Active NPI 1952711947 Individual Practitioner Female Practitioner

Kassie Idicula , PA

Physician Assistant • Lubbock, TX

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kassie Idicula, PA is a registered healthcare professional specializing in Physician Assistant in Lubbock, TX. Official NPI practice address is registered at 2412 50TH ST.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2412 50th St

Lubbock, TX 794122504

Telephone 8067447223

Fax 8067403325

Associated Practice Facility / Clinic

🏢 Lubbock Texas Highland Medical Center, L.p. Facility NPI 1538130737

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lubbock, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.5 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

112 Specialists

Practicing in Lubbock, TX (11140 Statewide)

Telehealth Adoption Rate

3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	44	$165.00	$74.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$200.00	$106.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	127	110	$139.92	$75.51
20610 Aspiration and/or injection of fluid from large joint	30	28	$180.00	$58.16
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	27	21	$15.00	$6.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$188.80	$107.53
73562 X-ray of knee, 3 views	22	15	$119.32	$33.44
27447 Replacement of knee joint, both sides of knee	20	17	$2733.00	$159.17
73030 X-ray of shoulder, minimum of 2 views	17	15	$123.88	$28.35
73564 X-ray of knee, 4 or more views	17	13	$139.00	$38.03
72100 X-ray of lower and sacral spine, 2-3 views	16	15	$137.00	$32.93
27279 Fusion of pelvic joint using imaging guidance	13	12	$750.00	$112.58
73502 X-ray of hip, 2-3 views	12	12	$135.00	$38.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	88	$110.00	$60.67
73562 X-ray of knee, 3 views	35	27	$125.00	$27.21
20610 Aspiration and/or injection of fluid from large joint	30	22	$180.00	$55.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$73.40	$36.78
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	22	13	$15.00	$6.95
73030 X-ray of shoulder, minimum of 2 views	14	11	$117.00	$23.00
27447 Replacement of knee joint, both sides of knee	14	14	$3828.96	$175.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	113	$110.00	$59.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	41	$65.00	$35.64
73562 X-ray of knee, 3 views	30	22	$125.00	$29.08
20610 Aspiration and/or injection of fluid from large joint	29	24	$196.55	$54.59
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	25	18	$15.00	$6.81
73030 X-ray of shoulder, minimum of 2 views	21	17	$117.00	$23.68
22859 Insertion of device into gap left by removal of part of vertebra	20	12	$1950.00	$43.32
73502 X-ray of hip, 2-3 views	13	13	$135.00	$33.57
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	13	13	$4390.00	$121.61
27279 Fusion of pelvic joint using imaging guidance	13	13	$1500.00	$88.49
27447 Replacement of knee joint, both sides of knee	13	12	$5361.00	$174.44
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$4946.00	$70.69
22612 Fusion of spine in lower back	12	12	$4377.00	$204.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	68	63	$110.00	$58.54
20610 Aspiration and/or injection of fluid from large joint	32	29	$164.06	$50.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$65.00	$35.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	20	17	$15.00	$6.90
73564 X-ray of knee, 4 or more views	19	14	$139.00	$31.45
73562 X-ray of knee, 3 views	19	14	$125.00	$28.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	119	$65.00	$34.39
27447 Replacement of knee joint, both sides of knee	68	67	$5597.51	$179.45
73562 X-ray of knee, 3 views	59	50	$125.00	$27.49
20610 Aspiration and/or injection of fluid from large joint	47	40	$197.87	$53.05
J1040 Injection, methylprednisolone acetate, 80 mg	46	30	$20.00	$9.78
73502 X-ray of hip, 2-3 views	42	39	$135.00	$32.37
73564 X-ray of knee, 4 or more views	40	29	$139.00	$30.27
73551 X-ray of thigh bone, 1 view	35	35	$119.00	$21.87
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$110.00	$58.19
27130 Replacement of thigh bone and hip joint with prosthesis	29	29	$5275.00	$172.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$160.00	$83.19

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA08972

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kayleigh Minielly , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003370909

Certified Registered Nurse Anesthetist

Brooklyn Fleming , MSN, NP

Nurse Practitioner - Acute Care

NPI 1003533910

Master of Science in Nursing, Nurse Practitioner

Liesl Olson , PT

Physical Therapist

NPI 1003846866

Physical Therapist

Sixtus Atabong , PA

Physician Assistant - Surgical

NPI 1013987155

Physician Assistant

Dr. Benjamin Fluhman , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023325024

Doctor of Podiatric Medicine

Dr. Howard Hurd , MD

Internal Medicine - Cardiovascular Disease

NPI 1033112560

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 October 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2014

Registered at 2412 50TH ST, LUBBOCK, TX 794122504 (Tel: 8067447223)

📍

Updated Business Mailing Address October 13, 2014

Registered at 2804 N LOOP 289, LUBBOCK, TX 794151410 (Tel: 8067447223)

👤

Provider Name / Credentials Updated October 13, 2014

Recorded as KASSIE IDICULA, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2014

Physician Assistant (License #PA08972 in TX)

🟢

Initial NPI Registration & Enumeration April 30, 2014

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: 1952711947

Entity Type:

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

Enumeration Date: April 30, 2014

Last Update: October 13, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2804 N Loop 289

Lubbock, TX 794151410

Phone: 8067447223

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.