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Nurse Practitioner · PEORIA, IL

Individual Active NPI 1275201360

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202470217,729$17,739,217$3,533,736$2,794,313
202348010,588$12,464,878$2,525,163$1,997,915
20223823,949$5,623,192$1,167,160$928,199

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J2777Injection, faricimab-svoa, 0.1 mg4,860$35$28
67028Injection of drug into eye2,858$91$70
J0178Injection, aflibercept, 1 mg2,792$825$654
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2,542$74$57
J2781Injection, pegcetacoplan, intravitreal, 1 mg2,505$146$117
J9035Injection, bevacizumab, 10 mg1,146$72$55
92250Photography of the retina304$29$22
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more119$104$82
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more105$137$103
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more46$91$69
92134Imaging of retina46$32$25
92235Exam of retinal blood vessels using a special camera after injection of a dye38$126$92

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Nurse Practitioner363L00000X209023920IL
Ophthalmology Physician207W00000X209023920IL

Medicare eligibility

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

Other Nurse Practitioner providers in Illinois

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