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Physician Assistant · ISSAQUAH, WA

Individual Active NPI 1518995794

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	23	40	$4,775	$2,390	$1,339
2023	19	30	$3,864	$1,916	$1,160

HCPCS	Description	Services	Avg allowed	Avg paid
99202	New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more	12	$67	$44

Specialty	Code	Primary	License	State
Physician Assistant	363A00000X	✓	—	—

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