NP / PA
Nardella, Pauline
Nardella, Pauline was paid $288K by Medicaid between Feb 2018 and Sep 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 53% of everything it billed.
33Billing provider infoNARDELLA, PAULINE
BLAUVELT, NY 10913
BLAUVELT, NY 10913
33aNPI1740503259assigned 03/11/2010
33bProvider typeFamily Nurse Practitioner
28Total paid$288K
24GClaims3,389
24DCodes billed6
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other Family Nurse Practitioner providers in New York
Rank by total paid#38 of 1,582
Median peer was paid$2K
This provider vs. median125×
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 | 39 | $7K | |
| 2019 | 148 | $16K | |
| 2020 | 233 | $22K | |
| 2021 | 652 | $61K | |
| 2022 | 927 | $76K | |
| 2023 | 779 | $61K | |
| 2024incomplete | 611 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 1,022 | 1,021 | $152K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 1,061 | 840 | $84K |
| 99205 | Prolong outpt/office vis | 11% | 173 | 171 | $30K |
| 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 | 3.8% | 112 | 106 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 32 | 31 | $5K |
| 96127 | 1.6% | 989 | 830 | $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.