AMY DIETRICH, PA C
Physician Assistant · DAKOTA DUNES, SD
Individual Active NPI 1053387522
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 925 | 7,905 | $1,005,776 | $270,704 | $189,220 |
| 2023 | 914 | 7,326 | $880,474 | $230,099 | $168,181 |
| 2022 | 985 | 7,684 | $790,022 | $244,761 | $175,868 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 4,214 | $5 | $4 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,113 | $45 | $32 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 1,035 | $73 | $48 |
| 17110 | Destruction of skin growth, 1-14 growths | 347 | $89 | $61 |
| 11102 | Biopsy of related skin growth, first growth | 197 | $71 | $49 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 129 | $45 | $31 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 118 | $103 | $61 |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 76 | $389 | $310 |
| 96573 | Application of light by qualified health care professional to destroy precancer skin growth | 60 | $189 | $143 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 45 | $89 | $39 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 43 | $1 | $1 |
| 11900 | Injection into skin growth, 1-7 growths | 38 | $31 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | 0598 | SD |
| Physician Assistant | 363A00000X | L1728 | SD |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.