CAROLINE MBUGUA
Gerontology Nurse Practitioner · NEWARK, DE
Individual Active NPI 1174398945
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 447 | 2,226 | $487,872 | $202,642 | $160,972 |
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 | 1,342 | $89 | $71 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 178 | $127 | $100 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 159 | $89 | $71 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 125 | $64 | $51 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 121 | $106 | $84 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 86 | $108 | $86 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 72 | $62 | $46 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 34 | $128 | $102 |
| 99497 | Advance care planning, first 30 minutes | 32 | $62 | $50 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 29 | $52 | $42 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 12 | $62 | $49 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 12 | $71 | $56 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ✓ | LP-0010658 | DE |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Gerontology Nurse Practitioner providers in Delaware
- NPI 1922807023
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- NPI 1184423501
- NPI 1619369378
- NPI 1689936080
- NPI 1831547587
- NPI 1962120899
See all Gerontology Nurse Practitioner providers in Delaware →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.