RYAN MANGUM, PHD
Clinical Neuropsychologist · BOISE, ID
Individual Active NPI 1790311157
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 45 | 365 | $58,873 | $25,009 | $19,689 |
| 2023 | 28 | 339 | $51,122 | $20,383 | $15,970 |
| 2022 | 16 | 260 | $44,000 | $14,735 | $11,551 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 96133 | Evaluation of neuropsychological test, each additional hour | 190 | $72 | $57 |
| 96121 | Exam of neurobehavioral status, each additional hour | 45 | $63 | $50 |
| 96116 | Exam of neurobehavioral status, first hour | 44 | $75 | $57 |
| 96132 | Evaluation of neuropsychological test, first hour | 44 | $100 | $78 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | ✓ | PSY-203778 | ID |
| Clinical Neuropsychologist | 103G00000X | PY61070460 | WA | |
| Clinical Psychologist | 103TC0700X | 6301018219 | MI | |
| Clinical Psychologist | 103TC0700X | PY61070460 | WA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- No
- Power mobility
- No
- Hospice
- No
Other Clinical Neuropsychologist providers in Idaho
- NPI 1790241404
- NPI 1568104719
- NPI 1659631562
- NPI 1225176498
- NPI 1215305263
- NPI 1780612986
- NPI 1275891194
- NPI 1538490834
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.