MARCIA LUIS, FNP
Community Health Nurse Practitioner · GREENVILLE, SC
Individual Active NPI 1750809612
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 778 | 5,904 | $719,091 | $405,535 | $293,203 |
| 2023 | 442 | 1,062 | $126,026 | $68,464 | $54,299 |
| 2022 | 171 | 372 | $50,487 | $29,179 | $20,420 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 1,766 | $71 | $54 |
| 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 | 1,499 | $47 | $32 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,332 | $61 | $41 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 597 | $132 | $96 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 167 | $39 | $31 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 152 | $48 | $38 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 124 | $48 | $39 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 42 | $176 | $141 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 36 | $16 | $13 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 31 | $125 | $100 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 31 | $210 | $166 |
| 99497 | Advance care planning, first 30 minutes | 29 | $77 | $60 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | ✓ | 21263 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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See all Community Health Nurse Practitioner providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.