DIANE FOX, CRNP
Adult Health Nurse Practitioner · NEWTOWN, PA
Individual Active NPI 1700883105
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 261 | 813 | $102,715 | $67,574 | $54,749 |
| 2023 | 114 | 415 | $137,835 | $44,550 | $33,584 |
| 2022 | 85 | 283 | $100,862 | $34,266 | $26,859 |
Top procedures (2024)
| 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 | 218 | $112 | $87 |
| G0444 | Annual depression screening, 5 to 15 minutes | 130 | $17 | $17 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 123 | $112 | $112 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 91 | $79 | $61 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 62 | $64 | $51 |
| 99497 | Advance care planning, first 30 minutes | 40 | $66 | $58 |
| 36415 | Insertion of needle into vein for collection of blood sample | 37 | $9 | $9 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 21 | $109 | $46 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 20 | $158 | $113 |
| 99496 | Transitional care management services for problem of high complexity | 15 | $244 | $194 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ✓ | SP003791C | PA |
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.