Who We Serve · Nurse Practitioner Practices
This page earns its own URL because the substance genuinely differs, and most billing companies write nothing advanced-practice-specific.
The 85% question
Medicare reimburses NP services at 85% of the physician fee schedule when billed under the NP's own number. On $600,000 of Medicare-eligible work that is $90,000. It belongs in the pro forma from day one, and most business plans I see do not account for it.
Incident-to billing
Billing incident-to permits 100%, but only under strict supervision and established-plan-of-care conditions. Getting it wrong is an audit exposure, not a paperwork error.
Practice authority determines the business model
Full, reduced, or restricted status determines whether you can open independently and whether a written practice or collaborative agreement must exist before you see a patient. That is a business-model question before it is a legal one. Find your state →
Named on this page
- Nurse practitioners
- Family, adult-gerontology, pediatric, psychiatric-mental health, and women's health NPs
- Certified nurse midwives
- Clinical nurse specialists
- Certified registered nurse anesthetists
- Physician assistants
- NP-owned practices in full-practice states
- NPs under collaborative agreements
- NP-led clinics and retail health
- Aesthetic and med-spa NP practices
- Telehealth NP practices
- New NP practices in formation
Start with an assessment, not a contract
Two weeks, fixed fee, $2,500 to $5,000 depending on practice size. You get a written finding: where the money is going, what each leak is worth annually, and what it costs to fix. You own that report whether or not you hire me for anything after it.
Start with an assessment