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    OpenPayerNPI Medicare & MedicaidOphelia O'shea
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    Ophelia O'shea — Billing Profile & Reimbursement Data

    NPI 1639102338 · Dallas, TX · Women's Health Nurse Practitioner

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    Ophelia O'shea is a women's health nurse practitioner provider located in Dallas, Texas. 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
    OrganizationOphelia O'shea
    Address4501 Swiss Ave
    CityDallas
    StateTX
    ZIP75204
    TaxonomyWomen's Health Nurse Practitioner
    NPI EnumeratedJuly 8, 2006

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

    Payer SourceTotal Paid
    Medicare$61K
    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
    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$60$22K
    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…110$80$9K
    91122N/A40$180$7.6K
    90912The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…140$50$7.1K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…70$50$3.7K
    51784This test measures the electrical activity in the anal or urethral sphincter muscles.60$40$2.3K
    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,…50$40$1.8K
    97032Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…180$10$1.6K
    A4562Pessary, reusable, non rubber, any type20$50$1.2K
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.20$60$950

    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
    9921416,49332,500110$80$17.6K
    992132,36729,79070$60$8.4K
    9112293030$170$6.6K
    9091261080$50$5.3K
    17250819060$40$4.7K
    992039,40610,82030$70$3.4K
    992121,7885,51030$40$2.2K
    517015310030$30$2.1K
    970322980120$10$1.9K
    57160426020$50$1.7K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ophelia O'shea, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gautam PatankarTXCardiovascular Disease Physician$936.3K$0
    John O'connorTXRadiation Oncology Physician$671K$0
    Charles LeeTXRadiation Oncology Physician$564K$0
    Michael CarleyTXUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$521.8K$0
    Revathi AngitapalliTXHematology & Oncology Physician$350.8K$0
    Fayez RazaTXCardiovascular Disease Physician$323.5K$0
    Muriel BorehamTXUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$310.7K$0
    David ScheidTXInternal Medicine Physician$176.6K$0
    Poorya FazelOKInterventional Cardiology Physician$158.2K$0
    Shayzreen RoshanravanTXUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$151.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Ophelia O'shea, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory KozielecTXRetina Specialist (Ophthalmology) Physician$4.5M$0
    Maurice SyrquinTXRetina Specialist (Ophthalmology) Physician$3.2M$0
    Marcus AllenTXRetina Specialist (Ophthalmology) Physician$2.5M$0
    Scott WitherspoonTXRetina Specialist (Ophthalmology) Physician$2.5M$0
    Dallas Nephrology AssociatesTXAmbulatory Surgical Clinic/Center$2.3M$62.4K
    Diagnostic Laboratory SolutionsTXClinical Medical Laboratory$424.5K$12.3K
    David NesserTXNephrology Physician$191.5K$0
    Jeffrey SiegelTXDiagnostic Radiology Physician$110K$0
    Jennifer RodneyTXOtolaryngology Physician$105.3K$0
    Amanda HoelscherTXOptometrist$97.4K$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
    Ophelia O'shea — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas