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Rina Delapena, NP

Nurse Practitioner · Banning

NPI 1821623281

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
4

Offices

4 locations · Harbor Wound Care P C · Altea Medical California PC · California Wound and Hyperbaric Specialists Inc · Omar Osman Practice, LLC

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Rina Delapena’s office to ask if they take your plan before you enroll.

State licence records

1 licence

  • Illinois 209020998Advanced Practice Registered Nurse · since 2020 · expires 2022-08-31
    Not RenewedNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Original Medicare doctor bills

$42,628

Medicare paid this office $42,628 for 170 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more58$17,517$59
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes78$11,743$83
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes64$6,845$104
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more51$3,767$56
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes13$1,656$118
See all 6 services
Every Original Medicare service billed
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more58$17,517$59
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes78$11,743$83
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes64$6,845$104
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more51$3,767$56
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes13$1,656$118
Nursing facility discharge management, more than 30 minutes11$1,100$100

Who their Medicare patients are

170 Original Medicare patients in 2024. Average age 79 · Under 65 7% · 85 and older 34% · Women 54% · Also on Medicaid 62% · Health risk score 2.96. Sicker patients than 9 in 10 peers; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 75% · Diabetes 64% · Depression 51% · Coronary heart disease 44% · Heart failure 44% · Chronic kidney disease 43% · Dementia 43% · Atrial fibrillation 42% · COPD 31% · Stroke 27% · Cancer 19%.

The office billed $92,405, Medicare allowed $53,672 and paid $42,628; for 596 services of 5 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024170596792.96$92,405$42,628
20232601,922774.21$357,232$143,263
20223456,083752.87$1,099,200$393,058
20212151,305752.12$237,610$87,739

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes247$86,712$80
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more186$25,514$54
Advance care planning, first 30 minutes118$13,098$64
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes92$12,211$117
Nursing facility discharge management, more than 30 minutes52$5,528$99

2022: 5 services

Original Medicare services billed in 2022
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes316$229,692$70
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more288$118,871$53
Advance care planning, first 30 minutes175$20,663$66
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes134$16,031$102
Nursing facility discharge management, more than 30 minutes90$7,553$79

2021: 5 services

Original Medicare services billed in 2021
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes183$46,050$72
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more142$25,399$54
Advance care planning, first 30 minutes69$6,481$68
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes50$5,619$106
Nursing facility discharge management, more than 30 minutes35$3,039$82

Medicaid work

$3,052 in 2024

Medicaid paid $3,052 for 166 billed services this clinician did in 2024, up to 38 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES108$2,042
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES58$1,010
Medicaid work by year
2024166238$3,052
20232,073580$17,716
20222,770372$4,023
2021352238$0
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES1,256$9,393
Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate213$3,206
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES478$2,979
SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES112$1,998
Nursing facility discharge management; more than 30 minutes total time on the date of the encounter14$140

2022

Largest Medicaid services in 2022
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES1,690$3,148
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES1,049$660
Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate31$215

2021

Largest Medicaid services in 2021
SBSQ NURSING FACILITY CARE LOW MDM 20 MINUTES149$0
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES203$0

Drugs they prescribed that Part D paid

$18,252

Pharmacies billed $18,252 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

657 generic and 51 brand-name prescriptions · $18,252 in drug cost · 103 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Enoxaparin16$3,134$196
Risperidone98$2,460$25
Gabapentin111$1,207$11
Metformin158$1,194$8
Pantoprazole58$929$16
See all 12 drugs
Every Part D drug this clinician prescribed
Enoxaparin16$3,134$196
Risperidone98$2,460$25
Gabapentin111$1,207$11
Metformin158$1,194$8
Pantoprazole58$929$16
Mirtazapine42$796$19
Atorvastatin28$529$19
Metoprolol22$229$10
Sertraline14$191$14
Levothyroxine24$137$6
Buspirone24$126$5
Lisinopril18$108$6

Year by year

Part D prescribing by year
202470848None7%$18,252
20231,0931645% (56)20%$80,300
20221,667172None27%$115,068
202190380% (0)None$3,436

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 27 drugs

Part D drugs prescribed in 2023
Trulicity17$8,431$496
Levemir Flexpen12$7,060$588
Novolog Flexpen11$6,138$558
Risperidone47$1,422$30
Autoshield Duo Pen Needle16$1,413$88
Cephalexin16$1,050$66
Dutasteride11$990$90
Levothyroxine80$865$11
Metformin76$791$10
Sertraline17$721$42
Gabapentin44$647$15
Quetiapine24$623$26
Mirtazapine17$583$34
Atorvastatin31$448$14
Olanzapine11$434$39
Hydrocodone-Acetaminophen27$415$15
Triamcinolone Acetonide18$413$23
Furosemide25$286$11
Amlodipine Besylate32$270$8
Divalproex11$248$23
Donepezil12$230$19
Metoprolol11$155$14
Benztropine Mesylate15$154$10
Metoprolol14$143$10
Glipizide14$117$8
Pioglitazone12$111$9
Carvedilol16$89$6

2022: 48 drugs

Part D drugs prescribed in 2022
Victoza 2-Pak23$12,504$544
Lantus Solostar40$9,485$237
Levemir Flextouch21$7,974$380
Novolog Flexpen21$7,255$345
Lantus22$6,730$306
Trulicity14$6,640$474
Basaglar Kwikpen U-10026$2,668$103
Autoshield Duo Pen Needle25$2,254$90
Permethrin30$2,180$73
Quetiapine41$1,701$41
Levothyroxine168$1,615$10
Mirtazapine36$1,276$35
Metformin106$1,243$12
Megestrol Acetate20$1,235$62
Divalproex34$1,049$31
Olanzapine Odt12$892$74
Triamcinolone Acetonide42$878$21
Diclofenac27$876$32
Pantoprazole13$773$59
Dutasteride13$720$55
Olanzapine26$720$28
Risperidone36$714$20
Albuterol Sulfate Hfa12$706$59
Bupropion15$665$44
Cephalexin19$646$34
Nitrofurantoin Mono-Macro31$561$18
Amlodipine Besylate56$552$10
Atorvastatin30$527$18
Celecoxib13$527$41
Isosorbide Dinitrate12$518$43
Furosemide41$517$13
Lisinopril36$468$13
Escitalopram21$454$22
Donepezil31$406$13
Ondansetron Odt16$384$24
Omeprazole16$330$21
Fluoxetine16$306$19
Gabapentin16$285$18
Clindamycin13$277$21
Potassium Chloride19$276$15
Metoprolol19$266$14
Glipizide21$233$11
Levofloxacin13$218$17
Trazodone13$179$14
Sulfamethoxazole-Trimethoprim15$161$11
Haloperidol14$143$10
Benztropine Mesylate12$134$11
Silver Sulfadiazine11$112$10

2021: 1 drug

Part D drugs prescribed in 2021
Triamcinolone Acetonide11$298$27

Money from drug and device companies

$271 in 2025

Industry payments by year
202522None$271
202455None$499
202345None$581
202235None$394

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Edwards LifesciencesSapien 3 Ultra Resilia$137
1 payment
  • Meals for Sapien 3 Ultra Resilia · 2025-03-28 · $137
NeurelisValtoco$134
1 payment
  • Meals for Valtoco · 2025-01-15 · $134
See all 2 published payments
Every published payment
Edwards LifesciencesMeals · 2025-03-28Sapien 3 Ultra Resilia$137
NeurelisMeals · 2025-01-15Valtoco$134
See earlier years (2024, 2023, 2022)

2024: $499

Payments by company in 2024
Mayne Pharma CommercialAnnovera$122
1 payment
  • Meals for Annovera · 2024-11-12 · $122
Averitas PharmaQutenza$122
1 payment
  • Meals for Qutenza · 2024-03-12 · $122
Sage TherapeuticsNone$107
1 payment
  • Meals · 2024-01-09 · $107
Hologic Sales and ServiceAptima$105
1 payment
  • Meals for Aptima · 2024-05-14 · $105
Teva Pharmaceuticals USAAustedo Xr$44
1 payment
  • Meals for Austedo Xr · 2024-01-05 · $44

2023: $581

Payments by company in 2023
Teva Pharmaceuticals USAAustedo Xr$241
2 payments
  • Meals for Austedo Xr · 2023-11-16 · $124
  • Meals for Austedo · 2023-03-09 · $118
Mayne Pharma CommercialNextstellis$124
1 payment
  • Meals for Nextstellis · 2023-07-11 · $124
AstraZeneca Pharmaceuticals LPAndexxa$122
1 payment
  • Meals for Andexxa · 2023-11-14 · $122
BiogenNone$94
1 payment
  • Meals · 2023-03-14 · $94

2022: $394

Payments by company in 2022
Neurocrine BiosciencesIngrezza$165
3 payments
  • Meals for Ongentys · 2022-11-11 · $14
  • Meals for Ingrezza · 2022-09-15 · $26
  • Meals for Ingrezza · 2022-08-18 · $125
Smith+NephewCollagenase Santyl$122
1 payment
  • Meals for Collagenase Santyl · 2022-03-24 · $122
Teva Pharmaceuticals USAAustedo$106
1 payment
  • Meals for Austedo · 2022-10-11 · $106

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
25.2 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1821623281
Licence
IL 209.020998Illinois 209020998: Not Renewed
Trained
Rush Medical College of Rush University, 2019
Group
Harbor Wound Care P C · Altea Medical California PC · California Wound and Hyperbaric Specialists Inc · Omar Osman Practice, LLC
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Nurse practitioner (363L00000X)
Mailing address
Po Box 1060, Santa Clara, CA, 95052
NPI first listed
2020-03-06
NPI last updated
2021-06-09
NPI record certified
2020-10-13

This is when the NPI record was last certified, not a medical board exam.