ELIZABETH RUSSO, F.N.P.
NPI 1437284403, individual, West Haven, CT, Nurse Practitioner, Family
- Medicaid dollars per patient on code 99308 ($106 per patient-month) sit in the top 5% of every provider billing that code.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELIZABETH RUSSO, F.N.P. (also LIZ RUSSO) |
| Type | Individual |
| Status | Active |
| NPI issued | February 22, 2007, last updated March 19, 2026 |
| Practice location | 1 CELLINI PL STE 102, West Haven, CT 06516-1666, 203-932-6481 |
| Mailing address | 2007 HARTFORD TPKE, North Haven, CT 06473-1046 |
| Specialties | Nurse Practitioner, Family (363LF0000X, primary, license 4142 CT) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $748K | 58% | $106 | $21 (top 5% from $84) | 97th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $521K | 40% | $86 | $14 (top 5% from $58) | 98th percentile | |
| 99316 | Nursing facility discharge management, more than 30 minutes | $9K | 1% | $66 | $38 (top 5% from $83) | 88th percentile | |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $5K | 0% | $95 | $22 (top 5% from $71) | too few months to rank | |
| 99497 | Advance care planning, first 30 minutes | $5K | 0% | $7.77 | $11 (top 5% from $62) | 42nd percentile | |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | $5K | 0% | $112 | $37 (top 5% from $100) | too few months to rank | |
| 99318 | Medicaid service code | $2K | 0% | $65 | $18 (top 5% from $58) | too few months to rank | |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | $2K | 0% | $8.65 | $7.24 (top 5% from $18) | 63rd percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,150 | 250 | $89K | $280 | $98 | 2.8x | 2.0x (90th percentile 3.3x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 1,079 | 217 | $58K | $250 | $68 | 3.7x | 2.0x (90th percentile 3.4x) |
| 99497 | Advance care planning, first 30 minutes | 136 | 103 | $7K | $172 | $70 | 2.5x | 2.3x (90th percentile 4.9x) |
| 99316 | Nursing facility discharge management, more than 30 minutes | 55 | 52 | $5K | $217 | $119 | 1.8x | 1.9x (90th percentile 3.5x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 34 | 29 | $5K | $349 | $166 | 2.1x | 1.9x (90th percentile 3.1x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 16 | 12 | $2K | $281 | $141 | 2.0x | 2.0x (90th percentile 3.4x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
30 providers in West Haven, CT carry an indicator in the public record, with $16.9M at stake between them. The most common is part of a provider network, on 12 of them, followed by more hours than a day holds on 11. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | KATRIN MOSKOWITZ Waterbury, CT, ranked 169 | $63K |
|
| 1 | ANATOLY BRAYLOVSKY Wallingford, CT, ranked 488 | $0 |
|
| 1 | FAMILY PRACTICE OF GREATER NEW HAVEN, LLC Wallingford, CT, ranked 514 | $0 |
|
| 1 | LP COUNSELING SERVICES, LLC North Haven, CT, ranked 673 | $0 |
|
| 3 | TOTALITY HOME HEALTH CARE AGENCY, LLC Milford, CT, ranked 779 | $2.3M |
|
| 3 | WHITNEY MANOR OPERATING COMPANY LLC Hamden, CT, ranked 1451 | $35K |
|
| 3 | ADVANCED CENTER FOR NURSING & REHABILITATION LLC New Haven, CT, ranked 1471 | $27K |
|
| 3 | NEW HAVEN CENTER FOR NURSING & REHABILITATION, LLC New Haven, CT, ranked 1479 | $24K |
|
Recent enforcement in CT
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.