npidexNPI registry + Medicare data

TEDRIC LOLIS, PA-C

Surgical Physician Assistant · MARTINSBURG, WV

Individual Active NPI 1114660289

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242428,442$209,106$58,422$41,028
2023210696$156,664$44,295$34,209
2022108211$86,513$16,575$13,215

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J1010Injection, methylprednisolone acetate, 1 mg7,300$0$0
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more263$71$48
20610Aspiration and/or injection of fluid from large joint110$56$37
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more86$88$59
73562X-ray of knee, 3 views68$30$20
J1040Injection, methylprednisolone acetate, 80 mg35$10$4
73030X-ray of shoulder, minimum of 2 views28$26$17
73130X-ray of hand, minimum of 3 views24$28$17
73502X-ray of hip, 2-3 views19$35$22
73630X-ray of foot, minimum of 3 views17$24$16
20550Injection into tendon or ligament12$46$30
23472Prosthetic repair of shoulder joint, total shoulder11$177$142

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400X✓——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in West Virginia

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.