MICHELLE MANTHE, P.A.C.

Medical Physician Assistant · SPRINGDALE, AR

Individual Active NPI 1194990366

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	37	83	$13,557	$4,399	$1,466
2023	99	484	$83,063	$27,967	$20,056
2022	156	585	$86,669	$30,697	$20,342

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	20	$67	$14
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	$99	$22

Specialty	Code	Primary	License	State
Medical Physician Assistant	363AM0700X	✓	PA 401	AR

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