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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPatricia Gilroy
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    Patricia Gilroy — Billing Profile & Reimbursement Data

    NPI 1255439865 · Saint Petersburg, FL · Plastic Surgery within the Head & Neck (Otolaryngology) Physician

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    Patricia Gilroy is a plastic surgery within the head & neck (otolaryngology) physician provider located in Saint Petersburg, Florida. This profile covers 18 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
    OrganizationPatricia Gilroy
    Address2299 9th Ave N
    CitySaint Petersburg
    StateFL
    ZIP33713
    TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
    NPI EnumeratedSeptember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$164.6K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…690$70$45.5K
    31233The provider perforates the canine fossa or inferior meatus to advance an endoscope into the maxillary sinus. She then opens the maxillary sinus to perform a diagnostic endoscopy.120$300$36.8K
    99203The provider sees a new 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 provider…170$80$13.7K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.120$100$11.9K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…320$30$8.6K
    92588The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…310$30$8K
    92570The provider uses this global service code which bundles a tympanometry, reflex threshold measurement, and reflex decay testing when the provider performs all three tests. This group of services…310$20$7.5K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.150$40$5.3K
    G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing120$40$4.8K
    92625The provider assesses tinnitus, which is a phantom hearing perception generated within the patient's head: ringing, roaring, static. Tinnitus is a symptom, not a disease.90$50$4.7K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31233210120$270$25.4K
    9921423,31032,760140$90$25K
    3123144452090$140$24.5K
    992238,83611,11060$130$12.5K
    992131,78130,01080$60$12K
    31579497030$150$11K
    3157513657060$90$8.6K
    9920378411,72040$70$4.4K
    9255795610110$30$4.4K
    692102771,07040$30$4.3K

    Showing 1–10 of 18

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mariano D Cibran, Md Corp Dba St Petersburg PediatricsFLPediatrics Physician$0$30M
    Professional Health Care Of Pinellas LLCFLInternal Medicine Physician$0$11.7M
    Todd BergerFLOphthalmology Physician$1.6M$0
    Hazem Al-andaryFLInternal Medicine Physician$975.2K$0
    Tracy HalmeFLDiagnostic Radiology Physician$324.5K$0
    Luis YcazaFLInternal Medicine Physician$232.7K$0
    Mia JacksonFLDiagnostic Radiology Physician$221.5K$0
    Rishi PatelFLFamily Medicine Physician$204.5K$0
    Loren MillerFLFoot & Ankle Surgery Podiatrist$159K$0
    Kevin HuguetFLSurgery Physician$132.5K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Patricia Gilroy — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida