Active NPI 1477868412 Individual Practitioner Male Practitioner

Dr. Sein Shwe , MD

Internal Medicine • Fresno, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sein Shwe, MD is a certified Internal Medicine practicing in Fresno, CA. With approximately 22 years of clinical experience since completing medical education in 2004, Dr. Shwe delivers high-quality medical care to the local community at 7370 N PALM AVE.

Dr. Shwe is affiliated with Community Health Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7370 N Palm Ave

Fresno, CA 937115782

Telephone 5592284222

Associated Practice Facility / Clinic

🏢 Community Hospitalist Medical Group Inc. Facility NPI 1467437376

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fresno, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +0.3 yrs vs City Avg

City Avg: 21.7 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

347 Specialists

Practicing in Fresno, CA (18502 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shwe (22 Years) 22 Yrs

Fresno Specialty Average (21.7 Years) 21.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	255	116	$319.60	$118.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	196	191	$467.14	$173.01
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	48	26	$85.11	$30.26
99239 Hospital discharge day management, more than 30 minutes	20	20	$309.08	$115.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	183	93	$300.44	$121.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	181	177	$460.14	$175.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	20	$199.32	$80.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$351.23	$132.16
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	19	19	$81.03	$31.10
99238 Hospital discharge day management, 30 minutes or less	12	12	$202.08	$82.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	217	116	$281.61	$104.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	171	168	$531.75	$201.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	11	$212.60	$72.98
99239 Hospital discharge day management, more than 30 minutes	11	11	$313.45	$108.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	345	168	$303.26	$105.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	152	151	$579.16	$205.48
99239 Hospital discharge day management, more than 30 minutes	38	38	$310.26	$109.71
99220 Hospital observation care, typically 70 minutes	13	13	$514.69	$186.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	275	261	$523.00	$209.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	140	93	$270.00	$108.74
99220 Hospital observation care, typically 70 minutes	16	15	$481.00	$184.38
99239 Hospital discharge day management, more than 30 minutes	12	12	$280.00	$111.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	337	179	$270.00	$106.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	179	169	$523.00	$205.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	47	$187.00	$74.17
99239 Hospital discharge day management, more than 30 minutes	39	39	$280.00	$107.77
99220 Hospital observation care, typically 70 minutes	25	25	$481.00	$189.29
99219 Hospital observation care, typically 50 minutes	23	23	$351.00	$138.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$353.00	$139.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	238	130	$187.00	$73.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	191	183	$523.00	$205.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	191	123	$270.00	$105.87
99239 Hospital discharge day management, more than 30 minutes	39	39	$280.00	$110.23
99220 Hospital observation care, typically 70 minutes	35	34	$483.40	$189.15
99219 Hospital observation care, typically 50 minutes	31	31	$351.06	$138.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$353.00	$138.48
99225 Subsequent observation care, typically 25 minutes per day	28	19	$188.86	$74.46
99217 Hospital observation care on day of discharge	20	20	$198.10	$74.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	292	153	$208.56	$106.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	194	101	$140.98	$73.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	166	161	$364.57	$206.14
99239 Hospital discharge day management, more than 30 minutes	51	51	$217.53	$110.22
99220 Hospital observation care, typically 70 minutes	38	38	$331.32	$189.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$249.40	$138.94
99225 Subsequent observation care, typically 25 minutes per day	13	12	$145.38	$74.30

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A117739

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Community Health Partners

2823 Fresno St, Fresno, CA 937211324

Phone: 5594596000

Community Health Partners

2755 Herndon Ave, Clovis, CA 936116800

Phone: 5593244000

Community Health Partners

45 E River Park Pl W, Fresno, CA 937201565

Community Health Partners

805 W Acequia Ave, Visalia, CA 932916164

Phone: 5593200530

Community Health Partners

45 E River Park Pl W, Fresno, CA 937201565

Phone: 5593200530

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners

Dr. Kaushik Tiwary , MD

Internal Medicine

NPI 1144584434

Doctor of Medicine (M.D.)

Dr. Shing-Lu Ma , MD

Hospitalist

NPI 1154625044

Doctor of Medicine (M.D.)

Dr. Raquel Salazar-Kagunye , MD

Internal Medicine

NPI 1174896880

Doctor of Medicine (M.D.)

Ankur Kumar Das

Internal Medicine

NPI 1225430937

Dr. Rajvir Basraon , MD

Hospitalist

NPI 1245422559

Doctor of Medicine (M.D.)

Dr. Naw Aye Aye Aung , MD

Hospitalist

NPI 1336499763

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 10, 2015

Registered at 7370 N PALM AVE, FRESNO, CA 937115782 (Tel: 5592284222)

📍

Updated Business Mailing Address December 10, 2015

Registered at 7370 N PALM AVE, FRESNO, CA 937115782 (Tel: 5592284222)

👤

Provider Name / Credentials Updated December 10, 2015

Recorded as SEIN SHWE, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2015

Internal Medicine (License #A117739 in CA)

🟢

Initial NPI Registration & Enumeration August 14, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477868412

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 14, 2010

Last Update: December 10, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7370 N Palm Ave

Fresno, CA 937115782

Phone: 5592284222

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.