NP / PA
Legal, Cassandra
Legal, Cassandra was paid $154K by Medicaid between Mar 2023 and Apr 2024, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoLEGAL, CASSANDRA
MERCER, PA 16137
MERCER, PA 16137
33aNPI1528682978assigned 06/02/2020
33bProvider typeFamily Nurse Practitioner
28Total paid$154K
24GClaims1,550
24DCodes billed6
24AFirst – last monthMar 2023 – Apr 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Pennsylvania
Rank by total paid#101 of 1,075
Median peer was paid$8K
This provider vs. median18×
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 | |
|---|---|---|---|
| 2023 | 964 | $97K | |
| 2024incomplete | 586 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 770 | 686 | $154K |
| 3008F | 0% | 89 | 88 | $0.00 | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 0% | 39 | 32 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 85 | 82 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 514 | 469 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 53 | 51 | $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.