KELLY SIMONE, PA

Physician Assistant · POWELL, WY

Individual Active NPI 1770529703

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	61	70	$16,092	$5,423	$3,899
2023	197	314	$47,783	$20,283	$14,296
2022	279	813	$79,573	$36,159	$29,845

HCPCS	Description	Services	Avg allowed	Avg paid
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	32	$75	$52
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	$106	$78

Specialty	Code	Primary	License	State
Physician Assistant	363A00000X	✓	PA313	WY
Medical Physician Assistant	363AM0700X		PA313	WY

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