Active NPI 1629167713 Individual Practitioner Female Practitioner

Concha Sitter , NP

Nurse Practitioner • Sterling, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Concha Sitter, NP is a certified Nurse Practitioner practicing in Sterling, IL. With approximately 25 years of clinical experience since completing medical education in 2001, Concha Sitter delivers high-quality medical care to the local community at 101 E MILLER RD.

Concha Sitter is affiliated with Cgh Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, measurement of liver stiffness. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 E Miller Rd

Sterling, IL 610811252

Telephone 8156254790

Associated Practice Facility / Clinic

🏢 Sterling Rock Falls Clinic, Ltd Facility NPI 1205918810

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sterling, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +12.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

35 Specialists

Practicing in Sterling, IL (4929 Statewide)

Telehealth Adoption Rate

37.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sitter (25 Years) 25 Yrs

Sterling Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	201	159	$307.51	$118.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	55	$202.77	$80.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	23	$650.00	$98.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	27	$478.00	$65.15
91200 Measurement of liver stiffness	36	36	$277.03	$8.55
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	31	21	$199.58	$25.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$965.00	$108.40
99443 Telephone medical discussion with physician, 21-30 minutes	19	18	$158.37	$79.90
99442 Telephone medical discussion with physician, 11-20 minutes	15	15	$102.67	$53.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	310	232	$293.02	$119.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	112	$173.25	$81.64
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	43	25	$193.16	$26.20
91200 Measurement of liver stiffness	33	32	$263.00	$8.80
99442 Telephone medical discussion with physician, 11-20 minutes	22	21	$98.73	$55.70
99443 Telephone medical discussion with physician, 21-30 minutes	22	21	$150.91	$74.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$280.19	$112.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	231	175	$277.91	$123.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	168	$163.83	$82.91
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	63	35	$180.94	$27.12
99442 Telephone medical discussion with physician, 11-20 minutes	39	39	$93.44	$56.31
91200 Measurement of liver stiffness	36	36	$247.17	$8.97
99443 Telephone medical discussion with physician, 21-30 minutes	30	28	$141.73	$82.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$261.08	$115.29
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	11	11	$376.00	$8.68

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	282	249	$155.09	$107.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	137	116	$260.85	$149.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	71	$160.58	$84.11
99442 Telephone medical discussion with physician, 11-20 minutes	40	35	$88.25	$76.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	35	$266.00	$123.80
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	29	17	$173.97	$27.99
91200 Measurement of liver stiffness	26	26	$234.15	$9.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$247.00	$138.82
99443 Telephone medical discussion with physician, 21-30 minutes	16	14	$133.50	$108.27
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	15	12	$175.00	$27.18
91200 Measurement of liver stiffness	14	14	$239.00	$9.29
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	13	13	$355.92	$8.73

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	226	196	$154.02	$91.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	105	$151.75	$67.30
99213 Established patient office or other outpatient visit, typically 15 minutes	110	109	$141.50	$62.19
99442 Telephone medical discussion with physician, 11-20 minutes	63	63	$86.00	$63.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	37	$250.63	$122.95
91200 Measurement of liver stiffness	35	35	$225.00	$13.21
99213 Established patient office or other outpatient visit, typically 15 minutes	34	34	$114.24	$43.84
99443 Telephone medical discussion with physician, 21-30 minutes	29	29	$130.00	$91.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$236.00	$94.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$163.00	$90.75
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$48.00	$38.04
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	11	11	$339.36	$8.82

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	482	338	$137.91	$66.56
99213 Established patient office or other outpatient visit, typically 15 minutes	213	198	$87.86	$43.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	30	$232.22	$94.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$135.62	$65.22
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	11	11	$319.55	$8.74

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	415	343	$129.93	$65.73
99213 Established patient office or other outpatient visit, typically 15 minutes	339	289	$82.55	$42.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$128.87	$65.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$217.27	$93.38

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	397	313	$121.99	$65.70
99213 Established patient office or other outpatient visit, typically 15 minutes	357	284	$77.79	$42.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$206.65	$93.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$119.18	$65.05

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Health Alliance Medical

069849 (IL)

Hospital & Practice Group Affiliations

Cgh Medical Center

101 E Miller Rd, Sterling, IL 610811252

Phone: 8156254790

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. David Bruce , MD

Otolaryngology - Sleep Medicine

NPI 1003998550

Doctor of Medicine (M.D.)

Karen Habben , OT

Occupational Therapist

NPI 1003998576

Occupational Therapist

Laurie Buckman

Midwife

NPI 1013473305

Dr. Hussein Zaioor , MD

Internal Medicine - Infectious Disease

NPI 1013919943

Doctor of Medicine (M.D.)

Dr. Jeffrey Thormeyer , MD

Specialist

NPI 1043421274

Doctor of Medicine (M.D.)

Polly Nobis , NP

Nurse Practitioner

NPI 1063500304

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 101 E MILLER RD, STERLING, IL 610811252 (Tel: 8156254790)

📍

Updated Business Mailing Address July 08, 2007

Registered at 101 E MILLER RD, STERLING, IL 610811252 (Tel: 8156254790)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CONCHA SITTER, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner

🟢

Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629167713

Entity Type:

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

Enumeration Date: October 12, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 E Miller Rd

Sterling, IL 610811252

Phone: 8156254790

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.