NP / PA
Ross, Karen
Ross, Karen was paid $3K by Medicaid between Jun 2024 and Nov 2024, across 7 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 58% of everything it billed.
33Billing provider infoROSS, KAREN
ONEONTA, NY 13820
ONEONTA, NY 13820
33aNPI1245873959assigned 10/25/2019
33bProvider typeAdult Health Nurse Practitioner
28Total paid$3K
24GClaims1,135
24DCodes billed7
24AFirst – last monthJun 2024 – Nov 2024
Compared with peers
Next to other Adult Health Nurse Practitioner providers in New York
Rank by total paid#316 of 559
Median peer was paid$4K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2024incomplete | 1,135 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 58% | 495 | 211 | $2K |
| 99454 | 25% | 73 | 73 | $649.70 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 16% | 264 | 187 | $423.66 |
| 99439 | 0% | 76 | 76 | $0.00 | |
| 99457 | 0% | 76 | 76 | $0.00 | |
| 99458 | 0% | 75 | 75 | $0.00 | |
| 99490 | Ccm add 20min | 0% | 76 | 76 | $0.00 |
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.