MID ATLANTIC DERMATOLOGY
NPI: 1073605333
· CHESAPEAKE, VA 23320
· Dermatology Physician
· NPI assigned 09/28/2006
$472K
Total Medicaid Paid
Provider Details
| Authorized Official | WALLER, ROSE (BILLING MANAGER) |
| NPI Enumeration Date | 09/28/2006 |
Related Entities
Other providers sharing the same authorized official: WALLER, ROSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,210 |
$34K |
| 2019 |
2,393 |
$79K |
| 2020 |
1,633 |
$76K |
| 2021 |
1,921 |
$70K |
| 2022 |
1,730 |
$77K |
| 2023 |
1,839 |
$84K |
| 2024 |
1,374 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,790 |
7,338 |
$361K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,846 |
1,527 |
$102K |
| 96401 |
|
173 |
96 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
126 |
92 |
$3K |
| 17000 |
|
13 |
12 |
$556.77 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$115.68 |
| J3590 |
Unclassified biologics |
137 |
70 |
$0.01 |