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NPI 1518215490 · Hopkinton, MA · Adult Health Nurse Practitioner
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Marielle Pitts is a adult health nurse practitioner provider located in Hopkinton, Massachusetts. This profile covers 11 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Marielle Pitts |
| Address | 50 W Main St |
| City | Hopkinton |
| State | MA |
| ZIP | 01748 |
| Taxonomy | Adult Health Nurse Practitioner |
| NPI Enumerated | August 27, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $96.1K |
| Medicaid | $10K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 360 | $70 | $25.5K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 230 | $90 | $19.6K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 460 | $30 | $12.5K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 130 | $50 | $6.9K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 120 | $50 | $6.3K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 60 | $100 | $5.8K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 100 | $60 | $5.4K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 70 | $70 | $4.8K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 30 | $130 | $3.3K |
| Q3014 | Telehealth originating site facility fee | 200 | $20 | $3.2K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 698 | 840 | 300 | $80 | $37.8K |
| 99484 | 5 | 10 | 440 | $30 | $20.5K |
| 99308 | 442 | 750 | 170 | $50 | $20.5K |
| 99306 | 312 | 370 | 80 | $140 | $17.9K |
| 99214 | 2,146 | 15,410 | 110 | $80 | $15.6K |
| 99350 | 148 | 190 | 60 | $120 | $14.1K |
| 99349 | 58 | 290 | 60 | $80 | $12K |
| 99213 | 5,529 | 13,700 | 70 | $60 | $8.8K |
| 99204 | 1,556 | 5,870 | 30 | $120 | $5.6K |
| 99348 | 49 | 230 | 50 | $50 | $4.9K |
Showing 1–10 of 11
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 510 | $10 | $6.6K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 140 | $20 | $3.3K |
| Q3014 | Telehealth originating site facility fee | 60 | $1 | $260 |
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,770 | 5,040 | 200 | $70 | $209.5K |
| Q3014 | Telehealth originating site facility fee | 54 | 80 | 470 | $1 | $15.2K |
| 99484 | Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care… | 2 | 10 | 40 | $1 | $7.9K |
Other providers in the same ZIP code as Marielle Pitts, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hopkinton Health Center Corp | MA | Adult Care Home Facility | $0 | $8.5M |
| Julianne Rickert | MA | Physical Therapist | $44.8K | $0 |
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