DALE BELNAP, PA-C
Surgical Physician Assistant · POCATELLO, ID
Individual Active NPI 1962832923
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 212 | 820 | $100,710 | $36,774 | $25,304 |
| 2023 | 257 | 963 | $111,718 | $42,535 | $30,081 |
| 2022 | 208 | 832 | $97,199 | $37,769 | $25,362 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 196 | $7 | $5 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 91 | $44 | $32 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 75 | $87 | $59 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 63 | $71 | $46 |
| 20550 | Injection into tendon or ligament | 56 | $40 | $29 |
| 73140 | X-ray of finger, minimum of 2 views | 44 | $29 | $20 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 44 | $100 | $74 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $128 | $72 |
| 73100 | X-ray of wrist, 2 views | 24 | $25 | $14 |
| Q4010 | Cast supplies, short arm cast, adult (11 years +), fiberglass | 22 | $22 | $18 |
| 20600 | Aspiration and/or injection of fluid from small joint | 22 | $41 | $29 |
| 73110 | X-ray of wrist, minimum of 3 views | 19 | $32 | $25 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | ✓ | PA-1133 | ID |
| Surgical Physician Assistant | 363AS0400X | TLP-019 | ID |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
Other Surgical Physician Assistant providers in Idaho
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- NPI 1720379597
- NPI 1659689362
- NPI 1447534821
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.