NP / PA
Cummins, Nicole
Cummins, Nicole was paid $43K by Medicaid between Jan 2018 and Dec 2018, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoCUMMINS, NICOLE
ST GEORGE, UT 84770
ST GEORGE, UT 84770
33aNPI1477005783assigned 11/03/2016
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$43K
24GClaims800
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Utah
Rank by total paid#7 of 21
Median peer was paid$20K
This provider vs. median2.2×
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 | 800 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 324 | 280 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 417 | 389 | $17K |
| 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 | 12% | 59 | 49 | $5K |
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.