Medicaid Provider Spending

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

ADVANCED DERMATOLOGY CARE MEDICAL COSMETIC AND SURGERY PA

NPI: 1073614558 · WHITE BEAR LAKE, MN 55127 · Dermatology Physician · NPI assigned 09/26/2006

$22K
Total Medicaid Paid
354
Total Claims
331
Beneficiaries
3
Codes Billed
2018-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRUSTAD, OLAF (OWNER)
Parent OrganizationADVANCED DERMATOLOGY CARE MEDICAL AND SURGICAL DERMATOLOGY PA
NPI Enumeration Date09/26/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46 $836.91
2019 54 $4K
2020 24 $1K
2021 65 $5K
2022 37 $3K
2023 53 $4K
2024 75 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 304 281 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38 38 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K