npidexNPI registry + Medicare data

ANDREA POULSON-PORT, M.D.

Family Medicine Physician · MANITOWOC, WI

Individual Active NPI 1326280611

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242322,399$279,575$72,490$58,772
20233291,114$300,576$80,258$66,122
20223941,480$324,054$91,634$73,033

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more234$112$71
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit134$114$114
93793Anticoagulant management of patient taking warfarin97$10$7
G0008Administration of influenza virus vaccine62$29$29
90662Influenza vaccine split virus, preservative free53$80$80
85610Blood test, clotting time51$4$4
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more42$81$47
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report31$12$7
91322Sarscov2 vac 50 mcg/0.5ml im30$149$149
90480Admn sarscov2 vacc 1 dose30$39$39
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more19$152$115
99496Transitional care management services for problem of high complexity16$234$187

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Family Medicine Physician207Q00000X✓56118-20WI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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