HIGH DESERT FOOT & ANKLE CLINIC A
NPI: 1104204775
· VICTORVILLE, CA 92395
· Foot & Ankle Surgery Podiatrist
· NPI assigned 05/14/2015
$409K
Total Medicaid Paid
Provider Details
| Authorized Official | BOLLMANN, WONSIK (OWNER/PODIATRIST) |
| NPI Enumeration Date | 05/14/2015 |
Related Entities
Other providers sharing the same authorized official: BOLLMANN, WONSIK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
474 |
$11K |
| 2019 |
642 |
$21K |
| 2020 |
1,542 |
$42K |
| 2021 |
1,462 |
$42K |
| 2022 |
2,029 |
$82K |
| 2023 |
4,027 |
$107K |
| 2024 |
3,397 |
$102K |
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 |
4,251 |
4,077 |
$181K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,291 |
1,290 |
$91K |
| 11721 |
|
5,131 |
5,118 |
$75K |
| 11056 |
|
2,835 |
2,827 |
$59K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
65 |
38 |
$3K |