Active NPI 1497283030 Individual Practitioner Male Practitioner

Paul W Hlavinka , CRNP

Nurse Practitioner • Bethlehem, PA

Professional Overview & Biography Verified Profile Summary

Paul Hlavinka, CRNP is a certified Nurse Practitioner practicing in Bethlehem, PA. With approximately 9 years of clinical experience since completing medical education in 2017, Paul Hlavinka delivers high-quality medical care to the local community at 153 BRODHEAD RD.

Paul Hlavinka does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient 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

153 Brodhead Rd

Bethlehem, PA 180178931

Telephone 4845263218

Fax 4845263180

Associated Practice Facility / Clinic

🏢 St. Luke's Hospital Facility NPI 1740232719

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bethlehem, PA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -0.2 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

142 Specialists

Practicing in Bethlehem, PA (3955 Statewide)

Telehealth Adoption Rate

13.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hlavinka (9 Years) 9 Yrs

Bethlehem Specialty Average (9.2 Years) 9.2 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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	363	117	$145.75	$102.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$186.35	$104.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	18	$189.61	$103.16
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	30	24	$86.82	$61.78
99496 Transitional care management services for problem of high complexity	23	19	$267.83	$216.38
99344 New patient home visit, typically 1 hour	21	21	$164.06	$114.73
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	14	14	$88.90	$63.41
99495 Transitional care management services for problem of at least moderate complexity	13	13	$199.20	$165.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	365	128	$145.75	$104.25
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	74	55	$86.82	$62.35
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	64	16	$49.00	$48.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$186.35	$104.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	14	$189.61	$103.88
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	20	13	$50.87	$36.71
99495 Transitional care management services for problem of at least moderate complexity	14	11	$199.20	$165.39
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	14	14	$88.90	$63.89
99496 Transitional care management services for problem of high complexity	13	11	$280.00	$224.12
99344 New patient home visit, typically 1 hour	12	12	$164.06	$117.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	480	166	$210.00	$110.70
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	300	35	$49.00	$48.56
99335 Established patient assisted living visit, typically 25 minutes	144	92	$156.00	$78.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$186.35	$108.01
99326 New patient assisted living visit, typically 45 minutes	34	34	$213.60	$112.95
99496 Transitional care management services for problem of high complexity	26	22	$280.00	$229.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	11	$189.61	$105.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	641	171	$208.09	$112.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	364	74	$49.00	$33.91
99335 Established patient assisted living visit, typically 25 minutes	180	96	$154.84	$79.27
99326 New patient assisted living visit, typically 45 minutes	76	76	$211.73	$115.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$186.35	$109.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	15	$187.03	$107.48
99496 Transitional care management services for problem of high complexity	46	33	$277.00	$231.26
99495 Transitional care management services for problem of at least moderate complexity	11	11	$193.16	$169.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	612	163	$175.86	$113.59
99335 Established patient assisted living visit, typically 25 minutes	325	128	$130.56	$80.29
99326 New patient assisted living visit, typically 45 minutes	82	82	$178.87	$116.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$186.35	$96.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	77	57	$29.33	$19.04
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	75	46	$90.00	$50.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	24	$158.43	$90.62
99496 Transitional care management services for problem of high complexity	65	47	$234.71	$202.59
99497 Advance care planning, first 30 minutes	21	21	$121.88	$71.84
G0008 Administration of influenza virus vaccine	12	12	$30.00	$16.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	256	78	$175.00	$113.02
99335 Established patient assisted living visit, typically 25 minutes	149	66	$130.00	$79.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	50	$158.01	$89.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$242.22	$136.05
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	47	26	$90.00	$50.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$186.35	$95.33
99213 Established patient office or other outpatient visit, typically 15 minutes	41	29	$107.25	$61.06
99326 New patient assisted living visit, typically 45 minutes	39	39	$178.00	$116.17
99497 Advance care planning, first 30 minutes	26	26	$121.88	$70.90
99495 Transitional care management services for problem of at least moderate complexity	26	20	$225.77	$134.80
90662 Influenza vaccine split virus, preservative free	21	21	$56.00	$54.76
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	19	19	$225.00	$155.76

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	42	15	$158.01	$88.86
99213 Established patient office or other outpatient visit, typically 15 minutes	26	14	$107.25	$60.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$242.22	$136.37
G0008 Administration of influenza virus vaccine	18	18	$30.00	$19.57
90662 Influenza vaccine split virus, preservative free	17	17	$56.00	$52.30

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP017592

(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

Medicaid State Provider ID

PENDING (PA)

Practice Associates & Co-Workers

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

11 Associated Practitioners

Tyler Guadagnino , PA-C

Physician Assistant

NPI 1033583844

Physician Assistant (Certified)

Monica Torrano , CRNP

Nurse Practitioner

NPI 1104571397

Certified Registered Nurse Practitioner

Anna Frank , PA-C

Physician Assistant

NPI 1154477917

Physician Assistant (Certified)

Dr. Rosemary Szollas , MD

Preventive Medicine - Occupational Medicine

NPI 1164566485

Doctor of Medicine (M.D.)

Kristin Harris , PA-C

Physician Assistant - Medical

NPI 1245311133

Physician Assistant (Certified)

Dr. Olusegun Bankole , MD

Internal Medicine

NPI 1285668269

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active July 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 07, 2017

Registered at 153 BRODHEAD RD, BETHLEHEM, PA 180178931 (Tel: (484) 526-3218)

📍

Updated Business Mailing Address July 07, 2017

Registered at 153 BRODHEAD RD, BETHLEHEM, PA 180178931 (Tel: 4845263218)

👤

Provider Name / Credentials Updated July 07, 2017

Recorded as PAUL HLAVINKA, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2017

Nurse Practitioner (License #SP017592 in PA)

✅

NPI Profile Active May 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 26, 2017

Registered at 153 BRODHEAD RD, BETHLEHEM, PA 180178931 (Tel: (484) 526-3218)

📍

Updated Business Mailing Address May 26, 2017

Registered at 153 BRODHEAD RD, BETHLEHEM, PA 180178931 (Tel: 4845263218)

👤

Provider Name / Credentials Updated May 26, 2017

Recorded as PAUL HLAVINKA, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2017

Nurse Practitioner (License #PENDING in PA)

🟢

Initial NPI Registration & Enumeration May 26, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497283030

Entity Type:

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

Enumeration Date: May 26, 2017

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

153 Brodhead Rd

Bethlehem, PA 180178931

Phone: 4845263218

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.