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17004
Billing code 17004
HHS publishes no description for this code; it is likely a state-specific local code.
Medicaid paid $8.60M on code 17004 from 2018 through 2024, to 118 providers — the #2,135 code in the file by dollars. 65% of it was billed in California.
28Total paid$8.60M
24GClaims99,545
Paid per claim line$86.43
33Providers billing it118
Box 32 · Location
Where 17004 is billed
The largest of 21 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing 17004
| # | Provider | Location | Claims | Paid on 17004 |
|---|---|---|---|---|
| 1 | Walter K Nahm MD PHD INC | San Diego, CA | 9,957 | $1.52M |
| 2 | Ghada Kassab, MD, Medical Corporation | San Diego, CA | 9,653 | $1.24M |
| 3 | California Dermatology Institute PC | Thousand Oaks, CA | 9,234 | $949K |
| 4 | Cui, Jian | Flushing, NY | 10,402 | $826K |
| 5 | Aloha Dermatology and Laser Center LLC | Kahului, HI | 3,221 | $320K |
| 6 | Robert Harford M.D. a Medical Corporation | Hemet, CA | 3,649 | $315K |
| 7 | San Diego Center for Family Health | San Diego, CA | 2,127 | $270K |
| 8 | Khasak, Dmitry | New York, NY | 2,908 | $249K |
| 9 | Skin Cancer and Aesthetic Surgery, P.C. | Brooklyn, NY | 2,163 | $229K |
| 10 | Lusher, Frank | Mission Hills, CA | 2,399 | $197K |
| 11 | Ezra, Navid | Thousand Oaks, CA | 1,140 | $185K |
| 12 | Ly, Micki | Kahului, HI | 2,771 | $172K |
| 13 | Douglas Family Care PLLC | Douglas, AZ | 2,257 | $165K |
| 14 | Wu, Alfred | Douglas, AZ | 1,802 | $162K |
| 15 | Stein Dermatology a Professional Corporation | Chula Vista, CA | 1,085 | $154K |
| 16 | Pacific Dermatology Institute | Corona, CA | 1,270 | $146K |
| 17 | Frank R. Lusher, M.D., INC. | Mission Hills, CA | 1,633 | $128K |
| 18 | Wang, Yan | Flushing, NY | 2,701 | $97K |
| 19 | E. M. Dimitri, D.O. PMC | Slidell, LA | 1,960 | $85K |
| 20 | Knuckles, Melissa | Corbin, KY | 2,336 | $78K |
| 21 | Wang, James | Rancho Santa Margarita, CA | 437 | $71K |
| 22 | Dmitry Khasak MD PC INC | Jersey City, NJ | 1,287 | $69K |
| 23 | Dmitry Khasak MD PC | New York, NY | 374 | $68K |
| 24 | Michigan Healthcare Professionals PC | Farmington Hills, MI | 682 | $58K |
| 25 | Tsou, Thomas | Anaheim, CA | 351 | $58K |
| 26 | Eastern Iowa Dermatology PLC | Bettendorf, IA | 1,670 | $57K |
| 27 | Foothill Dermatology Medical Center | Glendora, CA | 454 | $48K |
| 28 | Weinman, Vitor | Coral Gables, FL | 1,744 | $47K |
| 29 | M. Elena Kendall MD PA | Coral Gables, FL | 1,441 | $44K |
| 30 | Derambakhsh, Mehdi | Encino, CA | 1,816 | $43K |
| 31 | Nguyen, Tien | Fountain Valley, CA | 268 | $38K |
| 32 | LA Laser Center, PC, a Professional Medical Corporation | San Clemente, CA | 489 | $34K |
| 33 | Fakheri, Azita | Tarzana, CA | 363 | $32K |
| 34 | Island Dermatology, INC | Newport Beach, CA | 301 | $31K |
| 35 | Stein, Alexander | Chula Vista, CA | 222 | $29K |
| 36 | Sam P Smith DO LLC | Gilbert, AZ | 364 | $27K |
| 37 | Tien Q Nguyen INC | Fountain Valley, CA | 135 | $26K |
| 38 | Alireza Torchizy MD INC | Encino, CA | 765 | $20K |
| 39 | Abc Medical Clinic, INC. | Monterey Park, CA | 896 | $20K |
| 40 | Setareh-Shenas, Bijan | Plainview, NY | 143 | $19K |
| 41 | Dermatology PC | Kearney, NE | 95 | $19K |
| 42 | Derm Bar MD Holdings LLC | Coral Gables, FL | 297 | $19K |
| 43 | William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, INC. | National City, CA | 131 | $15K |
| 44 | Shagen Abovyan INC | Pompano Beach, FL | 1,184 | $15K |
