ALYSSA JACK, PA-C
Physician Assistant · IDAHO FALLS, ID
Individual Active NPI 1598357436
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 21 | 95 | $14,646 | $6,019 | $4,805 |
| 2023 | 11 | 20 | $1,839 | $824 | $572 |
| 2022 | 31 | 55 | $9,898 | $2,541 | $2,088 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 17 | $145 | $115 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ✓ | PA-1966 | ID |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Physician Assistant providers in Idaho
- NPI 1639746787
- NPI 1891188348
- NPI 1538589072
- NPI 1285971465
- NPI 1649864414
- NPI 1205567526
- NPI 1669917456
- NPI 1659846459
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.