JACK W. GRIFFITH, III, D.O.
NPI: 1104126457
· RANCHO CUCAMONGA, CA 91730
· MOHS-Micrographic Surgery Physician
· NPI assigned 11/02/2010
$1.57M
Total Medicaid Paid
Provider Details
| Authorized Official | GRIFFITH, JACK (OWNER) |
| NPI Enumeration Date | 11/02/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
73 |
$4K |
| 2019 |
3,296 |
$252K |
| 2020 |
2,838 |
$209K |
| 2021 |
2,920 |
$241K |
| 2022 |
3,420 |
$281K |
| 2023 |
3,547 |
$271K |
| 2024 |
3,918 |
$311K |
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 |
6,117 |
5,308 |
$414K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,004 |
2,932 |
$301K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,183 |
2,178 |
$295K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,585 |
2,210 |
$202K |
| 11102 |
|
1,650 |
1,623 |
$121K |
| 10040 |
|
852 |
840 |
$80K |
| 99205 |
Prolong outpt/office vis |
303 |
302 |
$53K |
| 17110 |
|
483 |
454 |
$45K |
| 11900 |
|
703 |
667 |
$31K |
| 11103 |
|
288 |
286 |
$16K |
| 81025 |
|
735 |
711 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
79 |
$5K |