Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $121.48 | 1 | 81.8% |
| Education | $27.00 | 1 | 18.2% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Nevro Corp. | $121.48 | 1 | $0 (2021) |
| E.R. Squibb & Sons, L.L.C. | $27.00 | 1 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2022 | $27.00 | 1 | E.R. Squibb & Sons, L.L.C. ($27.00) |
| 2021 | $121.48 | 1 | Nevro Corp. ($121.48) |
All Payment Transactions
2 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 02/28/2022 | E.R. Squibb & Sons, L.L.C. | ABILIFY (Drug) | Education | In-kind items and services | $27.00 | General |
| Category: Neuroscience | ||||||
| 09/07/2021 | Nevro Corp. | Omnia (Device) | Food and Beverage | In-kind items and services | $121.48 | General |
| Category: Spinal Cord Stimulator | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 128 | 247 | $71,920 | $13,291 |
| 2022 | 13 | 430 | 747 | $118,711 | $29,665 |
| 2021 | 7 | 379 | 750 | $116,751 | $35,679 |
| 2020 | 12 | 436 | 742 | $106,184 | $26,772 |
All Medicare Procedures & Services
37 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | Office | 2023 | 42 | 122 | $33,428 | $5,794 | 17.3% |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office | 2023 | 30 | 52 | $21,476 | $3,951 | 18.4% |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office | 2023 | 16 | 19 | $5,757 | $1,292 | 22.4% |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | Office | 2023 | 19 | 27 | $5,643 | $1,275 | 22.6% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 21 | 27 | $5,616 | $978.01 | 17.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 173 | 356 | $65,396 | $17,784 | 27.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 59 | 95 | $25,285 | $6,638 | 26.3% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2022 | 19 | 19 | $5,833 | $2,009 | 34.4% |
| 90662 | Influenza vaccine split virus, preservative free | Office | 2022 | 11 | 11 | $814.00 | $753.94 | 92.6% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 15 | 22 | $3,223 | $636.11 | 19.7% |
| 69210 | Removal of impacted ear wax | Office | 2022 | 22 | 25 | $4,100 | $525.34 | 12.8% |
| 85610 | Blood test, clotting time | Office | 2022 | 30 | 109 | $5,014 | $461.63 | 9.2% |
| G0008 | Administration of influenza virus vaccine | Office | 2022 | 12 | 12 | $768.00 | $335.40 | 43.7% |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | Office | 2022 | 23 | 26 | $2,912 | $192.86 | 6.6% |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Office | 2022 | 12 | 12 | $2,715 | $109.71 | 4.0% |
| 36415 | Insertion of needle into vein for collection of blood sample | Office | 2022 | 32 | 38 | $1,254 | $100.94 | 8.0% |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | Office | 2022 | 11 | 11 | $968.00 | $83.79 | 8.7% |
| 81001 | Manual urinalysis test with examination using microscope, automated | Office | 2022 | 11 | 11 | $429.00 | $34.24 | 8.0% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 192 | 429 | $70,986 | $22,452 | 31.6% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 75 | 111 | $26,529 | $8,478 | 32.0% |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 2021 | 24 | 24 | $7,368 | $2,587 | 35.1% |
| 90662 | Vaccine for influenza for injection into muscle, split virus, preservation free | Office | 2021 | 13 | 13 | $962.00 | $844.10 | 87.7% |
| 85610 | Blood test, clotting time | Office | 2021 | 42 | 137 | $6,302 | $587.73 | 9.3% |
| 69210 | Removal of impact ear wax, one ear | Office | 2021 | 20 | 23 | $3,772 | $519.01 | 13.8% |
| G0008 | Administration of influenza virus vaccine | Office | 2021 | 13 | 13 | $832.00 | $210.89 | 25.3% |
About Rachael Falle, NP
Rachael Falle, NP is a Adult Health healthcare provider based in Sheboygan, Wisconsin. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 04/02/2012. The National Provider Identifier (NPI) number assigned to this provider is 1174889323.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Rachael Falle, NP has received a total of $148.48 in payments from pharmaceutical and medical device companies, with $27.00 received in 2022. These payments were reported across 2 transactions from 2 companies. The most common payment nature is "Food and Beverage" ($121.48).
As a Medicare-enrolled provider, Falle has provided services to 1,373 Medicare beneficiaries, totaling 2,486 services with total Medicare billing of $105,406. Data is available for 4 years (2020–2023), covering 37 distinct procedure/service records.
Practice Information
- Specialty Adult Health
- Location Sheboygan, WI
- Active Since 04/02/2012
- Last Updated 12/22/2021
- Taxonomy Code 363LA2200X
- Entity Type Individual
- NPI Number 1174889323
Products in Payments
- Omnia (Device) $121.48
- ABILIFY (Drug) $27.00
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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