ADAM CUMMINS, ARNP
Acute Care Nurse Practitioner · LOUISVILLE, KY
Individual Active NPI 1306185053
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 621 | $239,799 | $54,581 | $42,203 |
| 2023 | 271 | 674 | $216,273 | $55,563 | $39,402 |
| 2022 | 277 | 744 | $241,473 | $59,597 | $44,085 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 138 | $137 | $104 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 124 | $105 | $80 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 117 | $31 | $23 |
| 22614 | Fusion of additional segment of spine | 40 | $53 | $43 |
| 72040 | X-ray of upper spine, 2-3 views | 35 | $31 | $23 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 16 | $107 | $87 |
| 72080 | X-ray of middle and lower spine, 2 views | 15 | $28 | $19 |
| 22612 | Fusion of spine in lower back | 13 | $214 | $173 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 13 | $103 | $83 |
| 72070 | X-ray of middle spine, 2 views | 12 | $26 | $20 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | ✓ | 3007770 | KY |
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.