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NPI 1649224957 · Erie, PA · Obstetrics & Gynecology Physician
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Ellen Dailey is a obstetrics & gynecology physician provider located in Erie, Pennsylvania. This profile covers 9 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ellen Dailey |
| Address | 100 Peach St |
| City | Erie |
| State | PA |
| ZIP | 16507 |
| Taxonomy | Obstetrics & Gynecology Physician |
| NPI Enumerated | May 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $276.7K |
| Medicare | $72.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,680 | $20 | $30.3K |
| 77080 | The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient… | 290 | $40 | $10.7K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 240 | $40 | $9K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 200 | $40 | $8.5K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 70 | $90 | $6.1K |
| 99213 | The 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… | 70 | $60 | $4K |
| 99214 | The 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… | 30 | $100 | $2.6K |
| 99212 | The 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,… | 20 | $40 | $740 |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 30 | $10 | $320 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 76818 | The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound. | 720 | $110 | $80.9K |
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 960 | $80 | $72.2K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 700 | $70 | $52.1K |
| 76817 | The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach. | 350 | $90 | $32K |
| 99213 | The 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… | 470 | $40 | $16.4K |
| 99214 | The 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 | $50 | $8.2K |
| 76801 | In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than… | 50 | $90 | $4.8K |
| 76813 | The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single… | 40 | $100 | $3.8K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 150 | $20 | $3.2K |
| 76811 | The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic… | 10 | $200 | $2.4K |
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How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 76811 | The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic… | 101 | 100 | 300 | $130 | $129.8K |
| 76816 | The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound. | 65 | 200 | 330 | $60 | $95.3K |
| 99214 | The 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… | 4,478 | 8,160 | 210 | $60 | $68.4K |
| 99213 | The 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… | 3,291 | 8,870 | 240 | $40 | $56.1K |
| 76818 | The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound. | 11 | 50 | 290 | $80 | $45.3K |
| 76813 | The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single… | 40 | 50 | 150 | $70 | $39.8K |
| 76830 | The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient. | 66 | 300 | 210 | $50 | $32.5K |
| 76817 | The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach. | 71 | 190 | 210 | $50 | $31.9K |
| 76801 | In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than… | 115 | 160 | 150 | $60 | $30.2K |
| 99212 | The 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,… | 1,347 | 1,630 | 90 | $30 | $22K |
Showing 1–10 of 13
Other providers in the same ZIP code as Ellen Dailey, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Gaudenzia Inc | PA | Community/Behavioral Health Agency | $0 | $40M |
| Dr Gertrude A Barber Center Inc | PA | Clinic/Center | $0 | $18.7M |
| Robert Baldwin | PA | Ophthalmology Physician | $2.3M | $145.9K |
| Laboratory Associates Of Erie LLC | PA | Clinical Medical Laboratory | $60.1K | $2.2M |
| Ryan Constantine | PA | Retina Specialist (Ophthalmology) Physician | $2M | $0 |
| David Almeida | PA | Ophthalmology Physician | $1.3M | $520.5K |
| Upmc Hamot Surgery Center, LLC | PA | Ambulatory Surgical Clinic/Center | $871.5K | $719.9K |
| Douglas Babel | PA | Ophthalmology Physician | $742.6K | $63.8K |
| Edward Zimm | PA | Ophthalmology Physician | $422.7K | $380 |
| Paul Demjanenko | PA | Cardiovascular Disease Physician | $165.6K | $116.6K |
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