npidexNPI registry + Medicare data

DOMANIC WILTERMOOD, FNP-C

Family Nurse Practitioner · WEST LAFAYETTE, IN

Individual Active NPI 1992489579

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024280852$109,458$42,800$31,490
20235190$16,944$7,209$6,080

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more229$71$50
17003Destruction of precancer skin growth, 2-14 growths199$5$4
17000Destruction of precancer skin growth, 1 growth89$39$29
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg56$1$1
17110Destruction of skin growth, 1-14 growths56$86$65
11102Biopsy of related skin growth, first growth50$73$53
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more29$88$65
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more20$101$76
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more19$44$27
11103Biopsy of related skin growth, each additional growth19$39$31
96372Injection of drug or substance under skin or into muscle18$11$9

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Nurse Practitioner363LF0000X✓71014180AIN
Registered Nurse163W00000X28225056AIN

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.