RACHEL EDWARDS, CNP
Adult Health Nurse Practitioner · LAKEWOOD, OH
Individual Active NPI 1649580812
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 150 | 321 | $52,556 | $26,115 | $19,902 |
| 2023 | 159 | 386 | $67,573 | $37,333 | $28,833 |
| 2022 | 188 | 502 | $73,298 | $39,476 | $30,717 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 67 | $96 | $76 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | $63 | $48 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 31 | $65 | $40 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 24 | $140 | $111 |
| 99239 | Hospital discharge day management, more than 30 minutes | 24 | $88 | $70 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 23 | $73 | $44 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | $18 | $18 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | $104 | $80 |
| 99496 | Transitional care management services for problem of high complexity | 11 | $191 | $146 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ✓ | COA11788-NP | OH |
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.