Carter, Lisa

Carter, Lisa was paid $19K by Medicaid between Jan 2022 and Jul 2023, across 11 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 81% of everything it billed.

33Billing provider infoCARTER, LISA
MACUNGIE, PA 18062

33aNPI1922320621assigned 02/22/2010

33bProvider typeFamily Nurse Practitioner

28Total paid$19K

24GClaims1,933

24DCodes billed11

24AFirst – last monthJan 2022 – Jul 2023

Compared with peers

Next to other Family Nurse Practitioner providers in Pennsylvania

Rank by total paid#385 of 1,075

Median peer was paid$8K

This provider vs. median2.3×

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
2022	1,051	$11K
2023	882	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	81%	1,211	414	$16K
99308	Subsequent nursing facility care, per day, straightforward	7.6%	102	48	$1K
99492		2.2%	31	30	$427.08
99483	Prolong outpt/office vis	2.2%	15	14	$422.61
99493		2.0%	31	31	$386.16
99490	Ccm add 20min	1.9%	426	395	$360.64
99491	Ccm add 20min	1.1%	12	12	$211.31
99484		<1%	36	36	$180.53
99307		<1%	21	21	$133.63
99310	Prolong nursin fac eval 15m	<1%	20	20	$60.31
99439		<1%	28	26	$33.92

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.