Active NPI 1003873845 Individual Practitioner Male Practitioner

Wildon Mellinger Rouse

Physician Assistant • La Grange, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Wildon Rouse is a certified Physician Assistant practicing in La Grange, TX. With approximately 27 years of clinical experience since completing medical education in 1999, Wildon Rouse delivers high-quality medical care to the local community at 1253 N VON MINDEN ST.

Wildon Rouse is affiliated with Mcbroom Clinic Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1253 N Von Minden St

La Grange, TX 789451262

Telephone 9799688493

Fax 9799686388

Associated Practice Facility / Clinic

🏢 Lguc Pllc Facility NPI 1124688023

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in La Grange, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +11.7 yrs vs City Avg

City Avg: 15.3 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

4 Specialists

Practicing in La Grange, TX (11140 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rouse (27 Years) 27 Yrs

La Grange Specialty Average (15.3 Years) 15.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	524	69	$12.00	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	499	367	$119.00	$73.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	120	$157.00	$103.20
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	121	16	$100.00	$51.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	118	87	$45.00	$11.61
J0696 Injection, ceftriaxone sodium, per 250 mg	112	26	$20.00	$0.45
87400 Detection test for Influenza virus, A or B	100	50	$45.00	$13.85
G0442 Annual alcohol misuse screening, 5 to 15 minutes	83	83	$75.00	$15.29
99497 Advance care planning, first 30 minutes	81	81	$150.00	$67.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$180.00	$105.82
G0444 Annual depression screening, 5 to 15 minutes	77	77	$75.00	$15.29
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	74	60	$35.00	$13.46
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	70	16	$90.00	$39.10
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	60	57	$75.00	$34.62
81003 Automated urinalysis test	56	46	$30.00	$2.20
96127 Assessment of emotional or behavioral problems	26	26	$45.00	$4.35
96160 Administration and interpretation of patient-focused health risk assessment	24	24	$75.00	$2.38
69210 Removal of impacted ear wax	15	15	$100.00	$38.95
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$75.00	$11.61
87430 Detection test by immunoassay technique for streptococcus, group a (strep)	13	13	$45.00	$16.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	528	59	$12.00	$1.08
99213 Established patient office or other outpatient visit, typically 15 minutes	427	302	$119.00	$74.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	133	$157.00	$105.42
J0696 Injection, ceftriaxone sodium, per 250 mg	144	34	$20.00	$0.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	108	67	$45.00	$11.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$180.00	$106.70
G0442 Annual alcohol misuse screening, 5 to 15 minutes	98	98	$75.00	$15.19
G0444 Annual depression screening, 5 to 15 minutes	98	98	$75.00	$15.19
99497 Advance care planning, first 30 minutes	94	94	$150.00	$68.35
81003 Automated urinalysis test	68	52	$30.00	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$176.00	$87.29
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$75.00	$31.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	524	367	$119.00	$74.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	430	53	$12.00	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	190	$157.00	$105.46
J0696 Injection, ceftriaxone sodium, per 250 mg	152	36	$20.00	$0.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	147	147	$180.00	$107.20
G0444 Annual depression screening, 5 to 15 minutes	146	146	$75.00	$15.05
G0442 Annual alcohol misuse screening, 5 to 15 minutes	144	144	$75.00	$15.33
99497 Advance care planning, first 30 minutes	111	111	$150.00	$69.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	101	63	$45.00	$11.75
81003 Automated urinalysis test	77	65	$30.00	$2.21
99443 Telephone medical discussion with physician, 21-30 minutes	66	61	$157.00	$105.51
87804 Detection test by immunoassay with direct visual observation for influenza virus	48	24	$45.00	$16.33
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$75.00	$11.66
69210 Removal of impacted ear wax	12	11	$100.00	$38.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$176.00	$92.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	405	334	$119.00	$76.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	363	283	$157.00	$107.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	344	43	$12.00	$1.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	227	227	$180.00	$111.31
G0444 Annual depression screening, 5 to 15 minutes	219	219	$75.00	$15.67
G0442 Annual alcohol misuse screening, 5 to 15 minutes	217	217	$75.00	$15.67
99497 Advance care planning, first 30 minutes	176	176	$150.00	$71.67
J0696 Injection, ceftriaxone sodium, per 250 mg	91	22	$20.00	$0.52
81003 Automated urinalysis test	84	66	$30.00	$2.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	60	$45.00	$11.86
99443 Telephone medical discussion with physician, 21-30 minutes	46	44	$157.00	$109.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$176.00	$92.71
69210 Removal of impacted ear wax	15	14	$100.00	$39.57
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$75.00	$12.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	275	$157.00	$90.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	260	31	$12.00	$1.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	256	256	$180.00	$95.92
G0442 Annual alcohol misuse screening, 5 to 15 minutes	255	255	$75.00	$15.00
G0444 Annual depression screening, 5 to 15 minutes	250	250	$75.00	$14.99
99497 Advance care planning, first 30 minutes	204	204	$150.00	$71.22
99213 Established patient office or other outpatient visit, typically 15 minutes	184	168	$119.00	$61.34
99443 Telephone medical discussion with physician, 21-30 minutes	152	135	$157.00	$90.86
J0696 Injection, ceftriaxone sodium, per 250 mg	76	18	$20.00	$0.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	51	$45.00	$11.80
81003 Automated urinalysis test	50	44	$30.00	$2.23
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$37.39	$14.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$97.00	$35.49
69210 Removal of impacted ear wax	19	19	$100.00	$39.85
99496 Transitional care management services for problem of high complexity	12	12	$350.00	$202.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,196	141	$12.00	$1.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	661	504	$157.00	$89.87
J0696 Injection, ceftriaxone sodium, per 250 mg	522	120	$20.00	$0.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	302	172	$45.00	$13.72
99213 Established patient office or other outpatient visit, typically 15 minutes	188	169	$119.00	$61.08
81003 Automated urinalysis test	90	67	$30.00	$2.44
G0442 Annual alcohol misuse screening, 5 to 15 minutes	84	84	$75.00	$14.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	82	82	$180.55	$95.92
G0444 Annual depression screening, 5 to 15 minutes	80	80	$75.00	$14.84
G0008 Administration of influenza virus vaccine	63	63	$40.87	$15.90
90662 Influenza vaccine split virus, preservative free	62	62	$66.55	$54.89
99496 Transitional care management services for problem of high complexity	50	46	$350.00	$191.16
87804 Detection test by immunoassay with direct visual observation for influenza virus	35	17	$45.00	$16.22
93000 Routine ekg using at least 12 leads including interpretation and report	32	29	$64.03	$13.96
99497 Advance care planning, first 30 minutes	29	29	$150.00	$70.84
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	16	16	$50.00	$21.53
69210 Removal of impacted ear wax	14	14	$100.00	$39.15
99495 Transitional care management services for problem of at least moderate complexity	14	14	$250.00	$135.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,150	145	$12.00	$1.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	792	579	$151.44	$88.50
J0696 Injection, ceftriaxone sodium, per 250 mg	540	126	$20.00	$0.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	297	174	$42.07	$16.69
81003 Automated urinalysis test	92	74	$30.00	$2.71
87804 Detection test by immunoassay with direct visual observation for influenza virus	84	41	$45.00	$16.22
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$119.74	$59.83
G0008 Administration of influenza virus vaccine	26	26	$35.00	$19.51
69210 Removal of impacted ear wax	25	25	$100.00	$39.86
90662 Influenza vaccine split virus, preservative free	24	24	$65.00	$52.30
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	17	17	$40.00	$7.94
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	17	$35.00	$7.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$176.00	$88.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,859	206	$12.00	$1.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,080	696	$132.00	$85.82
J0696 Injection, ceftriaxone sodium, per 250 mg	916	187	$20.00	$0.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	491	253	$35.00	$20.04
81003 Automated urinalysis test	106	90	$30.00	$3.02
87804 Detection test by immunoassay with direct visual observation for influenza virus	88	42	$45.00	$16.11
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$94.00	$58.40
G0008 Administration of influenza virus vaccine	38	37	$35.00	$23.91
90662 Influenza vaccine split virus, preservative free	28	27	$55.00	$47.61
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	24	$40.00	$7.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	24	$35.00	$6.89
69210 Removal of impacted ear wax	15	12	$100.00	$39.10
99496 Transitional care management services for problem of high complexity	15	15	$350.00	$184.17
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$20.00	$16.11

