MARY SHEARER, ARNP
Nurse Practitioner · BLUE SPRINGS, MO
Individual Active NPI 1487317392
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 544 | 3,137 | $1,127,181 | $895,269 | $708,314 |
| 2023 | 488 | 1,957 | $536,027 | $242,068 | $191,837 |
| 2022 | 97 | 970 | $251,184 | $69,280 | $54,324 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,074 | $85 | $64 |
| 99421 | Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes | 445 | $12 | $9 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 194 | $49 | $39 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 150 | $39 | $26 |
| 99497 | Advance care planning, first 30 minutes | 149 | $64 | $49 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 113 | $38 | $30 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 86 | $116 | $92 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 56 | $118 | $91 |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 54 | $207 | $153 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 48 | $49 | $39 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | $98 | $98 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 40 | $76 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ✓ | 113870 | NE |
| Registered Nurse | 163W00000X | 79778 | NE |
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.