Evangeline Standridge

NPI: 1174121156
Total Payments
$124.43
2024 Payments
$83.79
Companies
4
Transactions
5
Medicare Patients
84
Medicare Billing
$6,569

Payment Breakdown by Category

Food & Beverage$124.43 (100.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $124.43 5 100.0%

Top Paying Companies

Company Total Records Latest Year
REVANCE THERAPEUTICS, INC. $83.79 2 $0 (2024)
Currax Pharmaceuticals LLC $15.27 1 $0 (2022)
Galderma Laboratories, L.P. $13.88 1 $0 (2022)
Bioventus LLC $11.49 1 $0 (2021)

Payment History by Year

Year Amount Transactions Top Company
2024 $83.79 2 REVANCE THERAPEUTICS, INC. ($83.79)
2022 $29.15 2 Currax Pharmaceuticals LLC ($15.27)
2021 $11.49 1 Bioventus LLC ($11.49)

All Payment Transactions

5 individual payment records from CMS Open Payments

Date Company Product Nature Form Amount Type
12/02/2024 REVANCE THERAPEUTICS, INC. DAXXIFY (Drug) Food and Beverage In-kind items and services $47.91 General
Category: AESTHETICS AND THERAPEUTICS
10/14/2024 REVANCE THERAPEUTICS, INC. DAXXIFY (Drug) Food and Beverage In-kind items and services $35.88 General
Category: AESTHETICS AND THERAPEUTICS
09/22/2022 Currax Pharmaceuticals LLC CONTRAVE (Drug) Food and Beverage In-kind items and services $15.27 General
Category: Obesity
06/22/2022 Galderma Laboratories, L.P. Food and Beverage In-kind items and services $13.88 General
03/04/2021 Bioventus LLC Durolane (Device) Food and Beverage In-kind items and services $11.49 General
Category: Orthopedics/Orthopedic Surgery

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2021 5 84 115 $20,695 $6,569
Total Patients
84
Total Services
115
Medicare Billing
$6,569
Procedure Codes
5

All Medicare Procedures & Services

5 procedure records from CMS Medicare Utilization

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99203 New patient outpatient visit, total time 30-44 minutes Office 2021 31 31 $4,840 $2,312 47.8%
99204 New patient outpatient visit, total time 45-59 minutes Office 2021 11 11 $2,585 $1,226 47.4%
20553 Injections of trigger points in 3 or more muscles Office 2021 11 29 $10,150 $1,158 11.4%
99212 Established patient outpatient visit, total time 10-19 minutes Office 2021 20 32 $1,920 $1,146 59.7%
99213 Established patient outpatient visit, total time 20-29 minutes Office 2021 11 12 $1,200 $726.24 60.5%

About Evangeline Standridge

Evangeline Standridge is a Family healthcare provider based in Ontario, Ohio. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 10/13/2020. The National Provider Identifier (NPI) number assigned to this provider is 1174121156.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Evangeline Standridge has received a total of $124.43 in payments from pharmaceutical and medical device companies, with $83.79 received in 2024. These payments were reported across 5 transactions from 4 companies. The most common payment nature is "Food and Beverage" ($124.43).

As a Medicare-enrolled provider, Standridge has provided services to 84 Medicare beneficiaries, totaling 115 services with total Medicare billing of $6,569. Data is available for 1 year (2021–2021), covering 5 distinct procedure/service records.

Practice Information

  • Specialty Family
  • Location Ontario, OH
  • Active Since 10/13/2020
  • Last Updated 12/09/2021
  • Taxonomy Code 363LF0000X
  • Entity Type Individual
  • NPI Number 1174121156

Products in Payments

  • DAXXIFY (Drug) $83.79
  • CONTRAVE (Drug) $15.27
  • Durolane (Device) $11.49

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Family Doctors in Ontario