Medicaid Provider Spending

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

DERMATOLOGY AND ENDOCRINOLOGY LLC

NPI: 1114999018 · PUEBLO, CO 81004 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 02/03/2006

$30K
Total Medicaid Paid
701
Total Claims
648
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialDERNOVSEK, KIM (OWNER)
NPI Enumeration Date02/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 328 $14K
2019 281 $12K
2020 92 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 437 392 $27K
99205 Prolong outpt/office vis 12 12 $2K
83036 Hemoglobin; glycosylated (A1C) 72 69 $534.23
82948 109 106 $303.22
36416 71 69 $207.36