NP / PA
Specialized Wound Management LLC
Specialized Wound Management LLC was paid $456K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 61% of everything it billed.
33Billing provider infoSPECIALIZED WOUND MANAGEMENT LLC
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
33aNPI1962430157assigned 06/28/2006
33bProvider typeAdult Health Nurse Practitioner
28Total paid$456K
24GClaims40,087
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Adult Health Nurse Practitioner providers in Missouri
Rank by total paid#2 of 39
Median peer was paid$7K
This provider vs. median64×
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 | 5,351 | $52K | |
| 2019 | 5,766 | $46K | |
| 2020 | 4,721 | $55K | |
| 2021 | 5,476 | $65K | |
| 2022 | 5,380 | $58K | |
| 2023 | 6,905 | $95K | |
| 2024incomplete | 6,488 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 61% | 22,977 | 13,491 | $276K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 28% | 6,995 | 3,740 | $128K |
| 11721 | 6.4% | 6,214 | 5,625 | $29K | |
| 11720 | 1.9% | 2,340 | 2,091 | $9K | |
| 99305 | 1.1% | 134 | 118 | $5K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 131 | 75 | $3K |
| 99304 | <1% | 98 | 84 | $2K | |
| 99307 | <1% | 250 | 181 | $2K | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 916 | 812 | $2K |
| 11719 | <1% | 12 | 12 | $110.46 | |
| G9917 | Documentation of advanced stage dementia and caregiver knowledge is limited | 0% | 20 | 17 | $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.
From NPPES
Who's on the registration
Authorized officialHARTMANN, GAIL (TREASURER)
| Provider | Location | Paid |
|---|---|---|
| Pathways Community Hospice, LLC | Chesterfield, MO | $4.86M |
| Delmar Gardens of Green Valley Operating LLC | Henderson, NV | $548K |
| Delmar Gardens of Omaha, LLC | Omaha, NE | $79K |
| Delmar Gardens of South County, INC. | Saint Louis, MO | $16K |
| Pathways Palliative Care, LLC | Chesterfield, MO | $14K |
| Delmar Gardens West Operating, LLC | Town & Country, MO | $1K |
| Delmar Gardens of O'fallon, LLC | O Fallon, MO | $223.99 |
| Delmar Gardens of Lenexa Operating, LLC | Lenexa, KS | $162.62 |
| Delmar Gardens of Overland Park Operating, LLC | Overland Park, KS | $0.00 |
| Delmar Gardens of Creve Coeur Operating, LLC | Creve Coeur, MO | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.