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    OpenPayerNPI Medicare & MedicaidTerri Rapp
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    Terri Rapp — Billing Profile & Reimbursement Data

    NPI 1659368736 · Lancaster, PA · Obstetrics & Gynecology Physician

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    Terri Rapp is a obstetrics & gynecology physician provider located in Lancaster, Pennsylvania. This profile covers 8 Medicare and 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationTerri Rapp
    Address694 Good Dr
    CityLancaster
    StatePA
    ZIP17601
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedOctober 4, 2005

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

    Payer SourceTotal Paid
    Medicaid$53.4K
    Medicare$11K

    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
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…30$120$3.3K
    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…40$80$2.8K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination40$40$1.6K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…30$50$1.4K
    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…20$60$1.3K
    87480The lab analyst performs a test for Candida species using direct nucleic acid probe technique.10$20$240
    87510The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…10$20$240
    87660The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.10$20$240

    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
    77067539580330$50$24.2K
    77063526570340$30$15.7K
    9921417,93223,230100$80$14.5K
    9921319,09122,37070$60$7.7K
    87480710110$20$3.1K
    87510710110$20$3.1K
    87660710110$20$3.1K
    G01013981,03030$40$2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0004Behavioral health counseling and therapy, per 15 minutes390$70$27.4K
    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…430$50$19.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.110$30$2.8K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.100$30$2.8K
    87480The lab analyst performs a test for Candida species using direct nucleic acid probe technique.10$30$410
    87660The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.10$30$360
    87510The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…10$20$290

    Medicaid: Competitive Analysis & Benchmarks

    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

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0004Behavioral health counseling and therapy, per 15 minutes9321,410820$160$353.5K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.172220420$20$91.1K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.173220430$20$84.7K
    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…3,4598,870240$40$56.1K
    87480The lab analyst performs a test for Candida species using direct nucleic acid probe technique.4350270$20$32.5K
    87660The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.4450220$20$31K
    87510The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…3640200$10$21.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lancaster General HospitalPAGeneral Acute Care Hospital$0$33.7M
    Rebecca ShepherdPARheumatology Physician$1.3M$0
    Lisa AllenPARheumatology Physician$863.6K$0
    Sandhya AdusumilliPARheumatology Physician$817.3K$0
    Charles HendersonPARheumatology Physician$556.3K$500
    Paul SieberPAUrology Physician$518K$0
    Andrew OldPAOrthopaedic Surgery Physician$420.7K$0
    Sriram VenigallaCORadiation Oncology Physician$344.2K$0
    Matthew BernabeiPAClinical Cardiac Electrophysiology Physician$248.7K$2.8K
    Paul RussinkoPAUrology Physician$250.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$34.4M
    Andventure, LLCPAHome Health Agency$0$26.7M
    Efcc Acquisition CorpPAHome Health Agency$0$13.1M
    Smilebuilderz LLCPADentist$0$11.5M
    Teamcare Behavioral Health, LLCPAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.3M
    Horizon Healthcare Services, LLCPAHome Infusion Therapy Pharmacy$12.2K$6.5M
    Penn State Health Lancaster Medical CenterPAGeneral Acute Care Hospital$0$5.4M
    Advanced Surgery Center Of Lancaster, LLCPAAmbulatory Surgical Clinic/Center$4M$0
    Roy BrodPARetina Specialist (Ophthalmology) Physician$2.8M$0
    Dina GewailyPAOphthalmology Physician$1.8M$2.7K

    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. Pennsylvania Distribution
    Terri Rapp — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Terri Rapp — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania