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NPI 1871030858 · Northridge, CA · Family Nurse Practitioner
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Michelle Porciuncula is a family nurse practitioner provider located in Northridge, California. This profile covers 16 Medicare and 9 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 | Michelle Porciuncula |
| Address | 8345 Reseda Blvd Ste 209 |
| City | Northridge |
| State | CA |
| ZIP | 91324 |
| Taxonomy | Family Nurse Practitioner |
| NPI Enumerated | January 27, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $645.9K |
| Medicaid | $8.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,970 | $90 | $169.6K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 2,260 | $40 | $90.5K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 1,050 | $60 | $65.3K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 1,560 | $40 | $59.3K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 1,600 | $40 | $56.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 430 | $120 | $51.2K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 740 | $40 | $31.9K |
| 99347 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at… | 1,010 | $30 | $29.3K |
| 99483 | The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and… | 130 | $200 | $26.8K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 120 | $150 | $18K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99349 | 26 | 870 | 110 | $90 | $31.7K |
| 99490 | 49 | 1,060 | 210 | $50 | $25.8K |
| 99454 | 42 | 720 | 220 | $40 | $20.2K |
| 99457 | 51 | 760 | 240 | $40 | $20.1K |
| 99483 | 27 | 230 | 40 | $210 | $18.3K |
| 99348 | 199 | 850 | 90 | $60 | $13.1K |
| 99345 | 67 | 290 | 30 | $150 | $12.5K |
| G0439 | 100 | 7,800 | 60 | $130 | $11.9K |
| 99497 | 25 | 2,560 | 50 | $70 | $8K |
| 99344 | 36 | 380 | 30 | $100 | $7K |
Showing 1–10 of 16
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and… | 110 | $20 | $2.6K |
| 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… | 60 | $40 | $2.5K |
| 31525 | The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the… | 60 | $10 | $680 |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 60 | $10 | $610 |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 80 | $10 | $530 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 40 | $10 | $530 |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 60 | $10 | $490 |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 100 | $1 | $200 |
| 99453 | The provider sets up equipment for remote physiologic monitoring and educates the patient on how to use it. | 30 | $1 | $30 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 31525 | The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the… | 5 | 10 | 300 | $50 | $659.3K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 111 | 170 | 200 | $80 | $124.2K |
| 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… | 803 | 1,000 | 440 | $30 | $72K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and… | 72 | 110 | 250 | $20 | $38.1K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 260 | 330 | 330 | $20 | $18.9K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 195 | 380 | 110 | $20 | $15.5K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 280 | 350 | 340 | $10 | $10.9K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 92 | 160 | 60 | $10 | $4K |
| 99453 | The provider sets up equipment for remote physiologic monitoring and educates the patient on how to use it. | 89 | 170 | 40 | $10 | $790 |
Other providers in the same ZIP code as Michelle Porciuncula, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Yasmine Corporation | CA | Adult Day Care Clinic/Center | $0 | $44.3M |
| New Sunrise Adult Day Health Care Center Inc. | CA | Adult Day Care Clinic/Center | $0 | $24.4M |
| Northridge Outpatient Surgery Center Inc | CA | Ambulatory Surgical Clinic/Center | $929.3K | $47.6K |
| Yelizaveta Turetsky | CA | Family Nurse Practitioner | $608.6K | $0 |
| Parizad Hooshi | CA | Diagnostic Radiology Physician | $445.9K | $0 |
| W Scott Calvin | CA | Ophthalmology Physician | $65K | $0 |
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