Active NPI 1104881879 Individual Practitioner Female Practitioner

Andrea Leigh Wickus , PA-C

Physician Assistant • Leesport, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andrea Wickus, PA-C is a certified Physician Assistant practicing in Leesport, PA. With approximately 22 years of clinical experience since completing medical education in 2004, Andrea Wickus delivers high-quality medical care to the local community at 5 S CENTRE AVENUE.

Andrea Wickus is affiliated with Penn State Health Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 S Centre Avenue

Leesport, PA 19533

Telephone 6109265707

Fax 6109268352

Associated Practice Facility / Clinic

🏢 Schuylkill Valley Family Practice Pc Facility NPI 1750346441

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Leesport, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +10.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Leesport, PA (8068 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wickus (22 Years) 22 Yrs

Leesport Specialty Average (12.0 Years) 12.0 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	238	151	$35.00	$13.27
99213 Established patient office or other outpatient visit, typically 15 minutes	214	140	$199.16	$73.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	83	$281.22	$102.37
G0008 Administration of influenza virus vaccine	28	28	$77.11	$30.77
90662 Influenza vaccine split virus, preservative free	24	24	$84.95	$75.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	101	$164.00	$73.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	94	$241.00	$102.80
G0008 Administration of influenza virus vaccine	33	33	$39.00	$29.45
90662 Influenza vaccine split virus, preservative free	29	29	$71.00	$69.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	169	114	$164.00	$75.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	88	$241.00	$106.35
G0008 Administration of influenza virus vaccine	41	40	$39.00	$28.33
90662 Influenza vaccine split virus, preservative free	40	39	$71.00	$68.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	229	122	$164.00	$76.42
G0008 Administration of influenza virus vaccine	25	23	$39.00	$16.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$241.00	$104.41
90662 Influenza vaccine split virus, preservative free	16	16	$71.00	$65.26
99495 Transitional care management services for problem of at least moderate complexity	13	13	$408.00	$172.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$255.00	$111.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	195	126	$136.36	$62.82
G0008 Administration of influenza virus vaccine	46	44	$38.61	$16.27
90662 Influenza vaccine split virus, preservative free	39	38	$60.28	$59.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	24	$83.10	$38.13
G0009 Administration of pneumococcal vaccine	11	11	$38.18	$16.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	156	$102.15	$61.03
G0008 Administration of influenza virus vaccine	36	36	$30.00	$15.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$70.00	$36.59
90662 Influenza vaccine split virus, preservative free	32	32	$69.41	$53.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$142.43	$89.73
99495 Transitional care management services for problem of at least moderate complexity	16	16	$230.00	$127.60
81002 Urinalysis, manual test	12	11	$8.00	$3.41
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$15.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	253	122	$94.05	$60.35
G0008 Administration of influenza virus vaccine	28	26	$30.00	$19.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$69.09	$36.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$134.50	$89.05
90662 Influenza vaccine split virus, preservative free	20	19	$60.00	$51.66
81002 Urinalysis, manual test	16	15	$8.00	$3.41
99495 Transitional care management services for problem of at least moderate complexity	12	12	$210.00	$135.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	219	113	$85.00	$58.83
G0008 Administration of influenza virus vaccine	20	20	$30.00	$24.05
90662 Influenza vaccine split virus, preservative free	17	17	$55.29	$48.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$60.00	$34.79
82962 Blood glucose (sugar) test performed by hand-held instrument	12	11	$15.00	$3.15
99495 Transitional care management services for problem of at least moderate complexity	12	12	$206.50	$130.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$125.00	$86.47
81002 Urinalysis, manual test	12	11	$8.00	$3.43

Medical Specialties & State Licenses

CMS Verified: 2023-01-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA OA005642

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Capital Blue Cross

50053971 (PA)

Hospital & Practice Group Affiliations

Penn State Health Medical Group Llc

5 S Centre Ave, Leesport, PA 195338661

Phone: 6109265707

Penn State Health Medical Group Llc

1120 Cocoa Ave, Hershey, PA 170331712

Phone: 7175334141

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Joanna Grzadziel , DO

Family Medicine

NPI 1073900270

Doctor of Osteopathic Medicine (D.O.)

Christa Galczynski , CRNP

Nurse Practitioner

NPI 1093450884

Certified Registered Nurse Practitioner

Dr. Timothy Makatche , DO

Family Medicine

NPI 1265497259

Doctor of Osteopathic Medicine (D.O.)

Dr. Douglas Leder , DO

Family Medicine - Sports Medicine

NPI 1851824726

Doctor of Osteopathic Medicine (D.O.)

Dr. Gregory Tuke , MD

Family Medicine

NPI 1891750899

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 Business Mailing Address January 20, 2023

Registered at 5 S CENTRE AVE, LEESPORT, PA 195338653 (Tel: 6109265707)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2023

Physician Assistant (License #OA005642 in PA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5 S CENTRE AVENUE, LEESPORT, PA 19533 (Tel: 6109265707)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 754, LEESPORT, PA 19533 (Tel: 6109265707)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREA WICKUS, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #MA051970 in PA)

🟢

Initial NPI Registration & Enumeration April 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104881879

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 18, 2006

Last Update: January 20, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5 S Centre Ave

Leesport, PA 195338653

Phone: 6109265707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.