Active NPI 1255335725 Individual Practitioner Male Practitioner

Randy J Mickelson , PA

Physician Assistant • Viroqua, WI

Professional Overview & Biography Verified Profile Summary

Randy Mickelson, PA is a registered healthcare professional specializing in Physician Assistant in Viroqua, WI. Practice services are available at 407 S MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

407 S Main St

Viroqua, WI 546652100

Telephone 6086373195

Associated Practice Facility / Clinic

🏢 Vernon Memorial Healthcare, Inc Facility NPI 1144226507

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Viroqua, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.7 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Viroqua, WI (3517 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.0% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	5,320	48	$1.25	$0.13
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,200	18	$48.00	$8.85
99213 Established patient office or other outpatient visit, typically 15 minutes	189	175	$266.33	$72.53
20610 Aspiration and/or injection of fluid from large joint	123	92	$843.42	$57.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	66	$157.12	$45.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$391.95	$102.38
J1040 Injection, methylprednisolone acetate, 80 mg	35	27	$29.00	$9.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$386.51	$88.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$589.64	$132.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	816	12	$48.00	$9.36
99213 Established patient office or other outpatient visit, typically 15 minutes	140	128	$249.97	$73.11
20610 Aspiration and/or injection of fluid from large joint	117	90	$783.62	$57.54
J1040 Injection, methylprednisolone acetate, 80 mg	97	66	$29.00	$11.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	70	$147.58	$45.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$363.44	$90.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$367.33	$103.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$558.50	$134.82
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	22	17	$1536.00	$509.76
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$253.00	$58.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,680	21	$48.00	$10.18
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	432	39	$4.25	$1.19
99213 Established patient office or other outpatient visit, typically 15 minutes	162	144	$239.05	$74.14
20610 Aspiration and/or injection of fluid from large joint	119	91	$747.40	$57.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	62	$142.60	$45.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	46	$349.53	$105.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$348.27	$90.84
J1040 Injection, methylprednisolone acetate, 80 mg	36	31	$29.00	$11.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$534.64	$135.87
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	20	13	$1536.00	$1102.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,248	16	$48.23	$10.65
99213 Established patient office or other outpatient visit, typically 15 minutes	162	145	$224.00	$74.40
20610 Aspiration and/or injection of fluid from large joint	91	74	$724.12	$57.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	73	$331.00	$103.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	71	$134.00	$46.19
J1040 Injection, methylprednisolone acetate, 80 mg	60	43	$30.53	$10.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$328.00	$91.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$501.00	$137.61
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	24	17	$1536.00	$1219.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	864	13	$48.00	$10.76
99213 Established patient office or other outpatient visit, typically 15 minutes	183	154	$213.00	$61.89
20610 Aspiration and/or injection of fluid from large joint	94	73	$694.91	$55.51
J1040 Injection, methylprednisolone acetate, 80 mg	63	41	$28.00	$11.60
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$218.00	$62.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$128.00	$37.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$315.00	$89.94
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	17	14	$1536.00	$1188.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,536	19	$48.00	$11.29
99213 Established patient office or other outpatient visit, typically 15 minutes	242	204	$213.00	$60.54
20610 Aspiration and/or injection of fluid from large joint	125	101	$692.18	$53.76
99202 New patient office or other outpatient visit, typically 20 minutes	102	102	$218.00	$62.69
J1040 Injection, methylprednisolone acetate, 80 mg	78	56	$28.00	$12.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	44	$128.00	$36.82
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	32	25	$1536.00	$1104.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$315.00	$89.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,824	28	$47.71	$11.79
99213 Established patient office or other outpatient visit, typically 15 minutes	207	178	$192.23	$61.87
20610 Aspiration and/or injection of fluid from large joint	155	116	$669.14	$55.38
J1040 Injection, methylprednisolone acetate, 80 mg	108	66	$28.00	$12.92
99202 New patient office or other outpatient visit, typically 20 minutes	88	88	$205.32	$63.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$281.18	$92.05
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	33	23	$1536.00	$514.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$118.57	$37.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,681	26	$47.00	$12.39
99213 Established patient office or other outpatient visit, typically 15 minutes	182	168	$189.00	$59.49
20610 Aspiration and/or injection of fluid from large joint	128	107	$730.34	$52.30
J1040 Injection, methylprednisolone acetate, 80 mg	104	67	$27.67	$10.96
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$202.00	$60.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$117.00	$35.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$277.00	$87.64
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	23	18	$1536.00	$543.24

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 528

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

42920800 (WI)

Practice Associates & Co-Workers

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

23 Associated Practitioners

Kim Dowat , CNM

Advanced Practice Midwife

NPI 1043215247

Certified Nurse Midwife

Dr. Rachel Wilson , MD

Surgery

NPI 1114188703

Doctor of Medicine (M.D.)

Kevin Schmidt , MSSW LCSW

Social Worker - Clinical

NPI 1134155658

MSSWLCSW

Dr. Jeffrey Lawrence , MD

Orthopaedic Surgery

NPI 1144226127

Doctor of Medicine (M.D.)

Susanne Mlsna , NP

Nurse Practitioner

NPI 1285638767

Nurse Practitioner

Mitchell Winter , PA-C

Physician Assistant

NPI 1346835931

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 23, 2016

Registered at 407 S MAIN ST, VIROQUA, WI 546652100 (Tel: 6086373195)

📍

Updated Business Mailing Address March 23, 2016

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

👤

Provider Name / Credentials Updated March 23, 2016

Recorded as RANDY MICKELSON, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2016

Physician Assistant (License #528 in WI)

🟢

Initial NPI Registration & Enumeration June 13, 2005

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: 1255335725

Entity Type:

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

Enumeration Date: June 13, 2005

Last Update: March 23, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1836 South Ave

La Crosse, WI 546015429

Phone: 6087827300

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.