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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCaroline Cox
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    Caroline Cox — Billing Profile & Reimbursement Data

    NPI 1568807303 · Madison, WI · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Caroline Cox is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Madison, Wisconsin. This profile covers 16 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
    OrganizationCaroline Cox
    Address202 S Park St
    CityMadison
    StateWI
    ZIP53715
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedMay 7, 2013

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

    Payer SourceTotal Paid
    Medicare$45.8K
    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.

    16 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…90$100$8.9K
    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…60$120$7.5K
    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$410$7.4K
    57260The provider repairs the vaginal tissues over the weakened spots to support the area and return the bladder and rectum to their correct positions.  This is a vaginal approach procedure. The provider…10$480$5.3K
    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…10$320$4.1K
    64566In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin.40$100$4K
    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…30$70$2.1K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.10$160$2.1K
    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…10$120$1.6K
    57160In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.20$50$850

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,2989,80080$70$9.2K
    5726051020$370$6.6K
    992152,9143,32030$110$6.3K
    5728821020$340$5.8K
    6456661090$70$5.6K
    992136,5829,38060$50$4.7K
    992044193,39030$100$3.7K
    51729131020$150$3.7K
    51797233020$50$1.7K
    A456241030$50$1.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinical Care Associates Of The University Of Pennsylvania Health SystPAHospitalist Physician$0$9.4M
    Youval KatzPAHematology & Oncology Physician$982.3K$0
    Sparsha KukunoorPAHematology & Oncology Physician$813K$300
    John YoussefPAHematology & Oncology Physician$548.6K$0
    Matthew NaeglePARheumatology Physician$433.1K$0
    Carlin MclaughlinPAHematology & Oncology Physician$374.9K$0
    Hammad RazaPAHospitalist Physician$238.3K$60.1K
    Ibrahim Usman-oyoweILPhysical Medicine & Rehabilitation Physician$279.2K$0
    Neil LevinPANuclear Cardiology Physician$255.2K$630
    Adi GanzNJCardiovascular Disease Physician$244.5K$560

    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. Wisconsin Distribution
    Caroline Cox — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin