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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTeresa Irwin
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    Teresa Irwin — Billing Profile & Reimbursement Data

    NPI 1255330064 · San Marcos, TX · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Teresa Irwin is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in San Marcos, Texas. This profile covers 34 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTeresa Irwin
    Address1305 Wonder World Dr
    CitySan Marcos
    StateTX
    ZIP78666
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedJuly 14, 2005

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

    Payer SourceTotal Paid
    Medicare$163.2K
    Medicaid$0

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$90$17.9K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.20$740$17K
    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…230$60$14.1K
    J0585Injection, onabotulinumtoxina, 1 unit2,700$10$13.5K
    58558The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…10$1,020$11.2K
    57425The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.10$760$10.6K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…30$280$9K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…30$290$7.8K
    45560In this procedure, the provider repairs a forward protrusion of the rectum into the vagina. The provider performs this service for a female patient most commonly due to the vaginal delivery of a more…20$320$7.6K
    20670Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, or wires, to join skeletal parts and maintain their normal alignment as healing…20$270$5.7K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    64590266020$6,710$134.3K
    64561264030$2,040$73.3K
    J05851702007,900$1$56.4K
    6458151010$1,520$21.3K
    9921410,95732,500110$80$17.6K
    57425264020$600$14.5K
    58558193010$810$13K
    5200054160060$160$12K
    51715133020$610$11.5K
    52287337030$300$11.4K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jamie ShutterNVAnatomic Pathology & Clinical Pathology Physician$582.7K$0
    Sarah HarvilleTXWomen's Health Nurse Practitioner$513.5K$0
    Brennon MonroeMDPhysical Therapist$399.4K$0
    Angela PerkinsMDPhysical Therapist$184.2K$0
    Charles BlackMDPhysical Therapist$144K$0
    Adele HawleyMDPhysical Therapist$139.5K$0
    Claire NelsonMDPhysical Therapist$136.1K$0
    Janine Mari BautistaVAPhysical Therapist$130.1K$0
    Diana HaverlackDCPhysical Therapist$126.6K$0
    Emily BeeberDCPhysical Therapist$86.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cole Consolidated Rehab LLCTXRehabilitation Clinic/Center$0$14.2M
    San Marcos-hays County Emergency Medical Services IncorporatedTXLand Ambulance$1M$1.4M
    Richard LawsonTXRadiation Oncology Physician$1.6M$0
    Manuel GalanTXFamily Nurse Practitioner$1.4M$0
    Jason SmithTXHematology & Oncology Physician$906.9K$0
    Margaret KelnerTXFamily Nurse Practitioner$846.2K$0
    Christus Santa Rosa Outpatient Surgery - New Braunfels, LPTXAmbulatory Surgical Clinic/Center$712.1K$0
    Robert ParkerTXPodiatrist$218.5K$182K
    Curtis SolomonTXInterventional Cardiology Physician$320.4K$0
    Kirk PainterTXPhysical Therapist$271.1K$0

    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. Texas Distribution
    Teresa Irwin — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas