ROMANITA NICA, MD
Nephrology Physician · PRESCOTT, AZ
Individual Active NPI 1366486144
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 830 | 3,870 | $941,084 | $445,085 | $344,285 |
| 2023 | 833 | 6,007 | $974,027 | $428,877 | $321,466 |
| 2022 | 902 | 5,105 | $970,829 | $435,512 | $324,847 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 1,106 | $121 | $89 |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 750 | $8 | $6 |
| 90970 | Dialysis services, per day, less than full month service (20 years or older) | 528 | $9 | $7 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 268 | $284 | $225 |
| 90966 | Home dialysis services per month (20 years or older) | 265 | $286 | $227 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 204 | $344 | $275 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 204 | $113 | $90 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 131 | $172 | $127 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 94 | $75 | $60 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 55 | $166 | $130 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 37 | $16 | $12 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 23 | $191 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 34997 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.