LUIS RIVERA PENA, FNP-BC, RN
Primary Care Nurse Practitioner · FALLS CHURCH, VA
Individual Active NPI 1023891579
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 310 | 2,068 | $223,374 | $81,127 | $67,668 |
| 2023 | 121 | 573 | $80,997 | $29,719 | $25,391 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 250 | $119 | $87 |
| 36415 | Insertion of needle into vein for collection of blood sample | 175 | $9 | $9 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 158 | $15 | $12 |
| 80053 | Blood test, comprehensive group of blood chemicals | 142 | $10 | $10 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 138 | $8 | $8 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 133 | $13 | $13 |
| 84481 | Thyroid hormone, t3 measurement, free | 128 | $17 | $17 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 128 | $16 | $16 |
| 84439 | Thyroxine (thyroid chemical), free | 125 | $9 | $9 |
| 83036 | Hemoglobin a1c level | 97 | $10 | $10 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 95 | $82 | $60 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | $122 | $122 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | ✓ | 0024187867 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.