Grafton Dermatology and Cosmetic Surgery
Grafton Dermatology and Cosmetic Surgery was paid $3.70M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoGRAFTON DERMATOLOGY AND COSMETIC SURGERY
HOUMA, LA 70364
HOUMA, LA 70364
33aNPI1053400416assigned 10/12/2006
33bProvider typeSpecialist
28Total paid$3.70M
24GClaims112,543
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Louisiana
Rank by total paid#13 of 228
Median peer was paid$60K
This provider vs. median62×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,977 | $468K | |
| 2019 | 14,154 | $497K | |
| 2020 | 14,183 | $479K | |
| 2021 | 17,056 | $560K | |
| 2022 | 18,439 | $592K | |
| 2023 | 19,109 | $590K | |
| 2024incomplete | 16,625 | $515K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 46,631 | 41,971 | $1.43M |
| 17110 | 20% | 13,998 | 13,057 | $745K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 14,734 | 13,813 | $692K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.0% | 8,794 | 8,322 | $296K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.9% | 3,870 | 3,567 | $180K |
| 11102 | 4.1% | 3,616 | 3,168 | $152K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 5,914 | 5,397 | $107K |
| 11901 | <1% | 1,234 | 1,104 | $35K | |
| 81025 | <1% | 4,739 | 4,249 | $20K | |
| 11100 | <1% | 421 | 405 | $18K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 138 | 133 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,751 | 4,367 | $7K |
8 more codes
| 11900 | <1% | 199 | $4K | |
| 17111 | <1% | 40 | $3K | |
| 87220 | <1% | 742 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 2,563 | $711.80 |
| 17000 | <1% | 35 | $394.29 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 86 | $246.19 |
| 11101 | <1% | 18 | $172.54 | |
| 99441 | <1% | 20 | $100.60 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGRAFTON, LEE (CEO)