Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 761 | 792 | $291,237 | $51,592 |
| 2022 | 10 | 754 | 785 | $228,612 | $41,249 |
| 2021 | 8 | 750 | 771 | $193,139 | $37,106 |
| 2020 | 7 | 492 | 516 | $161,569 | $28,982 |
All Medicare Procedures & Services
31 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 238 | 251 | $136,605 | $23,230 | 17.0% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2023 | 221 | 221 | $47,449 | $8,845 | 18.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 125 | 140 | $54,068 | $8,596 | 15.9% |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 2023 | 135 | 135 | $25,553 | $6,024 | 23.6% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2023 | 31 | 32 | $24,416 | $4,365 | 17.9% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 11 | 13 | $3,146 | $531.25 | 16.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 121 | 127 | $68,162 | $12,432 | 18.2% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 129 | 133 | $50,235 | $8,014 | 16.0% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2022 | 194 | 194 | $40,302 | $7,931 | 19.7% |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 2022 | 128 | 128 | $23,700 | $5,794 | 24.4% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 110 | 122 | $28,498 | $4,299 | 15.1% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 18 | 18 | $8,376 | $1,345 | 16.1% |
| 57150 | Irrigation of vagina and/or application of drug to treat infection | Office | 2022 | 11 | 20 | $5,099 | $954.02 | 18.7% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2022 | 11 | 11 | $3,559 | $390.88 | 11.0% |
| 81002 | Urinalysis, manual test | Office | 2022 | 15 | 15 | $375.00 | $51.69 | 13.8% |
| 81003 | Automated urinalysis test | Office | 2022 | 17 | 17 | $306.00 | $37.86 | 12.4% |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | Office | 2021 | 234 | 234 | $47,736 | $9,641 | 20.2% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 140 | 149 | $49,095 | $9,031 | 18.4% |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | Office | 2021 | 134 | 134 | $24,730 | $6,149 | 24.9% |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | Office | 2021 | 133 | 142 | $28,846 | $5,804 | 20.1% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 69 | 71 | $33,580 | $5,053 | 15.0% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 11 | 11 | $4,988 | $846.63 | 17.0% |
| 99202 | New patient outpatient visit, total time 15-29 minutes | Office | 2021 | 12 | 12 | $3,840 | $541.04 | 14.1% |
| 81003 | Automated urinalysis test | Office | 2021 | 17 | 18 | $324.00 | $40.50 | 12.5% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 160 | 168 | $75,414 | $11,835 | 15.7% |
About Dr. Patrice Fox, MD
Dr. Patrice Fox, MD is a Obstetrics & Gynecology healthcare provider based in Swampscott, Massachusetts. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/25/2006. The National Provider Identifier (NPI) number assigned to this provider is 1477509065.
As a Medicare-enrolled provider, Fox has provided services to 2,757 Medicare beneficiaries, totaling 2,864 services with total Medicare billing of $158,929. Data is available for 4 years (2020–2023), covering 31 distinct procedure/service records.
Practice Information
- Specialty Obstetrics & Gynecology
- Location Swampscott, MA
- Active Since 05/25/2006
- Last Updated 08/05/2010
- Taxonomy Code 207V00000X
- Entity Type Individual
- NPI Number 1477509065
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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.
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