MARLENE YOUNG, NP-BC
Nurse Practitioner · BRISTOL, RI
Individual Active NPI 1598394900
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 4,352 | 31,787 | $7,240,820 | $2,148,873 | $1,784,579 |
| 2023 | 1,643 | 7,144 | $2,240,709 | $496,347 | $403,278 |
| 2022 | 473 | 992 | $78,850 | $31,678 | $31,678 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 6,962 | $54 | $44 |
| 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 | 5,588 | $41 | $33 |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 2,820 | $120 | $96 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 2,812 | $48 | $39 |
| 99494 | Psychiatric collaborative care management per calendar month, each additional 30 minutes | 2,643 | $51 | $41 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 2,508 | $53 | $43 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1,451 | $147 | $147 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,349 | $91 | $73 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 1,216 | $115 | $93 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 937 | $38 | $31 |
| 99427 | Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month | 668 | $40 | $32 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 579 | $115 | $115 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ✓ | APRN11005332 | FL |
| Family Nurse Practitioner | 363LF0000X | F345345-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | APRN11005332 | FL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Nurse Practitioner providers in Rhode Island
- NPI 1700015104
- NPI 1457230930
- NPI 1932808326
- NPI 1306655253
- NPI 1396015491
- NPI 1649855461
- NPI 1194515247
- NPI 1518061787
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.