ALICIA MAILLY, ARNP

Family Nurse Practitioner · ST AUGUSTINE, FL

Individual Active NPI 1700581683

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	45	59	$12,530	$5,897	$4,647

HCPCS	Description	Services	Avg allowed	Avg paid
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	$106	$81
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	$139	$111

Specialty	Code	Primary	License	State
Family Nurse Practitioner	363LF0000X	✓	11025568	FL
Registered Nurse	163W00000X		9272850	FL

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.