DAVIS BLOEMENDAAL, PA-C
Physician Assistant · DAKOTA DUNES, SD
Individual Active NPI 1558037432
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 317 | 3,060 | $344,013 | $71,151 | $54,728 |
| 2023 | 298 | 2,523 | $282,499 | $58,825 | $44,653 |
| 2022 | 286 | 2,871 | $265,824 | $57,996 | $43,791 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,397 | $1 | $1 |
| 20610 | Aspiration and/or injection of fluid from large joint | 191 | $57 | $43 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 138 | $71 | $54 |
| 73030 | X-ray of shoulder, minimum of 2 views | 122 | $27 | $21 |
| 20550 | Injection into tendon or ligament | 93 | $24 | $19 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 59 | $100 | $78 |
| 73562 | X-ray of knee, 3 views | 54 | $31 | $25 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 41 | $181 | $144 |
| 73564 | X-ray of knee, 4 or more views | 32 | $36 | $25 |
| 27447 | Replacement of knee joint, both sides of knee | 24 | $160 | $128 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 20 | $131 | $98 |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 19 | $45 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | — | — |
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.