MOUNTAIN WEST DERM - BLACKHART PLLC
NPI: 1013557933
· SPOKANE VALLEY, WA 99212
· Dermatopathology Physician
· NPI assigned 01/08/2020
$294K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BLACKHART, BRET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,383 |
$103K |
| 2022 |
1,339 |
$113K |
| 2023 |
950 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,812 |
1,753 |
$158K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
409 |
398 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
620 |
585 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
396 |
385 |
$29K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
386 |
361 |
$19K |
| 17110 |
|
13 |
12 |
$1K |
| 96900 |
|
36 |
12 |
$591.55 |