve | 31 | $881 | $28 |
Who their Medicare patients are
339 Original Medicare patients in 2024. Average age 75 · Women 57% · Also on Medicaid 5% · Health risk score 0.76. At or below the middle of the specialty; the typical optometry clinician is at 0.97.
Conditions among them: High blood pressure 54% · Diabetes 21% · Coronary heart disease 19% · Chronic kidney disease 12% · Atrial fibrillation 12% · Cancer 11% · Depression 9% · Heart failure 7% · COPD 5% · Stroke 4%.
The office billed $171,879, Medicare allowed $59,256 and paid $39,214; for 490 services of 15 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 339 | 490 | 75 | 0.76 | $171,879 | $39,214 |
| 2023 | 292 | 391 | 75 | 0.82 | $134,103 | $30,979 |
| 2022 | 308 | 451 | 74 | 0.74 | $153,666 | $37,208 |
| 2021 | 292 | 429 | 74 | 0.77 | $145,433 | $36,482 |
| 2020 | 244 | 323 | 74 | 1.01 | $108,561 | $25,206 |
| 2019 | 330 | 446 | 73 | 0.83 | $155,620 | $36,626 |
| 2018 | 285 | 355 | 74 | 0.85 | $127,803 | $30,810 |
| 2017 | 292 | 394 | 74 | 0.79 | $137,624 | $33,371 |
| 2016 | 197 | 249 | 72 | 0.79 | $88,389 | $21,469 |
| 2015 | 190 | 232 | 73 | 0.96 | $85,879 | $22,506 |
| 2014 | 176 | 195 | 74 | 0.70 | $74,084 | $18,413 |
| 2013 | 152 | 172 | 73 | 0.81 | $62,786 | $15,876 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 8 services
| Return visit (30+ min) | 123 | $11,912 | $97 |
| Established patient complete exam of visual system | 46 | $4,700 | $102 |
| Short return visit (20+ min) | 54 | $4,489 | $69 |
| New patient complete exam of visual system | 36 | $3,962 | $110 |
| New patient visit (30+ min) | 28 | $2,396 | $86 |
| Photography of the retina | 25 | $762 | $30 |
| Imaging of retina | 20 | $649 | $32 |
| Imaging of optic nerve | 24 | $642 | $27 |
2022: 9 services
| Return visit (30+ min) | 96 | $10,392 | $107 |
| Established patient complete exam of visual system | 80 | $7,218 | $90 |
| New patient complete exam of visual system | 58 | $6,992 | $121 |
| Short return visit (20+ min) | 54 | $4,894 | $78 |
| New patient visit (30+ min) | 25 | $2,049 | $82 |
| New patient visit (45+ min) | 13 | $1,506 | $116 |
| Imaging of retina | 37 | $1,287 | $35 |
| Photography of the retina | 29 | $1,006 | $35 |
| Imaging of optic nerve | 25 | $843 | $32 |
2021: 10 services
| Established patient complete exam of visual system | 146 | $14,957 | $102 |
| New patient complete exam of visual system | 48 | $6,138 | $128 |
| Short return visit (20+ min) | 58 | $4,895 | $75 |
| Return visit (30+ min) | 26 | $2,820 | $104 |
| New patient visit (30+ min) | 21 | $2,089 | $99 |
| Imaging of retina | 44 | $1,686 | $38 |
| New patient visit (45+ min) | 11 | $1,586 | $144 |
| Photography of the retina | 24 | $909 | $38 |
| Imaging of optic nerve | 21 | $683 | $33 |
| Exam of visual field with extended testing | 12 | $535 | $45 |
2020: 6 services
| Established patient complete exam of visual system | 117 | $11,120 | $95 |
| New patient complete exam of visual system | 50 | $6,169 | $123 |
| Short return visit (20+ min) | 52 | $3,049 | $53 |
| New patient visit (30+ min) | 18 | $1,351 | $75 |
| Imaging of retina | 25 | $911 | $36 |
| Imaging of optic nerve | 19 | $609 | $32 |
2019: 9 services
| Established patient complete exam of visual system | 174 | $16,876 | $97 |
