Nurse Practitioner, Adult Health · Grass Valley, CA
NPI
1831433119
Since 2012
Specialty
Nurse Practitioner, Adult Health
Code 363LA2200X
Group practices
1
Medicare group memberships
Hospitals
1
Hospital affiliations
300 Sierra College Dr Ste 105
Grass Valley, CA, 95945
Phone (530) 273-3377
Groups this clinician bills Medicare through
Medicare paid, 2024
$54K
889 services
Medicare patients, 2024
869
Average age 73
Drug cost, 2024
$87K
917 prescriptions
Company payments, 2025
$255
From 6 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Courtney L Boucke was code 99203 (office e&m - new), 597 times for 597 patients. In total Courtney L Boucke billed 889 services in 4 codes, and Medicare paid $54K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2024-10-16.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99203 Office E&M - New | Office | 597 | 597 | $58.61 | $35K |
| 99213 Office E&M - Established | Office | 230 | 224 | $58.32 | $13K |
| 99204 Office E&M - New | Office | 36 | 36 | $102.26 | $3,681 |
| 99214 Office E&M - Established | Office | 26 | 26 | $84.93 | $2,208 |
By year: 2022 $134K for 2,260 services; 2023 $61K for 1,107 services; 2024 $54K for 889 services.
Lab tests billed to Medicare, 2023
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 81002 Clinical Chemistry | 17 | 16 | $3.41 | $57.97 |
Medicare prescription drug claims, 2024
In 2024, the drug Courtney L Boucke prescribed most often to Medicare patients was Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates), with 572 prescriptions and refills. In total Courtney L Boucke wrote 917 Medicare prescriptions that cost $87K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates | 572 | 572 | 569 | $38K |
| Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl | 112 | 112 | 109 | $1,797 |
| Pantoprazole Sodium Generic | 29 | 66 | 12 | $405 |
| Omeprazole Generic | 25 | 65 | 11 | $357 |
| Peg-3350 And Electrolytes Peg3350/Sod Sulf,bicarb,cl/Kcl | 16 | 16 | 16 | $290 |
| Linzess Linaclotide | 16 | 37 | Under 11 | $20K |
| Ondansetron Odt Ondansetron | 15 | 15 | 14 | $75.15 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 14 | 14 | 14 | $2,299 |
Brand drugs: 180 claims; generic drugs: 737 claims.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Courtney L Boucke $255 ($255 in general payments such as food, travel and fees) from 6 companies. The largest payer was Gilead Sciences, Inc. with $124.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.