npidexNPI registry + Medicare data

ANTONIETTA VAILLANCOURT, PA

Surgical Physician Assistant · GAITHERSBURG, MD

Individual Active NPI 1811403033

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024104242$55,005$20,141$16,736

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 more38$120$94
87637Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus24$140$140
81003Automated urinalysis test21$2$2
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more21$154$119
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more18$86$66
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more12$105$77
71046X-ray of chest, 2 views12$27$22

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400X✓C06707MD
Medical Physician Assistant363AM0700XAMD-789HI

Medicare eligibility

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

Other Surgical Physician Assistant providers in Maryland

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