Active NPI 1669577482 Individual Practitioner Female Practitioner

Mary Alice Muth , APNP

Nurse Practitioner • New Berlin, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Muth, APNP is a certified Nurse Practitioner practicing in New Berlin, WI. With approximately 21 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2005, Mary Muth delivers high-quality medical care to the local community at 13750 W NATIONAL AVE.

Mary Muth is affiliated with Prohealth Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of chest, 2 views, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13750 W National Ave
Prohealth Care Medical Associates Inc.

New Berlin, WI 531514588

Telephone 2627891699

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in New Berlin, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +10.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

32 Specialists

Practicing in New Berlin, WI (4030 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Muth (21 Years) 21 Yrs

New Berlin Specialty Average (11.0 Years) 11.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	83	$364.99	$100.86
99213 Established patient office or other outpatient visit, typically 15 minutes	91	81	$246.03	$72.64
71046 X-ray of chest, 2 views	13	13	$105.54	$21.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$496.00	$143.78

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	137	103	$349.68	$101.33
99213 Established patient office or other outpatient visit, typically 15 minutes	97	83	$235.48	$72.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$466.00	$143.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$177.80	$103.54

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	113	97	$335.51	$103.07
99213 Established patient office or other outpatient visit, typically 15 minutes	104	85	$226.40	$73.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$447.00	$146.02
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	15	$140.00	$34.81
99495 Transitional care management services for problem of at least moderate complexity	13	13	$647.00	$166.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$170.15	$97.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	113	$217.16	$73.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	79	$321.69	$105.67
99495 Transitional care management services for problem of at least moderate complexity	19	16	$621.89	$168.05

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	119	101	$309.03	$88.94
99213 Established patient office or other outpatient visit, typically 15 minutes	113	97	$208.98	$61.34
G0008 Administration of influenza virus vaccine	16	16	$54.75	$16.23
81003 Automated urinalysis test	15	13	$32.20	$2.25
99495 Transitional care management services for problem of at least moderate complexity	15	15	$596.40	$152.09
90662 Influenza vaccine split virus, preservative free	15	15	$74.33	$60.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	114	$201.00	$60.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	64	$297.45	$87.61
81003 Automated urinalysis test	18	17	$31.17	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	87	$193.31	$58.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	86	$285.50	$86.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$382.75	$118.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	78	$185.70	$59.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	81	$274.78	$87.16
36415 Insertion of needle into vein for collection of blood sample	57	52	$29.23	$2.94
85610 Blood test, clotting time	28	11	$49.00	$5.28

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 2862-033

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WI 126341-30

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Prohealth Medical Group Inc

N17w24100 Riverwood Dr, Waukesha, WI 531881127

Phone: 2629284704

Prohealth Medical Group Inc

13900 W National Ave, New Berlin, WI 531519515

Phone: 2629284500

Prohealth Medical Group Inc

13900 W National Ave, New Berlin, WI 531519515

Phone: 2629288400

Prohealth Medical Group Inc

195 Discovery Dr, Brookfield, WI 530452862

Phone: 2625137100

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2014

Registered at 13750 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., NEW BERLIN, WI 531514588 (Tel: 2627891699)

📍

Updated Business Mailing Address January 07, 2014

Registered at 13750 W NATIONAL AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., NEW BERLIN, WI 531514588 (Tel: 2627891699)

👤

Provider Name / Credentials Updated January 07, 2014

Recorded as MARY MUTH, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2014

Registered Nurse (License #126341-30 in WI)

🟢

Initial NPI Registration & Enumeration September 14, 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: 1669577482

Entity Type:

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

Enumeration Date: September 14, 2006

Last Update: January 07, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13750 W National Ave, Prohealth Care Medical Associates Inc.

New Berlin, WI 531514588

Phone: 2627891699

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.