Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $118.69 | 2 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Medtronic, Inc. | $101.66 | 1 | $0 (2024) |
| Integra LifeSciences Corporation | $17.03 | 1 | $0 (2020) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $101.66 | 1 | Medtronic, Inc. ($101.66) |
| 2020 | $17.03 | 1 | Integra LifeSciences Corporation ($17.03) |
All Payment Transactions
2 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 02/29/2024 | Medtronic, Inc. | HAWKONE (Device) | Food and Beverage | In-kind items and services | $101.66 | General |
| Category: Directional Atherectomy Devices | ||||||
| 01/14/2020 | Integra LifeSciences Corporation | OMNIGRAFT (Device), PRIMATRIX, MEDIHONEY | Food and Beverage | In-kind items and services | $17.03 | General |
| Category: RECON-SKIN AND WOUND | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 6 | 249 | 1,024 | $239,623 | $44,589 |
| 2022 | 7 | 406 | 2,030 | $390,580 | $75,255 |
| 2021 | 9 | 490 | 2,483 | $488,202 | $100,510 |
| 2020 | 7 | 411 | 1,525 | $335,840 | $68,790 |
All Medicare Procedures & Services
29 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | Facility | 2023 | 71 | 551 | $139,954 | $24,218 | 17.3% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2023 | 53 | 160 | $33,280 | $7,924 | 23.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2023 | 45 | 67 | $21,507 | $4,753 | 22.1% |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | Facility | 2023 | 33 | 115 | $17,607 | $3,056 | 17.4% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2023 | 31 | 31 | $16,275 | $2,824 | 17.3% |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | Facility | 2023 | 16 | 100 | $11,000 | $1,815 | 16.5% |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | Facility | 2022 | 105 | 780 | $198,120 | $33,522 | 16.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Facility | 2022 | 101 | 270 | $56,160 | $12,900 | 23.0% |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | Facility | 2022 | 28 | 494 | $54,340 | $9,355 | 17.2% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Facility | 2022 | 59 | 107 | $34,347 | $7,449 | 21.7% |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | Facility | 2022 | 55 | 187 | $18,513 | $4,996 | 27.0% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Facility | 2022 | 42 | 42 | $22,050 | $4,222 | 19.1% |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | Facility | 2022 | 16 | 150 | $7,050 | $2,811 | 39.9% |
| 11042 | Removal of skin and tissue first 20 sq cm or less | Facility | 2021 | 128 | 1,058 | $268,732 | $48,080 | 17.9% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Facility | 2021 | 110 | 302 | $62,816 | $15,567 | 24.8% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Facility | 2021 | 63 | 127 | $35,343 | $9,827 | 27.8% |
| 11045 | Removal of skin and tissue | Facility | 2021 | 30 | 435 | $47,850 | $8,566 | 17.9% |
| 97597 | Removal of tissue from wounds per session, first 20 sq cms or less | Facility | 2021 | 64 | 246 | $24,354 | $6,782 | 27.8% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Facility | 2021 | 49 | 49 | $25,725 | $4,970 | 19.3% |
| 97598 | Removal of tissue from wounds per session, each additional 20 sq cm | Facility | 2021 | 16 | 232 | $10,904 | $4,504 | 41.3% |
| 29445 | Application of rigid total contact leg cast | Facility | 2021 | 13 | 17 | $7,208 | $1,341 | 18.6% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Facility | 2021 | 17 | 17 | $5,270 | $873.06 | 16.6% |
| 11042 | Removal of skin and tissue first 20 sq cm or less | Facility | 2020 | 111 | 814 | $209,044 | $39,502 | 18.9% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Facility | 2020 | 65 | 128 | $27,624 | $7,992 | 28.9% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Facility | 2020 | 76 | 157 | $32,656 | $6,349 | 19.4% |
About Kitima Boonvisudhi
Kitima Boonvisudhi is a Surgery healthcare provider based in Albany, Oregon. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 03/14/2006. The National Provider Identifier (NPI) number assigned to this provider is 1134198005.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Kitima Boonvisudhi has received a total of $118.69 in payments from pharmaceutical and medical device companies, with $101.66 received in 2024. These payments were reported across 2 transactions from 2 companies. The most common payment nature is "Food and Beverage" ($118.69).
As a Medicare-enrolled provider, Boonvisudhi has provided services to 1,556 Medicare beneficiaries, totaling 7,062 services with total Medicare billing of $289,143. Data is available for 4 years (2020–2023), covering 29 distinct procedure/service records.
Practice Information
- Specialty Surgery
- Other Specialties Surgery, Surgery
- Location Albany, OR
- Active Since 03/14/2006
- Last Updated 01/27/2025
- Taxonomy Code 208600000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1134198005
Products in Payments
- HAWKONE (Device) $101.66
- OMNIGRAFT (Device) $17.03
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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