npidexNPI registry + Medicare data

EBOT MANGA

Family Nurse Practitioner · DACULA, GA

Individual Active NPI 1164920716

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20249812,069$15,213,559$14,803,078$11,792,610
2023363,425$3,697,364$3,610,708$2,876,824

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
Q4236Carepatch, per square centimeter2,912$854$681
Q4265Neostim tl, per square centimeter1,756$2,081$1,658
11045Removal of skin and tissue, each additional 20.0 sq cm or less432$33$26
11042Removal of skin and tissue, 20.0 sq cm or less282$108$84
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less261$127$100
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes234$63$49
15272Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less91$20$16
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes84$106$84
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes57$65$45

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Nurse Practitioner363LF0000X✓147685GA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Family Nurse Practitioner providers in Georgia

See all Family Nurse Practitioner providers in Georgia →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.