MONTANNA MERRICK, PA-C

Surgical Physician Assistant · CHEYENNE, WY

Individual Active NPI 1205697315

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	72	100	$73,250	$9,491	$7,562

HCPCS	Description	Services	Avg allowed	Avg paid
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	$138	$110
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	$92	$73

Specialty	Code	Primary	License	State
Surgical Physician Assistant	363AS0400X	✓	PA1221	WY
Physician Assistant	363A00000X		PA1221	WY

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