KAREN TERWILLIGER, MS, APRN, AGPCNP-BC
Gerontology Nurse Practitioner · MYSTIC, CT
Individual Active NPI 1245616705
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 157 | 1,030 | $242,445 | $83,658 | $65,581 |
| 2023 | 67 | 467 | $102,460 | $40,530 | $30,992 |
| 2022 | 73 | 455 | $99,990 | $42,214 | $32,795 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 451 | $65 | $52 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 191 | $35 | $28 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 85 | $94 | $75 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 70 | $110 | $78 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 62 | $117 | $93 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 53 | $66 | $44 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 40 | $116 | $93 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 29 | $70 | $56 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | $115 | $115 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ✓ | 6220 | CT |
| Primary Care Nurse Practitioner | 363LP2300X | 6220 | CT |
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.