MARK PEMBERTON, PAC

Surgical Physician Assistant · SHAWNEE MISSION, KS

Individual Active NPI 1669433652

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	78	102	$36,606	$9,770	$7,487
2023	94	141	$48,747	$12,736	$9,767
2022	49	88	$31,044	$8,366	$6,543

HCPCS	Description	Services	Avg allowed	Avg paid
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	$88	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	29	$72	$52
63047	Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	11	$132	$106

Specialty	Code	Primary	License	State
Surgical Physician Assistant	363AS0400X	✓	1500212	KS

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