| New patient complete exam of visual system | 82 | $9,214 | $112 |
| Short return visit (20+ min) | 52 | $3,424 | $63 |
| New patient visit (30+ min) | 17 | $1,545 | $91 |
| Imaging of retina | 33 | $1,273 | $39 |
| Imaging of optic nerve | 25 | $926 | $36 |
| Exam of visual field with extended testing | 12 | $736 | $61 |
| Photography of the retina | 12 | $613 | $51 |
| Ultrasound scan of cornea to determine thickness | 14 | $160 | $11 |
2018: 6 services
| Established patient complete exam of visual system | 146 | $14,106 | $97 |
| New patient complete exam of visual system | 86 | $9,989 | $116 |
| Short return visit (20+ min) | 44 | $2,625 | $56 |
| New patient visit (30+ min) | 18 | $1,504 | $84 |
| Imaging of retina | 31 | $1,222 | $39 |
| Imaging of optic nerve | 11 | $364 | $33 |
2017: 8 services
| New patient complete exam of visual system | 105 | $13,038 | $124 |
| Established patient complete exam of visual system | 127 | $11,881 | $94 |
| Short return visit (20+ min) | 34 | $2,285 | $56 |
| New patient visit (30+ min) | 23 | $1,823 | $79 |
| Imaging of optic nerve | 29 | $1,073 | $36 |
| Imaging of retina | 25 | $941 | $38 |
| Exam of visual field with extended testing | 15 | $864 | $58 |
| Ultrasound scan of cornea to determine thickness | 11 | $135 | $12 |
2016: 6 services
| Established patient complete exam of visual system | 96 | $9,120 | $95 |
| New patient complete exam of visual system | 57 | $6,750 | $118 |
| New patient visit (30+ min) | 18 | $1,418 | $79 |
| Short return visit (20+ min) | 21 | $1,390 | $60 |
| Imaging of optic nerve | 23 | $950 | $41 |
| Return visit (30+ min) | 12 | $879 | $73 |
2015: 5 services
| Established patient complete exam of visual system | 85 | $9,007 | $106 |
| New patient complete exam of visual system | 60 | $7,454 | $124 |
| Short return visit (20+ min) | 23 | $1,665 | $69 |
| New patient visit (30+ min) | 16 | $1,646 | $103 |
| Imaging of optic nerve | 13 | $585 | $45 |
2014: 3 services
| Established patient complete exam of visual system | 89 | $8,938 | $100 |
| New patient complete exam of visual system | 49 | $5,995 | $122 |
| Short return visit (20+ min) | 22 | $1,411 | $61 |
2013: 3 services
| Established patient complete exam of visual system | 87 | $8,970 | $103 |
| New patient complete exam of visual system | 29 | $3,637 | $125 |
| Short return visit (20+ min) | 24 | $1,392 | $58 |
Medicaid work
$162 in 2019
Medicaid paid $162 for 13 billed services this clinician did in 2019, up to 13 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| DETERMINATION REFRACTIVE STATE | 13 | $162 |
| 2019 | 13 | 1 | 13 | $162 |
Money from drug and device companies
$98 in 2021
A payment is not proof that care is biased.
| Bausch & Lomb a division of Bausch Health US | Ultra Multifocal Toric | $98 | 1 payment
|
See the published payment
| Bausch & Lomb a division of Bausch Health US | Meals · 2021-07-13 | Ultra Multifocal Toric | $98 |
Professional record
- NPI
- 1881762839
- Licence
- CA OPT18868TPA
- Trained
- Southern California College of Optometry, 1987
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 152W00000X (152W00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2006-11-30
- NPI last updated
- 2020-03-03
- NPI record certified
- 2020-03-03
This is when the NPI record was last certified, not a medical board exam.