NP / PA
M & M Medical, INC.
M & M Medical, INC. was paid $6K by Medicaid between Dec 2018 and Aug 2024, across 16 billing codes. Its largest line is 99349, — 40% of everything it billed.
33Billing provider infoM & M MEDICAL, INC.
STUART, FL 34997
STUART, FL 34997
33aNPI1225484272assigned 05/09/2016
33bProvider typeAdult Health Nurse Practitioner
28Total paid$6K
24GClaims8,514
24DCodes billed16
24AFirst – last monthDec 2018 – Aug 2024
Compared with peers
Next to other Adult Health Nurse Practitioner providers in Florida
Rank by total paid#20 of 50
Median peer was paid$3K
This provider vs. median2.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 30 | $0.00 | |
| 2019 | 2,088 | $679.73 | |
| 2020 | 3,428 | $2K | |
| 2021 | 1,688 | $829.00 | |
| 2022 | 991 | $2K | |
| 2023 | 105 | $533.44 | |
| 2024incomplete | 184 | $563.87 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99349 | 40% | 2,841 | 802 | $2K | |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) | 18% | 268 | 145 | $1K |
| 99345 | Prolong home eval add 15m | 14% | 18 | 12 | $819.29 |
| 99354 | 12% | 564 | 265 | $711.92 | |
| 99344 | 9.5% | 40 | 25 | $566.46 | |
| 99350 | Prolong home eval add 15m | 5.3% | 292 | 168 | $316.12 |
| 99355 | <1% | 355 | 175 | $48.68 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 47 | 39 | $21.69 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,807 | 1,259 | $0.00 |
| 99490 | Ccm add 20min | 0% | 71 | 51 | $0.00 |
| 76937 | 0% | 32 | 16 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 34 | 21 | $0.00 |
4 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTHUNE, MICHELE (PRESIDENT)