JONATHAN LAKE, PAC
Surgical Physician Assistant · CHARLOTTE, NC
Individual Active NPI 1346283801
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 245 | 921 | $394,056 | $66,238 | $50,933 |
| 2023 | 227 | 799 | $323,306 | $57,150 | $42,558 |
| 2022 | 251 | 876 | $348,945 | $64,582 | $48,689 |
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 | 182 | $72 | $52 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 94 | $31 | $23 |
| 22614 | Fusion of additional segment of spine | 78 | $48 | $38 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 67 | $102 | $76 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 61 | $32 | $25 |
| 72040 | X-ray of upper spine, 2-3 views | 44 | $30 | $21 |
| 22842 | Placement of stabilizing device to back, 3-6 spine bone segments | 44 | $94 | $75 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 40 | $26 | $21 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 31 | $88 | $68 |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | 29 | $225 | $177 |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | 27 | $32 | $25 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | $104 | $83 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | ✓ | 103630 | NC |
| Physician Assistant | 363A00000X | 103630 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Surgical Physician Assistant providers in North Carolina
- NPI 1871608844
- NPI 1093953838
- NPI 1528921814
- NPI 1134253586
- NPI 1184437048
- NPI 1184971400
- NPI 1942458500
- NPI 1871576710
See all Surgical Physician Assistant providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.