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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEmily Cole
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    Emily Cole — Billing Profile & Reimbursement Data

    NPI 1407800295 · San Diego, CA · Urology Physician

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    Emily Cole is a urology physician provider located in San Diego, California. This profile covers 13 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
    OrganizationEmily Cole
    Address8010 Frost St
    CitySan Diego
    StateCA
    ZIP92123
    TaxonomyUrology Physician
    NPI EnumeratedMay 19, 2006

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

    Payer SourceTotal Paid
    Medicare$97.4K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit5,900$10$29.5K
    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…60$330$17.9K
    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.20$810$13.7K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…20$540$12.5K
    57250In this procedure, the provider repairs the vaginal wall where the rectum is pushing through to the vaginal canal. The provider also usually repairs and strengthens the perineum below the vaginal…20$330$7.3K
    57120In this procedure, the provider closes the vagina to treat vaginal prolapse.  It is a vaginal approach procedure.20$220$3.8K
    51715In this procedure, the provider injects a natural or synthetic material into the submucosal tissue of the urethra and or bladder neck using an endoscope, a stiff or flexible tubular instrument with a…20$150$3.6K
    99441N/A50$50$2.4K
    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$90$2.3K
    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…20$90$1.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J05852454007,640$1$86K
    9921432,94537,970120$90$23.2K
    57288236020$610$16K
    57425153020$660$14.5K
    9921330,71334,66080$70$13.2K
    522872912030$310$12.8K
    5171542020$460$8.6K
    5725072020$250$5.2K
    992039,01112,74030$80$4.6K
    992124,0207,97030$40$3.4K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paul DatoCAUrology Physician$2M$0
    Babita SethiFLDiagnostic Radiology Physician$513.3K$0
    Sharp HealthcareCAClinical Medical Laboratory$498.4K$970
    Joseph PachorekCAInternal Medicine Physician$480.1K$0
    Sharp HealthcareCAClinical Medical Laboratory$440.3K$530
    Matthew LecomteAZDiagnostic Radiology Physician$428K$0
    Terry BehrendCANephrology Physician$425.9K$0
    Oday SaeedCANephrology Physician$391.6K$0
    David SheinbeinMODermatology Physician$356K$0
    Ramesh MoolaniCAHematology & Oncology Physician$247K$5.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sharp Memorial HospitalCAGeneral Acute Care Hospital$0$133.7M
    Kaiser Foundation HospitalsCAGeneral Acute Care Hospital$0$93.1M
    Rady Children's Hospital San DiegoCAPediatrics Physician$0$77.3M
    American Medical Response Ambulance Service IncCAAmbulance$9.6M$65.4M
    Rady Children's Hospital San DiegoCAChildren's Hospital$0$69.1M
    Serene HealthCAMental Health Counselor$0$60.5M
    Rac & Associates, Inc.CADurable Medical Equipment & Medical Supplies$0$58.2M
    Anesthesia Service Medical GroupCAAnesthesiology Physician$0$31M
    Balboa Nephrology Medical Group, Inc.CANephrology Physician$0$25.9M
    Centro De Salud De La Comunidad De San Ysidro, Inc.CADental Clinic/Center$0$22.3M

    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. California Distribution
    Emily Cole — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California