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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSusan Oakley
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    Susan Oakley — Billing Profile & Reimbursement Data

    NPI 1982894721 · Edgewood, KY · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

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    Susan Oakley is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician provider located in Edgewood, Kentucky. 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
    OrganizationSusan Oakley
    Address610 Medical Village Dr
    CityEdgewood
    StateKY
    ZIP41017
    TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
    NPI EnumeratedJuly 27, 2007

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

    Payer SourceTotal Paid
    Medicare$111.9K
    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
    99205The provider sees a new 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 provider…150$140$20.9K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…80$230$17.7K
    J0585Injection, onabotulinumtoxina, 1 unit2,700$10$13.5K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.10$800$10.5K
    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…80$130$10.3K
    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$420$8.4K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…20$290$6.3K
    64581The provider uses an open approach to implant a sacral nerve neurostimulator electrode array. Placement is transforaminal, meaning through the foramen (the opening sacral nerves run through). This…10$490$5.9K
    57283The provider pulls up the vaginal vault that is prolapsing using a vaginal approach and attaches it to a ligament inside the peritoneal lining.20$280$5.1K
    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…50$90$4.2K

    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
    6456151040$3,320$302.3K
    6459051030$8,230$296.2K
    J058525305,290$1$36.6K
    992145,2627,230110$70$14.1K
    5228111030$290$10K
    5228792020$280$7.7K
    992152551,44030$110$6.3K
    6458111010$490$5.9K
    5728841020$280$5.3K
    99205359020$140$4.4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summit Medical Group, IncKYFamily Medicine Physician$0$95.1M
    Ann AndersonNYClinical Pathology/Laboratory Medicine Physician$5.2M$0
    Summit Medical Group, Inc.KYUrgent Care Clinic/Center$0$4.7M
    Summit Medical Group, IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$4.2M
    Michael NagarPAAnatomic Pathology & Clinical Pathology Physician$3.8M$0
    Angelia ThompsonKYOphthalmology Physician$1.8M$381.3K
    Jeffrey GrassOHRadiation Oncology Physician$1.2M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Peter FriedOHRadiation Oncology Physician$904.7K$0
    Matthew BertkeOHRadiation Oncology Physician$879.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Elizabeth Medical Center, IncKYGeneral Acute Care Hospital$41.7K$188.3M
    Transitions, Inc.KYSubstance Abuse Rehabilitation Facility$0$31.3M
    Compass Emergency Physicians PscKYEmergency Medicine Physician$0$28.8M
    Bluegrass Behavioral Health Group, LLCKYBehavior Analyst$0$23.7M
    Redwood School And Rehabilitation CenterKYChild Intellectual and/or Developmental Disabilities Respite Care$0$12M
    Radiology Associates Of Northern Kentucky, PLLCKYDiagnostic Radiology Physician$0$9.4M
    Orthocincy Orthopaedics & Sports Medicine PscKYOrthopaedic Surgery Physician$0$9.4M
    Redwood School And Rehabilitation CenterKYCommunity Health Clinic/Center$0$9.2M
    Interim Healthcare Of Cincinnati, IncKYHome Health Agency$0$7.9M
    New Perceptions IncKYDevelopmentally Disabled Services Day Training Agency$0$6.5M

    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. Kentucky Distribution
    Susan Oakley — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky