JANELLE KYLLO BOUCHIE, PA-C
Physician Assistant · DETROIT LAKES, MN
Individual Active NPI 1366716102
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 189 | 218 | $149,184 | $23,010 | $17,120 |
| 2023 | 197 | 211 | $140,292 | $22,353 | $17,676 |
| 2022 | 280 | 319 | $195,568 | $31,963 | $26,810 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 103 | $136 | $101 |
| 99284 | Emergency department visit with moderate level of medical decision making | 67 | $95 | $70 |
| 99283 | Emergency department visit with low level of medical decision making | 33 | $56 | $43 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | 12809 | MN |
| Pediatric Occupational Therapist | 225XP0200X | OT-1120 | ID |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Physician Assistant providers in Minnesota
- NPI 1841944766
- NPI 1942495627
- NPI 1033976857
- NPI 1851319438
- NPI 1588475040
- NPI 1366802290
- NPI 1922407030
- NPI 1558791145
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.