CAROLE CAPPARELLI, ANP
Adult Health Nurse Practitioner · SMITHTOWN, NY
Individual Active NPI 1083790364
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 584 | 5,824 | $887,460 | $501,416 | $396,411 |
| 2023 | 616 | 6,176 | $1,495,699 | $528,994 | $413,475 |
| 2022 | 250 | 5,823 | $1,328,144 | $589,765 | $463,218 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 3,355 | $72 | $57 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 1,100 | $120 | $95 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 320 | $43 | $34 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 254 | $71 | $55 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 244 | $103 | $82 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 191 | $80 | $62 |
| 99496 | Transitional care management services for problem of high complexity | 133 | $271 | $216 |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 90 | $73 | $58 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 31 | $76 | $60 |
| 99497 | Advance care planning, first 30 minutes | 23 | $78 | $62 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 21 | $124 | $99 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | $124 | $124 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ✓ | F302949-1 | NY |
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.