SHEILA ROSER
Adult Health Clinical Nurse Specialist · MUNSTER, IN
Individual Active NPI 1124525704
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 183 | 815 | $99,791 | $39,691 | $30,768 |
| 2023 | 103 | 620 | $44,689 | $21,557 | $16,892 |
| 2022 | 66 | 212 | $21,812 | $9,507 | $7,470 |
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 | 93 | $101 | $71 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 53 | $93 | $74 |
| 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 | 53 | $13 | $10 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 44 | $134 | $107 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 15 | $64 | $51 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 15 | $131 | $97 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 14 | $70 | $57 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | ✓ | 71007942A | IN |
| Registered Nurse | 163W00000X | 28114696A | IN |
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.