Kitima Boonvisudhi

Professional Overview & Biography Verified Profile Summary

Kitima Boonvisudhi is a certified Surgery practicing in Albany, OR. With approximately 32 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1994, Kitima Boonvisudhi delivers high-quality medical care to the local community at 400 HICKORY ST NW STE 101.

Kitima Boonvisudhi is affiliated with Albany General Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Hickory St Nw Ste 101

Albany, OR 973211700

Telephone 5418123360

Associated Practice Facility / Clinic

🏢 Albany General Hospital Facility NPI 1306257183

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Albany, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +12.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Albany, OR (555 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boonvisudhi (32 Years) 32 Yrs

Albany Specialty Average (19.7 Years) 19.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	42	16	$283.79	$55.66
99213 Established patient office or other outpatient visit, typically 15 minutes	20	14	$214.40	$61.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	551	71	$254.00	$55.71
99213 Established patient office or other outpatient visit, typically 15 minutes	160	53	$208.00	$62.46
97597 Removal of tissue from wound, 20.0 sq cm or less	115	33	$153.10	$33.95
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	100	16	$110.00	$23.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	45	$321.00	$88.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$525.00	$127.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	780	105	$254.00	$56.26
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	494	28	$110.00	$24.62
99213 Established patient office or other outpatient visit, typically 15 minutes	270	101	$208.00	$63.56
97597 Removal of tissue from wound, 20.0 sq cm or less	187	55	$99.00	$34.80
97598 Removal of tissue from wound, each additional 20.0 sq cm	150	16	$47.00	$23.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	59	$321.00	$92.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$525.00	$129.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	1,058	128	$254.00	$58.50
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	435	30	$110.00	$25.37
99213 Established patient office or other outpatient visit, typically 15 minutes	302	110	$208.00	$65.71
97597 Removal of tissue from wound, 20.0 sq cm or less	246	64	$99.00	$35.49
97598 Removal of tissue from wound, each additional 20.0 sq cm	232	16	$47.00	$24.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	63	$278.29	$97.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$525.00	$131.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$310.00	$81.55
29445 Application of rigid total contact leg cast	17	13	$424.00	$98.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	814	111	$256.81	$60.54
97597 Removal of tissue from wound, 20.0 sq cm or less	204	59	$99.00	$37.10
99213 Established patient office or other outpatient visit, typically 15 minutes	157	76	$208.00	$51.07
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	142	20	$110.00	$26.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	65	$215.81	$78.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$311.89	$75.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$533.00	$128.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	468	88	$246.00	$66.38
99213 Established patient office or other outpatient visit, typically 15 minutes	268	96	$182.00	$54.68
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	164	15	$93.00	$29.18
97597 Removal of tissue from wound, 20.0 sq cm or less	135	50	$137.00	$25.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$272.00	$82.07
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	52	11	$327.00	$88.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$268.00	$84.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	834	132	$246.00	$64.71
99213 Established patient office or other outpatient visit, typically 15 minutes	432	150	$182.00	$53.30
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	328	30	$92.43	$28.03
97597 Removal of tissue from wound, 20.0 sq cm or less	279	95	$137.00	$25.18
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	76	13	$327.00	$91.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$272.00	$79.88
97598 Removal of tissue from wound, each additional 20.0 sq cm	60	13	$46.00	$11.89
29445 Application of rigid total contact leg cast	37	11	$556.00	$102.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$110.00	$27.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$268.00	$83.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	937	179	$222.17	$64.75
99213 Established patient office or other outpatient visit, typically 15 minutes	421	162	$171.19	$52.56
97597 Removal of tissue from wound, 20.0 sq cm or less	201	94	$144.28	$23.99
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	172	35	$81.47	$27.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$258.32	$79.63
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	43	12	$322.16	$90.17
29405 Application of short leg cast	38	13	$250.11	$57.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$98.00	$26.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$226.00	$82.02

Medical Specialties & State Licenses

CMS Verified: 2025-01-27

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD167013

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 204411

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 59966

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02440095 (NY)

Hospital & Practice Group Affiliations

Albany General Hospital

705 Elm St Sw, Albany, OR 973211957

Phone: 5418124850

Albany General Hospital

1046 6th Ave Sw, Albany, OR 973211916

Phone: 5418124000

Secondary Practice Locations

2901 W Kinnickinnic River Pkwy, Ste 311

Milwaukee, WI 532153677

Phone: 4143858723

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Scott Rasmussen , DPM

Podiatrist

NPI 1548571136

Doctor of Podiatric Medicine

Madeleine Courvoisier , PA-C

Physician Assistant

NPI 1598249799

Physician Assistant (Certified)

Dr. Priscilla Latta , MD

Preventive Medicine - Undersea and Hyperbaric Medicine

NPI 1639154974

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location January 27, 2025

Registered at 400 HICKORY ST NW STE 101, ALBANY, OR 973211700 (Tel: 5418123360)

📍

Updated Business Mailing Address January 27, 2025

Registered at PO BOX 1189, CORVALLIS, OR 973391189

✅

NPI Profile Active January 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2013

Registered at 2901 W KINNICKINNIC RIVER PKWY, STE 311, MILWAUKEE, WI 532153677 (Tel: 4143858723)

📍

Updated Business Mailing Address January 30, 2013

Registered at 2901 W KINNICKINNIC RIVER PKWY, STE 311, MILWAUKEE, WI 532153677 (Tel: 4143858723)

👤

Provider Name / Credentials Updated January 30, 2013

Recorded as KITIMA BOONVISUDHI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2013

Surgery (License #59966 in WI)

🟢

Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

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Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Albany General Hospital

Albany General Hospital

Secondary Practice Locations

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address