Casale, Adam

Casale, Adam was paid $19K by Medicaid between Sep 2021 and Oct 2024, across 7 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 96% of everything it billed.

33Billing provider infoCASALE, ADAM
MECHANICSBURG, PA 17050

33aNPI1972175206assigned 07/15/2021

33bProvider typeNurse Practitioner

28Total paid$19K

24GClaims1,449

24DCodes billed7

24AFirst – last monthSep 2021 – Oct 2024

Compared with peers

Next to other Nurse Practitioner providers in Pennsylvania

Rank by total paid#125 of 372

Median peer was paid$7K

This provider vs. median2.8×

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
2021	288	$2K
2022	192	$2K
2023	466	$7K
2024incomplete	503	$9K

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	96%	486	342	$19K
99308	Subsequent nursing facility care, per day, straightforward	3.8%	62	33	$733.00
G8734	Elder maltreatment screen documented as negative, follow-up is not required	0%	41	26	$0.00
1123F		0%	163	113	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	600	381	$0.00
G9916	Functional status performed once in the last 12 months	0%	21	13	$0.00
G8482	Influenza immunization administered or previously received	0%	76	54	$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.