npidexNPI registry + Medicare data

AMY BOUTSELIS, PA-C

Surgical Physician Assistant · PORTLAND, ME

Individual Active NPI 1396467122

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024155311$62,642$23,758$16,820

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more80$138$95
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more56$106$71
87804Detection test by immunoassay with direct visual observation for influenza virus26$16$16
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)24$16$16
81003Automated urinalysis test14$2$2
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus13$35$35
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more12$92$54

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400X✓PA2604ME
Physician Assistant363A00000XPA2604ME

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in Maine

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