APRIL SMALL, DNP
Adult Health Nurse Practitioner · HAGERSTOWN, MD
Individual Active NPI 1225408206
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 208 | 1,422 | $230,955 | $164,089 | $125,405 |
| 2023 | 171 | 1,563 | $250,210 | $179,888 | $136,477 |
| 2022 | 137 | 1,254 | $194,060 | $140,102 | $109,887 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 583 | $106 | $80 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 235 | $64 | $49 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 90 | $106 | $68 |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 88 | $231 | $183 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 81 | $108 | $108 |
| 99497 | Advance care planning, first 30 minutes | 79 | $68 | $53 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 74 | $155 | $120 |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 62 | $169 | $127 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 48 | $149 | $100 |
| 99496 | Transitional care management services for problem of high complexity | 36 | $229 | $180 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 17 | $186 | $126 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ✓ | R173091 | MD |
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.