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Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Certified Clinical Nurse Specialist

Certified Clinical Nurse Specialist

Medicare spending analysis for Certified Clinical Nurse Specialist providers

🔎 Data Analysis

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.

Total Payments (10yr)
$428.8M
Top Providers
50
States with Providers
47

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$45.4M934.6K1.9K—
2015$44.9M921.2K2.0K-1.1%
2016$46.6M948.6K2.0K+3.9%
2017$46.5M949.8K2.0K-0.3%
2018$45.7M1.0M1.9K-1.8%
2019$44.1M908.4K1.9K-3.5%
2020$38.2M803.9K1.7K-13.3%
2021$42.3M822.6K1.6K+10.6%
2022$37.6M738.6K1.5K-10.9%
2023$37.7M698.1K1.4K+0.1%

Top Certified Clinical Nurse Specialist Providers

#ProviderStatePaymentsServicesAvg/Service
1Laura KaiserLA$5.1M5.7K$895.08
2Andrew JamesMO$1.6M116.0K$13.38
3Stephanie MowdyOK$319.3K2.9K$110.26
4Stephany GyasiMA$297.5K5.1K$58.51
5Guilford HurstDE$231.0K2.8K$83.88
6Dan FengTX$212.3K3.2K$67.33
7Susan ZborayNJ$179.6K2.3K$77.34
8Michael WeeksOK$176.6K3.7K$47.98
9Davin TuazonTX$174.7K2.5K$69.01
10Shannon BurnetteIL$173.3K2.4K$72.65
11Damon DavisMO$156.7K2.9K$53.74
12Saul BenitezTX$154.4K14.1K$10.98
13Michelle TurlingtonCA$152.0K2.6K$58.09
14Harriet JohnsonMA$148.7K1.9K$78.70
15Melanie NewAR$148.1K2.2K$66.34
16Donna SpringerMN$141.6K2.0K$72.10
17Martha QuintonTX$138.7K1.6K$86.96
18Teresa EtterOK$137.4K2.6K$53.33
19Susan CoreyDE$134.0K1.9K$69.31
20Ryan AndersonAR$133.0K13.7K$9.73
21Teri LeishmanCO$128.1K8.5K$15.11
22Jinnyi ClementsKY$126.9K2.0K$63.47
23Cherie SimpsonTX$123.8K1.5K$81.96
24Julie SpearsOK$123.6K1.6K$76.58
25Joey BryantTX$120.6K2.1K$57.71

Top Procedures

CodeDescriptionPaymentsServicesAvg/Service
99214Established patient office or other outpatient visit, 30-39 minutes$8.5M120.9K$69.99
Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter$5.0M4.3K$1.2K
99213Established patient office or other outpatient visit, 20-29 minutes$3.2M65.7K$48.02
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$2.0M30.6K$66.64
99215Established patient office or other outpatient visit, 40-54 minutes$1.9M19.2K$100.37
90837Psychotherapy, 1 hour$1.6M17.3K$94.77
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$1.6M30.2K$52.22
J0897Injection, denosumab, 1 mg$1.1M62.0K$18.26
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes$1.1M24.7K$45.40
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$957.3K12.3K$77.67
90833Psychotherapy with evaluation and management visit, 30 minutes$787.0K18.6K$42.31
90836Psychotherapy with evaluation and management visit, 45 minutes$629.2K11.0K$57.28
90834Psychotherapy, 45 minutes$615.6K9.9K$62.45
J3111Injection, romosozumab-aqqg, 1 mg$576.2K72.7K$7.93
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$541.5K4.8K$112.69
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes$491.8K5.0K$98.39
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes$468.4K5.9K$79.47
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes$387.1K3.3K$117.09
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$347.2K4.1K$84.58
90792Psychiatric diagnostic evaluation with medical services$340.5K2.9K$117.94

Geographic Distribution

LA
$5.4M
17 providers
TX
$4.9M
172 providers
MA
$4.3M
166 providers
OH
$3.1M
186 providers
OK
$2.7M
92 providers
IL
$2.6M
118 providers
MO
$2.6M
52 providers
MN
$1.3M
84 providers
AR
$1.2M
46 providers
NJ
$1.1M
39 providers
DE
$682.4K
20 providers
CO
$654.1K
38 providers
CT
$632.2K
35 providers
KY
$590.1K
27 providers
IN
$574.2K
45 providers
PA
$528.5K
15 providers
GA
$518.8K
24 providers
MD
$473.2K
17 providers
CA
$452.3K
18 providers
NM
$405.7K
23 providers
RI
$359.3K
24 providers
NY
$313.2K
9 providers
KS
$264.2K
19 providers
VA
$257.7K
15 providers
WI
$193.8K
14 providers
SC
$187.1K
11 providers
FL
$180.0K
9 providers
ID
$143.7K
5 providers
ND
$125.0K
11 providers
VT
$123.6K
5 providers

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

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.