Medicare spending analysis for Certified Clinical Nurse Specialist providers
Certified Clinical Nurse Specialist accounts for $428.8M in Medicare payments across 17.8K providers.
The specialty's average markup of 3.0x is below the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $45.4M | 934.6K | 1.9K | — |
| 2015 | $44.9M | 921.2K | 2.0K | -1.1% |
| 2016 | $46.6M | 948.6K | 2.0K | +3.9% |
| 2017 | $46.5M | 949.8K | 2.0K | -0.3% |
| 2018 | $45.7M | 1.0M | 1.9K | -1.8% |
| 2019 | $44.1M | 908.4K | 1.9K | -3.5% |
| 2020 | $38.2M | 803.9K | 1.7K | -13.3% |
| 2021 | $42.3M | 822.6K | 1.6K | +10.6% |
| 2022 | $37.6M | 738.6K | 1.5K | -10.9% |
| 2023 | $37.7M | 698.1K | 1.4K | +0.1% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Laura Kaiser | LA | $5.1M | 5.7K | $895.08 |
| 2 | Andrew James | MO | $1.6M | 116.0K | $13.38 |
| 3 | Stephanie Mowdy | OK | $319.3K | 2.9K | $110.26 |
| 4 | Stephany Gyasi | MA | $297.5K | 5.1K | $58.51 |
| 5 | Guilford Hurst | DE | $231.0K | 2.8K | $83.88 |
| 6 | Dan Feng | TX | $212.3K | 3.2K | $67.33 |
| 7 | Susan Zboray | NJ | $179.6K | 2.3K | $77.34 |
| 8 | Michael Weeks | OK | $176.6K | 3.7K | $47.98 |
| 9 | Davin Tuazon | TX | $174.7K | 2.5K | $69.01 |
| 10 | Shannon Burnette | IL | $173.3K | 2.4K | $72.65 |
| 11 | Damon Davis | MO | $156.7K | 2.9K | $53.74 |
| 12 | Saul Benitez | TX | $154.4K | 14.1K | $10.98 |
| 13 | Michelle Turlington | CA | $152.0K | 2.6K | $58.09 |
| 14 | Harriet Johnson | MA | $148.7K | 1.9K | $78.70 |
| 15 | Melanie New | AR | $148.1K | 2.2K | $66.34 |
| 16 | Donna Springer | MN | $141.6K | 2.0K | $72.10 |
| 17 | Martha Quinton | TX | $138.7K | 1.6K | $86.96 |
| 18 | Teresa Etter | OK | $137.4K | 2.6K | $53.33 |
| 19 | Susan Corey | DE | $134.0K | 1.9K | $69.31 |
| 20 | Ryan Anderson | AR | $133.0K | 13.7K | $9.73 |
| 21 | Teri Leishman | CO | $128.1K | 8.5K | $15.11 |
| 22 | Jinnyi Clements | KY | $126.9K | 2.0K | $63.47 |
| 23 | Cherie Simpson | TX | $123.8K | 1.5K | $81.96 |
| 24 | Julie Spears | OK | $123.6K | 1.6K | $76.58 |
| 25 | Joey Bryant | TX | $120.6K | 2.1K | $57.71 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $8.5M | 120.9K | $69.99 |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | $5.0M | 4.3K | $1.2K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $3.2M | 65.7K | $48.02 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $2.0M | 30.6K | $66.64 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $1.9M | 19.2K | $100.37 |
| 90837 | Psychotherapy, 1 hour | $1.6M | 17.3K | $94.77 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $1.6M | 30.2K | $52.22 |
| J0897 | Injection, denosumab, 1 mg | $1.1M | 62.0K | $18.26 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $1.1M | 24.7K | $45.40 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $957.3K | 12.3K | $77.67 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $787.0K | 18.6K | $42.31 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | $629.2K | 11.0K | $57.28 |
| 90834 | Psychotherapy, 45 minutes | $615.6K | 9.9K | $62.45 |
| J3111 | Injection, romosozumab-aqqg, 1 mg | $576.2K | 72.7K | $7.93 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $541.5K | 4.8K | $112.69 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $491.8K | 5.0K | $98.39 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $468.4K | 5.9K | $79.47 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $387.1K | 3.3K | $117.09 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $347.2K | 4.1K | $84.58 |
| 90792 | Psychiatric diagnostic evaluation with medical services | $340.5K | 2.9K | $117.94 |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.