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA02598

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

Medicaid State Provider ID

308464202 (TX)

Commercial Insurance / Payer ID Workers Compensation

MDF1715TX (TX)

Commercial Insurance / Payer ID Bc/bs #

875N33 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00477542 (TX)

Hospital & Practice Group Affiliations

Mcbroom Clinic Pa

2 Saint Marks Pl, La Grange, TX 789451255

Phone: 97996884931219

Mcbroom Clinic Pa

1253 N Von Minden St, La Grange, TX 789451262

Mcbroom Clinic Pa

1253 N Vonminden, La Grange, TX 78945

Phone: 9799688493

Practice Associates & Co-Workers

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

11 Associated Practitioners

Jennifer Emmel , PA-C

Physician Assistant

NPI 1053549709

Physician Assistant (Certified)

Dr. Hans Raj , MD

Family Medicine

NPI 1205909074

Doctor of Medicine (M.D.)

Dr. Kinuyo Henderson , DO

Family Medicine

NPI 1265843874

Doctor of Osteopathic Medicine (D.O.)

Amanda Rosenauer , CFNP

Nurse Practitioner

NPI 1265873251

Dr. Thomas Borgstedte , DO

Family Medicine

NPI 1295877264

Doctor of Osteopathic Medicine (D.O.)

Dr. Nathan Anderson , MD

Family Medicine

NPI 1386078715

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2013

Registered at 1253 N VON MINDEN ST, LA GRANGE, TX 789451262 (Tel: 9799688493)

📍

Updated Business Mailing Address December 04, 2013

Registered at 1253 N VON MINDEN ST, LA GRANGE, TX 789451262 (Tel: 9799688493)

👤

Provider Name / Credentials Updated December 04, 2013

Recorded as WILDON ROUSE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2013

Physician Assistant (License #PA02598 in TX)

🟢

Initial NPI Registration & Enumeration April 26, 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: 1003873845

Entity Type:

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

Enumeration Date: April 26, 2006

Last Update: December 04, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1253 N Von Minden St

La Grange, TX 789451262

Phone: 9799688493

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.