Active NPI 1568464824 Individual Practitioner Female Practitioner

Agnes Idicula

Internal Medicine • Weeki Wachee, FL

Professional Overview & Biography Verified Profile Summary

Agnes Idicula is a registered healthcare professional specializing in Internal Medicine in Weeki Wachee, FL. Practice services are available at 10065 CORTEZ BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10065 Cortez Blvd

Weeki Wachee, FL 346136389

Telephone 3525964660

Fax 3525964674

Associated Practice Facility / Clinic

🏢 Idicula Medical Associates Md Pa Facility NPI 1982781688

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Weeki Wachee, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Weeki Wachee, FL (10650 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	587	432	$259.79	$129.91
99213 Established patient office or other outpatient visit, typically 15 minutes	358	261	$177.92	$91.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	190	190	$230.00	$133.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	76	37	$45.00	$22.30
85610 Blood test, clotting time	72	14	$10.00	$4.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$224.76	$113.31
99443 Telephone medical discussion with physician, 21-30 minutes	53	45	$210.19	$130.35
81002 Urinalysis, manual test	40	34	$9.78	$3.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	28	$107.00	$52.79
36415 Insertion of needle into vein for collection of blood sample	30	27	$8.77	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$34.00	$14.88
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	14	$30.00	$15.74
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	11	$82.00	$40.87
99496 Transitional care management services for problem of high complexity	11	11	$464.00	$278.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	849	494	$218.00	$109.69
99213 Established patient office or other outpatient visit, typically 15 minutes	544	350	$149.00	$75.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	366	366	$230.13	$116.80
85610 Blood test, clotting time	178	17	$10.00	$4.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$218.00	$109.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	95	30	$45.00	$22.91
99443 Telephone medical discussion with physician, 21-30 minutes	86	71	$112.56	$97.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	17	$90.00	$45.73
G0444 Annual depression screening, 5 to 15 minutes	66	66	$36.00	$17.86
81002 Urinalysis, manual test	55	43	$10.00	$3.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	25	$107.00	$53.91
93000 Routine ekg using at least 12 leads including interpretation and report	32	30	$34.00	$17.20
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	31	23	$30.00	$15.58
99442 Telephone medical discussion with physician, 11-20 minutes	21	21	$84.05	$69.44
99495 Transitional care management services for problem of at least moderate complexity	17	15	$328.00	$184.68
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	11	11	$84.00	$41.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,204	562	$217.89	$108.53
99213 Established patient office or other outpatient visit, typically 15 minutes	598	371	$148.89	$74.03
G0444 Annual depression screening, 5 to 15 minutes	354	354	$36.00	$17.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	343	343	$233.00	$116.40
85610 Blood test, clotting time	265	30	$10.11	$4.28
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	227	105	$84.00	$41.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	29	$89.84	$44.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$218.00	$108.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	104	30	$44.76	$22.39
93000 Routine ekg using at least 12 leads including interpretation and report	74	66	$34.00	$17.04
81002 Urinalysis, manual test	56	46	$10.09	$3.41
99495 Transitional care management services for problem of at least moderate complexity	49	45	$328.00	$163.87
94010 Test to measure expiratory airflow and volume	29	27	$70.03	$34.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	14	$33.63	$16.55
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	25	18	$30.00	$14.49
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	20	20	$126.05	$62.72
69210 Removal of impacted ear wax	17	14	$96.18	$47.99
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$335.00	$165.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$107.00	$53.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,460	609	$214.99	$106.20
99213 Established patient office or other outpatient visit, typically 15 minutes	768	464	$145.09	$72.30
85610 Blood test, clotting time	358	37	$10.43	$4.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	268	268	$233.00	$115.14
G0444 Annual depression screening, 5 to 15 minutes	255	255	$36.00	$17.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	201	35	$87.00	$43.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	148	85	$84.00	$41.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	115	25	$42.85	$21.06
93000 Routine ekg using at least 12 leads including interpretation and report	91	85	$34.37	$16.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$216.13	$107.86
81002 Urinalysis, manual test	48	41	$30.63	$3.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	12	$40.61	$20.03
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	28	28	$126.00	$62.78
94010 Test to measure expiratory airflow and volume	27	27	$70.89	$35.07
69210 Removal of impacted ear wax	27	24	$98.07	$48.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$332.50	$164.79
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$34.06	$16.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,235	534	$215.00	$105.63
99213 Established patient office or other outpatient visit, typically 15 minutes	653	384	$146.00	$71.89
85610 Blood test, clotting time	445	49	$15.00	$5.28
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	247	83	$84.82	$41.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	198	37	$87.00	$42.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	170	33	$39.99	$19.66
93000 Routine ekg using at least 12 leads including interpretation and report	84	77	$34.00	$16.76
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	59	59	$127.00	$62.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$217.92	$107.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$232.91	$113.94
81002 Urinalysis, manual test	26	24	$30.00	$3.43
81003 Automated urinalysis test	15	15	$29.00	$3.02
94010 Test to measure expiratory airflow and volume	14	14	$70.00	$32.16

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME59607

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare&bcbs Group #

45554 (FL)

Commercial Insurance / Payer ID Railroad Medicare

110213555 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Dr. Gaurav Mathur , MD

Internal Medicine - Cardiovascular Disease

NPI 1043524176

Doctor of Medicine (M.D.)

Dr. Durgarao Parimi , MD

Internal Medicine

NPI 1174626741

Doctor of Medicine (M.D.)

Stephanie Avery , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1245961473

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Rebecca Labrie , MSN, APRN, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1295321578

Master of Science in Nursing, Advanced Practice Registered Nurse, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Michelle Thomsen , PA-C

Physician Assistant

NPI 1457652414

Physician Assistant (Certified)

Dr. Garly Rushler Saint Croix , MD

Internal Medicine - Interventional Cardiology

NPI 1477917318

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 06, 2011

Registered at 10065 CORTEZ BLVD, WEEKI WACHEE, FL 346136389 (Tel: 3525964660)

📍

Updated Business Mailing Address April 06, 2011

Registered at 10065 CORTEZ BLVD, WEEKI WACHEE, FL 346136389 (Tel: 3525964660)

👤

Provider Name / Credentials Updated April 06, 2011

Recorded as AGNES IDICULA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2011

Internal Medicine (License #ME59607 in FL)

🟢

Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568464824

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 01, 2005

Last Update: April 06, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10065 Cortez Blvd

Weeki Wachee, FL 346136389

Phone: 3525964660

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.