Medicaid Provider Spending

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

SOUTHERN UTAH SURGICAL AND LASER AESTHETICS LLC

NPI: 1114164365 · ST GEORGE, UT 84790 · Dermatology Physician · NPI assigned 01/09/2009

$63K
Total Medicaid Paid
1,123
Total Claims
1,040
Beneficiaries
7
Codes Billed
2018-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARTER, BENJAMIN (OWNER)
NPI Enumeration Date01/09/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32 $1K
2019 99 $5K
2020 30 $2K
2021 449 $26K
2022 175 $11K
2023 135 $6K
2024 203 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 897 830 $54K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 32 32 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 69 61 $3K
17110 28 26 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $1K
99201 26 25 $916.41
81025 58 53 $152.77