NP / PA
Ursiny, Darlene
Ursiny, Darlene was paid $365K by Medicaid between Nov 2020 and Dec 2022, across 6 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 64% of everything it billed.
33Billing provider infoURSINY, DARLENE
MONROEVILLE, PA 15146
MONROEVILLE, PA 15146
33aNPI1285693085assigned 03/21/2006
33bProvider typeNurse Practitioner
28Total paid$365K
24GClaims3,063
24DCodes billed6
24AFirst – last monthNov 2020 – Dec 2022
Compared with peers
Next to other Nurse Practitioner providers in Pennsylvania
Rank by total paid#16 of 372
Median peer was paid$7K
This provider vs. median53×
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 | |
|---|---|---|---|
| 2020 | 209 | $18K | |
| 2021 | 1,519 | $201K | |
| 2022 | 1,335 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 64% | 861 | 861 | $232K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 996 | 871 | $54K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 8.9% | 191 | 191 | $32K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 6.6% | 552 | 457 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 390 | 364 | $15K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 73 | 73 | $7K |
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.