SOUTHSIDE DERMATOLOGY PLLC
NPI: 1073263380
· BROKEN ARROW, OK 74012
· Dermatology Physician
· NPI assigned 03/28/2022
$348K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: FISCHER, ALISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
578 |
$57K |
| 2023 |
1,960 |
$196K |
| 2024 |
974 |
$95K |
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 |
1,221 |
1,205 |
$133K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,319 |
1,318 |
$125K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
317 |
317 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
504 |
503 |
$38K |
| 11102 |
|
42 |
41 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$772.68 |
| 81025 |
|
97 |
94 |
$743.02 |