Active NPI 1205215696 Individual Practitioner Female Practitioner

Marlene Carey , APN

Nurse Practitioner • Somerset, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marlene Carey, APN is a certified Nurse Practitioner practicing in Somerset, NJ. With approximately 11 years of clinical experience since completing medical education in 2015, Marlene Carey delivers high-quality medical care to the local community at 4 CHEDDAR PL.

Marlene Carey is affiliated with Rwjbh Observation Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4 Cheddar Pl

Somerset, NJ 088734749

Telephone 7323020755

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Somerset, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +0.1 yrs vs City Avg

City Avg: 10.9 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

15 Specialists

Practicing in Somerset, NJ (1984 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carey (11 Years) 11 Yrs

Somerset Specialty Average (10.9 Years) 10.9 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
99239 Hospital discharge day management, more than 30 minutes	21	21	$734.00	$103.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$1103.00	$155.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	16	$755.00	$100.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$1251.91	$158.15
99238 Hospital discharge day management, 30 minutes or less	34	34	$501.29	$74.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	20	$1021.05	$108.52
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	20	19	$1295.90	$189.99
99239 Hospital discharge day management, more than 30 minutes	13	13	$749.77	$105.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	210	205	$976.83	$163.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	135	83	$548.26	$93.25
99217 Hospital observation care on day of discharge	121	120	$385.76	$65.62
99226 Subsequent observation care, typically 35 minutes per day	74	65	$436.22	$93.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$1066.98	$180.83
99239 Hospital discharge day management, more than 30 minutes	20	20	$568.12	$96.65
99238 Hospital discharge day management, 30 minutes or less	11	11	$383.82	$65.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	211	204	$1486.04	$167.53
99217 Hospital observation care on day of discharge	179	174	$702.22	$66.05
99224 Subsequent observation care, typically 15 minutes per day	28	26	$53.00	$35.97
99218 Hospital observation care typically 30 minutes	27	27	$963.00	$90.63
99219 Hospital observation care, typically 50 minutes	24	24	$1314.00	$123.46
99225 Subsequent observation care, typically 25 minutes per day	14	14	$112.00	$66.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99217 Hospital observation care on day of discharge	252	245	$704.00	$65.44
99220 Hospital observation care, typically 70 minutes	203	200	$1797.00	$165.09
99224 Subsequent observation care, typically 15 minutes per day	59	54	$53.00	$35.33
99218 Hospital observation care typically 30 minutes	35	35	$963.00	$88.53
99219 Hospital observation care, typically 50 minutes	18	18	$1314.00	$120.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99217 Hospital observation care on day of discharge	285	275	$704.00	$65.67
99220 Hospital observation care, typically 70 minutes	282	271	$1792.82	$166.20
99224 Subsequent observation care, typically 15 minutes per day	50	46	$53.00	$35.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	26	$228.00	$65.74
99219 Hospital observation care, typically 50 minutes	24	24	$1278.04	$121.50
99218 Hospital observation care typically 30 minutes	17	17	$963.00	$89.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	15	$321.00	$94.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	224	216	$719.04	$122.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	87	$1066.87	$180.36
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$535.39	$90.50

Medical Specialties & State Licenses

CMS Verified: 2020-10-02

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NJ 26NJ00577500

(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.

Hospital & Practice Group Affiliations

Rwjbh Observation Associates Llc

1 Robert Wood Johnson Pl, New Brunswick, NJ 089011928

Phone: 7328283000

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2020

Nurse Practitioner (License #26NJ00577500 in NJ)

✅

NPI Profile Active October 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2015

Registered at 4 CHEDDAR PL, SOMERSET, NJ 088734749 (Tel: 7323020755)

📍

Updated Business Mailing Address October 24, 2015

Registered at 4 CHEDDAR PL, SOMERSET, NJ 088734749 (Tel: 7323020755)

👤

Provider Name / Credentials Updated October 24, 2015

Recorded as MARLENE CAREY, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2015

Registered Nurse (License #26NJ00577500 in NJ)

🟢

Initial NPI Registration & Enumeration May 19, 2015

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: 1205215696

Entity Type:

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

Enumeration Date: May 19, 2015

Last Update: October 02, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4 Cheddar Pl

Somerset, NJ 088734749

Phone: 7323020755

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.