Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OAK TREE DERMATOLOGY

NPI: 1003564089 · POMONA, CA 91767 · Dermatopathology Physician · NPI assigned 03/17/2022

$60K
Total Medicaid Paid
1,697
Total Claims
1,479
Beneficiaries
12
Codes Billed
2023-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROBLES, DAVID (DERMATOLOGIST /OWNER)
NPI Enumeration Date03/17/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 331 $10K
2024 1,366 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 531 445 $30K
99205 Prolong outpt/office vis 219 219 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 504 425 $9K
17110 40 37 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 35 26 $492.62
G8510 Screening for depression is documented as negative, a follow-up plan is not required 39 37 $360.06
96127 38 36 $164.70
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30 26 $75.27
99442 48 48 $53.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $33.05
G9903 Patient screened for tobacco use and identified as a tobacco non-user 13 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 188 156 $0.00