NEVVI Medicare utilization intelligence

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NIER, LEANDRAACNP-BC NPI 1861795171 Clinician

Nurse Practitioner · ROSWELL, NM

Specialty Nurse Practitioner — from billed Medicare claims
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Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 20 codes billed · 1,933 disclosed volume (CY2024 — most recent year in data)
Current groups
Hospital affiliations
  • ARTESIA GENERAL HOSPITAL · Hospital · CCN 320030
  • LOVELACE REGIONAL HOSPITAL - ROSWELL · Hospital · CCN 320086
  • Home health agency — CCN 327185
registry affiliations from the CMS Doctors & Clinicians facility file — an administrative affiliation, not a statement about where care is delivered

Group affiliation since 2019

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Membership spans across every group on this clinician's 2019+ registry record, departed groups included. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2024-07
Data year CY2024 CY2023 CY2022  CY2021  CY2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The full billed-volume analytics for this provider — its position among specialty peers, practice focus, and the payments behind it — computed from the same disclosed Medicare Part B data.

This provider's disclosed submitted charges across all codes were in CY2024. Included with Platform.

  • Charge, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Volume Beneficiary-episodes Avg charge Avg Medicare payment
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36415 Insertion of needle into vein for collection of blood sample
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
96372 Injection of drug or substance under skin or into muscle
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
83036 Hemoglobin a1c level
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
81002 Urinalysis, manual test
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
G0008 Administration of influenza virus vaccine
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.