DAVIS BLOEMENDAAL, PA-C

Physician Assistant · DAKOTA DUNES, SD

Individual Active NPI 1558037432

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20243173,060$344,013$71,151$54,728
20232982,523$282,499$58,825$44,653
20222862,871$265,824$57,996$43,791

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,397$1$1
20610Aspiration and/or injection of fluid from large joint191$57$43
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more138$71$54
73030X-ray of shoulder, minimum of 2 views122$27$21
20550Injection into tendon or ligament93$24$19
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more59$100$78
73562X-ray of knee, 3 views54$31$25
23472Prosthetic repair of shoulder joint, total shoulder41$181$144
73564X-ray of knee, 4 or more views32$36$25
27447Replacement of knee joint, both sides of knee24$160$128
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more20$131$98
29824Partial removal of collar bone at shoulder using an endoscope19$45$36

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Physician Assistant363A00000X

Medicare eligibility

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

Other Physician Assistant providers in South Dakota

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