MADELYN PONTO, CNP
Nurse Practitioner · BROOKINGS, SD
Individual Active NPI 1629740857
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 225 | 792 | $47,587 | $35,968 | $28,537 |
| 2023 | 227 | 849 | $65,462 | $50,062 | $36,700 |
| 2022 | 207 | 741 | $52,107 | $41,078 | $31,978 |
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 | 134 | $87 | $64 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 79 | $8 | $8 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 69 | $60 | $29 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 48 | $8 | $8 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 43 | $60 | $48 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 40 | $3 | $3 |
| 80053 | Blood test, comprehensive group of blood chemicals | 37 | $10 | $10 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 28 | $87 | $69 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 22 | $6 | $4 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 19 | $16 | $16 |
| 71046 | X-ray of chest, 2 views | 19 | $23 | $13 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 18 | $140 | $140 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ✓ | CP002167 | SD |
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.