npidexNPI registry + Medicare data

GRANT GULLICKSON, PA-C

Physician Assistant · NEW BRIGHTON, MN

Individual Active NPI 1770279408

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202471404$95,428$37,057$27,610
20231730$12,734$3,131$2,475

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 more160$104$77
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or84$26$21
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more70$148$114
90833Psychotherapy with evaluation and management visit, 30 minutes61$57$44
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more20$179$125

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Physician Assistant363A00000X✓14410MN

Medicare eligibility

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

Other Physician Assistant providers in Minnesota

See all Physician Assistant providers in Minnesota →

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