MARGIANNA TOMS, CRNM CRNP
Primary Care Nurse Practitioner · HAGERSTOWN, MD
Individual Active NPI 1245676881
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 54 | 1,044 | $242,362 | $106,648 | $82,072 |
| 2023 | 52 | 952 | $220,581 | $95,687 | $73,775 |
| 2022 | 109 | 1,383 | $389,193 | $163,479 | $122,549 |
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 | 424 | $110 | $85 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 182 | $160 | $125 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 166 | $66 | $49 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 103 | $39 | $28 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 74 | $113 | $90 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 42 | $47 | $38 |
| 99497 | Advance care planning, first 30 minutes | 13 | $72 | $53 |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 12 | $175 | $127 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | ✓ | R070103 | MD |
| Advanced Practice Midwife | 367A00000X | R070103 | 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.