GAIL LAGANA, APRN
Adult Health Nurse Practitioner · ROCKY HILL, CT
Individual Active NPI 1417261124
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 157 | 597 | $156,982 | $51,596 | $36,795 |
| 2023 | 161 | 539 | $118,497 | $42,557 | $31,045 |
| 2022 | 177 | 632 | $122,178 | $52,260 | $38,273 |
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 | 200 | $111 | $77 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 71 | $67 | $44 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 66 | $114 | $77 |
| 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 | 60 | $48 | $36 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 31 | $39 | $21 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | $115 | $115 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 23 | $81 | $56 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 20 | $124 | $89 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 17 | $13 | $9 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 15 | $184 | $140 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ✓ | 004425 | CT |
| Nurse Practitioner | 363L00000X | 004425 | CT | |
| Family Nurse Practitioner | 363LF0000X | 004425 | CT |
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.