ANITA BOULOM, PA-C
Physician Assistant · JANESVILLE, WI
Individual Active NPI 1184213555
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 209 | 240 | $68,499 | $16,054 | $11,842 |
| 2023 | 124 | 126 | $33,272 | $8,143 | $5,314 |
| 2022 | 175 | 195 | $44,437 | $13,211 | $10,079 |
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 | 128 | $54 | $39 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 28 | $66 | $40 |
| 99284 | Emergency department visit with moderate level of medical decision making | 27 | $98 | $76 |
| 99285 | Emergency department visit with high level of medical decision making | 18 | $142 | $109 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 11 | $66 | $53 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | 5192-23 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Physician Assistant providers in Wisconsin
- NPI 1578527297
- NPI 1114247517
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- NPI 1841017274
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- NPI 1427685049
- NPI 1194297804
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.