Medicaid Provider Spending

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

SAGUARO DERMATOLOGY ASSOCIATES LLC

NPI: 1114485646 · PHOENIX, AZ 85008 · Dermatology Physician · NPI assigned 03/04/2019

$18K
Total Medicaid Paid
193
Total Claims
192
Beneficiaries
2
Codes Billed
2024-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMEDINA, NICOLE (BILLING ADMINISTRATOR)
NPI Enumeration Date03/04/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 193 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 129 129 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 64 63 $5K