Dr. Swaroop Nyshadham, MD - General Practice in Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Dr. Swaroop Nyshadham, MD is a certified General Practice practicing in Lagrange, GA. With approximately 48 years of clinical experience since completing medical education in 1978, Dr. Nyshadham delivers high-quality medical care to the local community at 1990 LUKKEN INDUSTRIAL DR W.

Dr. Nyshadham accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, testing for presence of drug, read by direct observation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1990 Lukken Industrial Dr W
Suite C

Lagrange, GA 302401404

Telephone 7068838787

Medicare Profile & Education

Medical School

Other

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lagrange, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs Matches City Avg

City Avg: 48.0 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Lagrange, GA (369 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nyshadham (48 Years) 48 Yrs

Lagrange Specialty Average (48.0 Years) 48.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	26	$170.00	$119.68

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	145	25	$170.00	$119.81

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	188	35	$170.00	$120.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	12	$35.00	$13.36
80305 Testing for presence of drug, read by direct observation	39	13	$150.00	$12.45

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	183	36	$170.00	$123.49
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	42	16	$50.00	$38.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	11	$35.00	$13.29

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	165	36	$170.55	$104.21
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	52	17	$50.00	$39.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$260.00	$158.75

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	192	33	$170.00	$103.67
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	52	15	$52.31	$39.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$260.00	$158.01

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	159	37	$170.00	$102.98

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	186	48	$170.00	$102.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$260.00	$156.96

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 031483

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Surgery

NUCC Taxonomy Code: 208600000X

State License AL 00013121

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL ME 49553

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000338357H (GA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Nashia Heard , FNP-C

Nurse Practitioner - Family

NPI 1700499803

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2013

Registered at 1990 LUKKEN INDUSTRIAL DR W, SUITE C, LAGRANGE, GA 302401404 (Tel: 7068838787)

📍

Updated Business Mailing Address February 21, 2013

Registered at 103 CRESTVIEW RD, WEST POINT, GA 318335221 (Tel: 7068838787)

👤

Provider Name / Credentials Updated February 21, 2013

Recorded as SWAROOP NYSHADHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2013

Surgery (License #ME 49553 in FL)

🟢

Initial NPI Registration & Enumeration May 25, 2006

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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Dr. Swaroop Nyshadham , MD