| 45 | Nursing Home Dermatology Associates INC | Boca Raton, FL | 1,137 | $14K |
| 46 | DNS of Florida I | Doral, FL | 335 | $12K |
| 47 | Bio Family Clinic INC | Yuma, AZ | 127 | $11K |
| 48 | Vergilis-Kalner, Irene | Brooklyn, NY | 1,548 | $10K |
| 49 | 1114918331 | 148 | $9K | |
| 50 | County of Ventura | Ventura, CA | 38 | $9K |
| 51 | Richard Lee Averitte JR PLLC | Scottsdale, AZ | 66 | $8K |
| 52 | Mimi G Bansal, MD | Lake Success, NY | 50 | $7K |
| 53 | Pacific Skin Institute | Sacramento, CA | 81 | $7K |
| 54 | South Florida Dermatology Group, INC. | Coral Gables, FL | 68 | $6K |
| 55 | James T Wang MD INC | Rancho Santa Margarita, CA | 26 | $5K |
| 56 | NJ Certified Dermatology PC | Neptune, NJ | 91 | $5K |
| 57 | Compass Dermatopathology, INC. | San Diego, CA | 43 | $5K |
| 58 | Shapiro Dimitri Medical, LLC | Meridian, MS | 272 | $5K |
| 59 | Direct Dermatology Professionals PC | Manteca, CA | 55 | $5K |
| 60 | Vanguard Dermatology | Brooklyn, NY | 38 | $5K |
| 61 | Sand Dermatology PC | Chino Hills, CA | 44 | $5K |
| 62 | Magakyan-Martinez, Lyudmila | New York, NY | 58 | $4K |
| 63 | Health Care LA, Ipa | Woodland Hills, CA | 83 | $4K |
| 64 | Public Hospital Dist No 1 Skagit | Mount Vernon, WA | 163 | $4K |
| 65 | Skin Aesthetic Medical, INC | Los Angeles, CA | 253 | $4K |
| 66 | Chernovets-Vergilis, Helen | Brooklyn, NY | 1,021 | $4K |
| 67 | Sidhu, Amarpaul | Glendora, CA | 267 | $4K |
| 68 | Public Hospital Dist No 1 Skagit | Mount Vernon, WA | 166 | $4K |
| 69 | Mid-Florida Dermatology Associates P.A. | Orlando, FL | 61 | $4K |
| 70 | Dermatology & Allergy Solutions LLC | Broken Arrow, OK | 45 | $3K |
| 71 | Dermatology Surgical & Medical Group | Santa Cruz, CA | 51 | $3K |
| 72 | Sherri Peace, MD, INC | Los Angeles, CA | 25 | $3K |
| 73 | Weissman, Steven | Brooklyn, NY | 29 | $3K |
| 74 | Howard Fein MD INC | Rllng Hls Est, CA | 62 | $3K |
| 75 | Island Dermatology LLC | Kailua Kona, HI | 44 | $3K |
| 76 | University Health Physicians | Kansas City, MO | 26 | $2K |
| 77 | Tristan Medical Enterprises PC | North Attleboro, MA | 41 | $2K |
| 78 | Harford, Robert | Hemet, CA | 14 | $2K |
| 79 | Shapiro, Michael | Brooklyn, NY | 358 | $2K |
| 80 | Kauai Dermatology LLC | Lihue, HI | 13 | $2K |
| 81 | Zhan, Frank | Mission Viejo, CA | 12 | $2K |
| 82 | Tarbox, Michael | Roulette, PA | 13 | $2K |
| 83 | Jaldeep H Daulat DO Professional Corporation | Laughlin, NV | 12 | $2K |
| 84 | T Joseph Raoof MD INC | Encino, CA | 51 | $1K |
| 85 | SVC Dermatology PC | Fenton, MI | 16 | $1K |
| 86 | Advantage Dermatology, PA | Jacksonville, FL | 21 | $1K |
| 87 | Dermatology Specialists of Pennsylvania | Southampton, PA | 449 | $1K |
| 88 | Schweiger Dermatology, PC | Elmer, NJ | 13 | $1K |
| 89 | Canton-Potsdam Hospital | Potsdam, NY | 16 | $1K |
| 90 | Acacia Dermatology | Lawrenceburg, TN | 35 | $1K |
| 91 | Boyne Country Urgent Care P.C. | Gaylord, MI | 12 | $988.82 |
| 92 | Silverton Skin Institute PLLC | Grand Blanc, MI | 12 | $939.18 |
| 93 | Neitzel, Craig | Champaign, IL | 25 | $927.66 |
| 94 | Advanced Dermatology PC | New Hyde Park, NY | 14 | $912.32 |
| 95 | Paltiel, Michael | Forest Hills, NY | 43 | $898.42 |
| 96 | Parkview Logansport Hospital, INC. | Logansport, IN | 18 | $876.92 |
| 97 | East County Dermatology Medical Group INC | El Cajon, CA | 53 | $724.25 |
| 98 | Phoenix Skin II PC | Phoenix, AZ | 19 | $705.26 |
| 99 | Lee, Min-Wei | Walnut Creek, CA | 13 | $628.81 |
| 100 | Mismo Dermatology Group Apc | San Diego, CA | 26 | $458.82 |