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    OpenPayerNPI Medicare & MedicaidPaula Youngdahl
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    Paula Youngdahl — Billing Profile & Reimbursement Data

    NPI 1053311449 · East Stroudsburg, PA · Obstetrics & Gynecology Physician

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    Paula Youngdahl is a obstetrics & gynecology physician provider located in East Stroudsburg, Pennsylvania. This profile covers 7 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaula Youngdahl
    Address206 E Brown St
    CityEast Stroudsburg
    StatePA
    ZIP18301
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedJuly 28, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$13.2K
    Medicaid$9.6K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination130$40$4.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…60$60$3.5K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…20$80$1.9K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.10$80$1.2K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…20$70$990
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$680
    87210The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide.20$10$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921420,14623,230100$80$14.5K
    9921312,14122,37070$60$7.7K
    992123,3214,72030$40$2.3K
    G0101791,03030$40$2K
    7685620128020$40$1.4K
    7683029140020$40$1.3K
    8721082020$10$340

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…250$40$9.5K
    3008FNo Summary found for this code600$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…4961,63090$30$22K
    3008FNo Summary found for this code3821,640130$1$90

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Paula Youngdahl, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Valley Health Partners Community Health CenterPAFederally Qualified Health Center (FQHC)$0$32.3M
    Valley Health Partners Community Health CenterPAFederally Qualified Health Center (FQHC)$0$11.9M
    Valley Health Partners Community Health CenterPAFederally Qualified Health Center (FQHC)$0$11.2M
    Valley Health Partners Community Health CenterPAFederally Qualified Health Center (FQHC)$0$10.1M
    Joseph ZaladonisPASpecialist$1.4M$0
    Susan KimPARheumatology Physician$770.1K$0
    Steven OberlenderPAMOHS-Micrographic Surgery Physician$760K$0
    Nicole ChiappettaPARheumatology Physician$625K$0
    Tomasz WiraszkaGARetina Specialist (Ophthalmology) Physician$533.4K$11.9K
    Cynthia BartusPAMOHS-Micrographic Surgery Physician$457.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Paula Youngdahl, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matrix Behavior Solutions, LLCPABehavior Analyst$0$75.6M
    Loving Care Agency, Inc.PAHome Health Agency$0$27.4M
    Lehigh Valley Hospital PoconoPAGeneral Acute Care Hospital$0$11.9M
    Family Care Centers Inc.PAInternal Medicine Physician$0$11.1M
    Family Care Centers IncPAFamily Medicine Physician$0$6.1M
    Gerald NegveskyPAOphthalmology Physician$446.1K$0
    Laszlo SzollasPAInterventional Pain Medicine Physician$417.3K$0
    Gordon FriedPAInterventional Cardiology Physician$305.5K$130
    Roger ComponovoPAAdult Reconstructive Orthopaedic Surgery Physician$299.8K$0
    Javed MalikPADiagnostic Radiology Physician$205.4K$65.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Paula Youngdahl — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Paula Youngdahl — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania