Mary Kate Baniel, PA-C
NPI 1912568627ActiveIndividual· Physician Assistant· Reedsburg, WI
Physician Assistant (PA-C) with Prohealth Medical Group Inc, practicing in Reedsburg, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $151,892 for 249 claims, against $26,834 paid for services in 2024. Celgene Corporation reported $21.11 in payments in 2025, mostly food and beverage. Lists Oconomowoc Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1912568627 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 24, 2019 |
| Last updated in NPPES | Jun 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4723-23 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 224 |
|---|---|
| Services billed | 447 across 8 procedure codes |
| Paid by Medicare | $26,834 |
Part D prescriptions in 2024
| Prescriptions (claims) | 249 · 329 30-day fills |
|---|---|
| Patients | 132 |
| Total drug cost | $151,892 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Prohealth Medical Group IncMukwonago, WI · 479 clinicians
Hospital affiliations
- Oconomowoc Memorial HospitalOconomowoc, WI
- Waukesha Memorial HospitalWaukesha, WI
Industry payments (Open Payments)
- 2025$21.11 · 1 payment from 1 company
- 2024$17.81 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Celgene Corporation | $21.11 | 1 |
What the 2025 payments were for
- Food and Beverage$21.11 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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