ACHALA GUNASENA, PA-C
Physician Assistant · FREDERICK, MD
Individual Active NPI 1497282610
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 326 | 679 | $135,022 | $49,766 | $36,740 |
| 2023 | 271 | 585 | $115,977 | $41,302 | $29,833 |
| 2022 | 241 | 525 | $94,574 | $37,705 | $30,893 |
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 | 125 | $78 | $59 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 119 | $113 | $72 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 53 | $155 | $102 |
| 81003 | Automated urinalysis test | 39 | $2 | $2 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 36 | $16 | $16 |
| 71046 | X-ray of chest, 2 views | 22 | $27 | $18 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 21 | $35 | $35 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 18 | $16 | $16 |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 17 | $34 | $34 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 15 | $103 | $55 |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 15 | $140 | $140 |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 14 | $140 | $140 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | C0006440 | MD |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.