JACKLYN ELLICKSON, MD

Endocrinology, Diabetes & Metabolism Physician · SAINT PAUL, MN

Individual Active NPI 1538395496

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244103,375$263,736$82,697$62,866
20234323,780$241,000$78,696$60,181
20224824,343$179,862$60,998$46,805

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more210$123$86
36415Insertion of needle into vein for collection of blood sample174$9$9
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's170$16$12
77080Dxa bone density measurement of hip, pelvis, spine160$10$10
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report70$33$25
77092Interpretation of trabecular bone score (tbs) and report on fracture risk65$9$5
77080Dxa bone density measurement of hip, pelvis, spine59$9$9
96372Injection of drug or substance under skin or into muscle29$14$11
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more23$156$112

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Endocrinology, Diabetes & Metabolism Physician207RE0101X53921MN
Endocrinology, Diabetes & Metabolism Physician207RE0101X62721-20WI

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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