ANDREA ENTERS, NURSE PRACTITIONER
Gerontology Nurse Practitioner · SUSSEX, WI
Individual Active NPI 1336540418
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 135 | 719 | $108,505 | $70,432 | $48,530 |
| 2023 | 148 | 1,306 | $195,993 | $126,785 | $96,011 |
| 2022 | 161 | 1,331 | $229,560 | $148,468 | $109,420 |
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 | 480 | $101 | $67 |
| 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 | $43 | $28 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | $103 | $103 |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 23 | $160 | $90 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 23 | $61 | $44 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 17 | $165 | $131 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ✓ | 5987 | WI |
| Nurse Practitioner | 363L00000X | 5987 | WI | |
| Adult Health Nurse Practitioner | 363LA2200X | 5987 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Gerontology Nurse Practitioner providers in Wisconsin
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See all Gerontology Nurse Practitioner providers in Wisconsin →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.