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    OpenPayerNPI Medicare & MedicaidHelen Cohen
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    Helen Cohen — Billing Profile & Reimbursement Data

    NPI 1457018939 · Scarborough, ME · Women's Health Nurse Practitioner

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    Helen Cohen is a women's health nurse practitioner provider located in Scarborough, Maine. This profile covers 8 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
    OrganizationHelen Cohen
    Address300 Professional Dr Ste 2b
    CityScarborough
    StateME
    ZIP04074
    TaxonomyWomen's Health Nurse Practitioner
    NPI EnumeratedNovember 19, 2021

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

    Payer SourceTotal Paid
    Medicare$34.8K
    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.

    8 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…400$40$15.8K
    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…160$60$9.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$90$4.3K
    95971A physician or other qualified healthcare professional performs electronic analysis of a variety of parameters of a previously implanted spinal or peripheral (e.g., sacral) nerve neurostimulator…60$20$1.3K
    64566In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin.50$20$1K
    99204The provider sees a new 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 provider…10$90$980
    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,…40$20$910
    57160In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.30$30$700

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148882,50070$70$7.2K
    9921526678030$100$4.8K
    992132792,35050$50$4.3K
    9920492181030$100$3.6K
    9921221341030$30$1.5K
    6456641040$20$940
    5716061030$30$830
    9597110N/A$N/A$N/A

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chanel TinsleyTXFamily Nurse Practitioner$710.6K$0
    Jose PicazoDEObstetrics & Gynecology Physician$16K$491.5K
    Donna EoffFLNurse Practitioner$500.2K$0
    Jamie LarsenAZMedical Physician Assistant$193.6K$0
    Brenda Amador WallaceTXFamily Nurse Practitioner$173.1K$0
    Willie TalbertLAInternal Medicine Physician$127.2K$0
    Nadia OquendoWANurse Practitioner$124.3K$0
    Michelle WaldMINurse Practitioner$122.7K$0
    Maesa Toni Mae KoeberCAFamily Nurse Practitioner$121K$0
    Cynthia SommerNYNurse Practitioner$102.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    NordxMEClinical Medical Laboratory$2.4M$21.8M
    New England Life Care, Inc.MEHome Infusion Therapy Pharmacy$0$12.4M
    Northeast Mobile Health ServicesMEAmbulance$930.3K$9.5M
    Choices Are For Everyone, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$9.7M
    Skilled Care SolutionsMEHome Health Agency$0$6.8M
    Surgi-care, IncMEProsthetic/Orthotic Supplier$0$5.6M
    MainehealthMEFamily Medicine Physician$0$5M
    MainehealthMENeurology Physician$0$4.2M
    MainehealthMECardiovascular Disease Physician$0$3.9M
    Maine Home Care SolutionsMEIn Home Supportive Care Agency$0$3.2M

    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. Maine Distribution
    Helen Cohen — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine