HEATHER ROY
Nurse Practitioner · FORT WAYNE, IN
Individual Active NPI 1437702511
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 258 | 22,492 | $323,456 | $161,891 | $122,888 |
| 2023 | 364 | 65,383 | $1,212,820 | $662,658 | $520,437 |
| 2022 | 372 | 59,140 | $1,239,217 | $774,244 | $615,248 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 20,000 | $5 | $4 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 118 | $90 | $49 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 100 | $55 | $44 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 95 | $70 | $39 |
| 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 | 48 | $13 | $10 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 33 | $77 | $57 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 32 | $7 | $7 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 30 | $5 | $5 |
| 85651 | Red blood cell sedimentation rate, to detect inflammation, non-automated | 29 | $4 | $4 |
| 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 | 29 | $13 | $10 |
| 80053 | Blood test, comprehensive group of blood chemicals | 25 | $10 | $10 |
| 36415 | Insertion of needle into vein for collection of blood sample | 20 | $8 | $8 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ✓ | 71009140A | IN |
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.