NICOLE PUGH-MARTIN
Gerontology Nurse Practitioner · LINDEN, NJ
Individual Active NPI 1083369847
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 212 | 1,124 | $162,096 | $97,238 | $73,284 |
| 2023 | 196 | 902 | $117,336 | $72,036 | $55,608 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 531 | $95 | $69 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 207 | $66 | $50 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 124 | $87 | $69 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 63 | $138 | $102 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 43 | $35 | $28 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 43 | $66 | $53 |
| 99497 | Advance care planning, first 30 minutes | 25 | $65 | $48 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 17 | $109 | $87 |
| 99498 | Advance care planning, each additional 30 minutes | 14 | $64 | $51 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ✓ | 2020010822 | PA |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 2020010822 | PA |
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.