Active NPI 1013368885 Individual Practitioner Female Practitioner

Dr. Swe Than , MD, PhD

Internal Medicine • Modesto, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Swe Than, MD, PhD is a certified Internal Medicine practicing in Modesto, CA. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Than delivers high-quality medical care to the local community at 600 COFFEE RD.

Dr. Than is affiliated with Sutter Valley Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Coffee Rd

Modesto, CA 953554201

Telephone 2095504702

Associated Practice Facility / Clinic

🏢 Sutter Gould Medical Foundation Facility NPI 1285886515

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Modesto, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +0.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

131 Specialists

Practicing in Modesto, CA (18502 Statewide)

Telehealth Adoption Rate

24.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Than (24 Years) 24 Yrs

Modesto Specialty Average (23.6 Years) 23.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	785	395	$243.02	$92.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	228	228	$400.00	$131.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	154	$357.00	$129.47
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	213	157	$65.02	$16.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	86	$152.00	$57.66
G0008 Administration of influenza virus vaccine	45	45	$65.00	$32.91
J1885 Injection, ketorolac tromethamine, per 15 mg	44	11	$3.94	$0.57
90653 Vaccine for influenza for injection into muscle	34	34	$105.00	$81.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	17	$79.00	$14.73
99496 Transitional care management services for problem of high complexity	18	17	$803.00	$284.59
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$83.00	$14.50
99495 Transitional care management services for problem of at least moderate complexity	13	13	$567.00	$210.66
G0009 Administration of pneumococcal vaccine	12	12	$101.00	$32.91
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$628.00	$288.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	872	458	$234.00	$93.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	192	$343.00	$131.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	256	256	$381.00	$134.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	103	$145.00	$59.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	29	$75.00	$14.76
G0008 Administration of influenza virus vaccine	52	48	$65.00	$32.13
99496 Transitional care management services for problem of high complexity	43	35	$772.00	$289.19
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	39	36	$88.77	$74.67
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	38	14	$14.00	$1.66
93000 Routine ekg using at least 12 leads including interpretation and report	38	36	$79.00	$15.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$461.00	$185.66
99495 Transitional care management services for problem of at least moderate complexity	20	19	$545.00	$208.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$546.00	$171.87
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	13	$26.93	$21.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	802	480	$227.00	$94.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	770	424	$333.00	$133.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	240	$361.00	$136.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	101	101	$518.00	$174.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	77	$139.00	$58.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	52	$448.00	$188.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	29	$74.00	$15.08
J1885 Injection, ketorolac tromethamine, per 15 mg	52	12	$3.86	$0.50
G0008 Administration of influenza virus vaccine	48	47	$65.00	$31.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	42	12	$14.26	$1.70
93000 Routine ekg using at least 12 leads including interpretation and report	41	41	$76.00	$14.94
99495 Transitional care management services for problem of at least moderate complexity	37	35	$524.00	$215.59
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	31	31	$84.00	$70.25
92250 Photography of the retina	23	21	$221.35	$34.70
G0009 Administration of pneumococcal vaccine	20	20	$94.00	$31.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$506.00	$164.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$219.00	$132.55
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$25.67	$21.04
99496 Transitional care management services for problem of high complexity	12	11	$742.00	$292.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	980	527	$323.00	$134.16
99213 Established patient office or other outpatient visit, typically 15 minutes	334	263	$220.00	$94.95
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	161	161	$518.00	$174.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$346.00	$137.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	115	98	$435.00	$187.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$491.00	$173.77
G0008 Administration of influenza virus vaccine	65	65	$65.00	$17.81
90662 Influenza vaccine split virus, preservative free	54	54	$68.91	$65.18
92250 Photography of the retina	33	32	$180.27	$24.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$135.00	$58.83
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	14	$74.00	$14.85
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	25	19	$114.00	$34.05
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$74.00	$15.43
G0009 Administration of pneumococcal vaccine	17	17	$94.00	$17.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$324.00	$116.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$219.00	$125.00
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$22.73	$20.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	792	392	$309.00	$113.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	189	189	$470.00	$170.48
99213 Established patient office or other outpatient visit, typically 15 minutes	132	120	$208.00	$78.35
G0008 Administration of influenza virus vaccine	71	66	$65.00	$17.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	56	$414.00	$152.04
90662 Influenza vaccine split virus, preservative free	54	50	$62.33	$59.67
G0009 Administration of pneumococcal vaccine	39	39	$94.00	$17.60
92250 Photography of the retina	37	36	$178.43	$29.50
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$72.00	$17.84
90670 Pneumococcal vaccine for injection into muscle	22	22	$234.14	$218.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$310.00	$112.07
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	17	$21.33	$19.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$219.00	$118.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	59	$309.00	$111.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$414.00	$141.62
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$208.00	$76.48

Medical Specialties & State Licenses

CMS Verified: 2023-01-11

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A158060

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

Sutter Valley Medical Foundation

2800 L St, Sacramento, CA 958165616

Sutter Valley Medical Foundation

600 Coffee Rd, Modesto, CA 953554201

Phone: 2095241211

Sutter Valley Medical Foundation

1700 Coffee Rd, Modesto, CA 953552803

Phone: 2095264500

Sutter Valley Medical Foundation

1409 E Briggsmore Ave, Modesto, CA 953552707

Phone: 2095241211

Practice Associates & Co-Workers

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

2 Associated Practitioners

Jason Gonzalez , PA-C

Physician Assistant

NPI 1447317201

Physician Assistant (Certified)

Dr. Rachel Annam , MD

Internal Medicine

NPI 1457765661

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 11, 2023

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095504702)

📍

Updated Business Mailing Address January 11, 2023

Registered at PO BOX 255228, SACRAMENTO, CA 958655228

✅

NPI Profile Active June 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2016

Registered at 6018 MADISON ST, RIDGEWOOD, NY 113853944 (Tel: 6504502291)

📍

Updated Business Mailing Address June 23, 2016

Registered at 6018 MADISON ST, RIDGEWOOD, NY 113853944 (Tel: 6504502291)

👤

Provider Name / Credentials Updated June 23, 2016

Recorded as SWE THAN, M.D.,PH.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 23, 2016

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: 1013368885

Entity Type:

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

Enumeration Date: June 23, 2016

Last Update: January 11, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 255228

Sacramento, CA 958655228

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.