Active NPI 1073623120 Individual Practitioner Female Practitioner

Carol M Hamus , NP

Nurse Practitioner • Madison, WI

Professional Overview & Biography Verified Profile Summary

Carol Hamus, NP is a registered healthcare professional specializing in Nurse Practitioner in Madison, WI. Practice services are available at 5315 WALL ST STE 260 under active NPI credentials.

Frequently performed procedures and clinical services include established patient assisted living visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5315 Wall St Ste 260

Madison, WI 537187937

Telephone 6088071600

Fax 6084671425

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Madison, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.2 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

519 Specialists

Practicing in Madison, WI (4030 Statewide)

Telehealth Adoption Rate

32.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.0% 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
99336 Established patient assisted living visit, typically 40 minutes	986	183	$203.00	$109.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$175.00	$107.81
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	56	31	$163.00	$86.08
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	53	13	$193.00	$104.51
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	50	15	$65.00	$33.25
99337 Established patient assisted living visit, typically 60 minutes	50	17	$291.00	$157.20
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	43	43	$280.00	$150.76
69209 Removal of impacted ear wax by washing	26	18	$16.00	$13.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	1,360	242	$203.00	$112.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	156	156	$175.00	$95.20
99442 Telephone medical discussion with physician, 11-20 minutes	128	106	$110.00	$61.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	110	24	$65.00	$34.09
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	95	22	$193.00	$107.09
99337 Established patient assisted living visit, typically 60 minutes	94	50	$291.00	$161.49
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	54	54	$280.00	$154.69
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$26.00	$13.88
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	29	18	$163.00	$88.65
69209 Removal of impacted ear wax by washing	20	14	$16.00	$11.45
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	15	15	$327.00	$183.00
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	14	12	$267.00	$148.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	997	213	$203.00	$111.93
99337 Established patient assisted living visit, typically 60 minutes	203	111	$291.00	$160.40
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	162	37	$65.00	$34.32
93000 Routine ekg using at least 12 leads including interpretation and report	148	139	$26.00	$13.90
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$175.00	$96.11
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	126	30	$193.00	$106.67
99326 New patient assisted living visit, typically 45 minutes	59	59	$210.00	$115.08
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	43	43	$280.00	$154.29
69209 Removal of impacted ear wax by washing	38	24	$16.00	$12.23
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	23	23	$38.61	$27.57
G0008 Administration of influenza virus vaccine	23	23	$35.00	$15.92
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	19	13	$267.00	$147.91
81002 Urinalysis, manual test	15	12	$5.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	213	103	$203.00	$110.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	33	$251.20	$58.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	43	$362.20	$85.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$175.00	$95.10
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	29	29	$280.00	$152.12
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$178.10	$58.20
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$26.00	$13.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$124.50	$33.69
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$141.44	$41.75
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	16	12	$193.00	$104.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$270.40	$87.70
36589 Removal of central venous catheter for infusion	13	13	$1205.00	$129.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$286.60	$87.27
99335 Established patient assisted living visit, typically 25 minutes	12	11	$143.00	$77.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	85	81	$352.58	$84.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	50	$244.55	$58.33
99213 Established patient office or other outpatient visit, typically 15 minutes	50	43	$163.20	$59.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$249.47	$87.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	21	$113.82	$34.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$262.06	$75.84

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 2217

(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

43995600 (WI)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Kathy Williams , MD

Family Medicine

NPI 1083714240

Doctor of Medicine (M.D.)

Dr. Sarah Rustad , MD

Family Medicine

NPI 1114285160

Doctor of Medicine (M.D.)

Dr. Jessica Kelderman , MD

General Practice

NPI 1588808489

Doctor of Medicine (M.D.)

Dr. Ricardo Almonte , MD

Internal Medicine

NPI 1710130653

Doctor of Medicine (M.D.)

Dr. David Buchanan , MD

Internal Medicine

NPI 1972554228

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 15, 2019

Registered at 5315 WALL ST STE 260, MADISON, WI 537187937 (Tel: 6088071600)

📍

Updated Practice Location June 12, 2018

Registered at 1000 N OAK AVE, MARSHFIELD, WI 54449 (Tel: 7153875501)

📍

Updated Business Mailing Address June 12, 2018

Registered at 5315 WALL ST STE 260, MADISON, WI 537187937 (Tel: 6088071600)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495777 (Tel: 7153875501)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495777

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CAROL HAMUS, NP

🎓

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

Nurse Practitioner (License #2217 in WI)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1073623120

Entity Type:

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

Enumeration Date: August 30, 2006

Last Update: October 15, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5315 Wall St Ste 260

Madison, WI 537187937

Phone: 6088071600

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.