Medicaid Provider Spending

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

MI SKIN CENTER, PLLC

NPI: 1114515608 · NORTHVILLE, MI 48167 · Dermatology Physician · NPI assigned 01/09/2021

$67K
Total Medicaid Paid
868
Total Claims
841
Beneficiaries
4
Codes Billed
2021-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKARTONO WINARDI, FRANCISCA (PRESIDENT)
NPI Enumeration Date01/09/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $2K
2022 235 $18K
2023 303 $23K
2024 301 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 683 658 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 101 101 $9K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60 58 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $2K