SHANE UDELHOVEN, PA-C
Medical Physician Assistant · SOLDOTNA, AK
Individual Active NPI 1124355359
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 93 | 373 | $39,995 | $34,310 | $25,457 |
| 2023 | 66 | 225 | $24,494 | $21,878 | $15,970 |
| 2022 | 63 | 232 | $24,689 | $20,180 | $13,884 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 124 | $93 | $66 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 100 | $134 | $92 |
| 36415 | Insertion of needle into vein for collection of blood sample | 43 | $8 | $8 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 34 | $137 | $137 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | ✓ | PADA893 | AK |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Medical Physician Assistant providers in Alaska
- NPI 1619162799
- NPI 1962494781
- NPI 1003318585
- NPI 1356621643
- NPI 1356661565
- NPI 1821490301
- NPI 1194119313
- NPI 1700160827
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.