MOUNTAIN WEST DERM - BLACKHART PLLC
NPI: 1124670088
· ANCHORAGE, AK 99508
· Dermatology Physician
· NPI assigned 07/11/2019
$260K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BLACKHART, BRET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
95 |
$6K |
| 2020 |
747 |
$48K |
| 2021 |
615 |
$43K |
| 2022 |
552 |
$42K |
| 2023 |
736 |
$74K |
| 2024 |
448 |
$47K |
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 |
2,656 |
2,479 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
305 |
$42K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
148 |
67 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$2K |
| 11102 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$679.86 |
| 99072 |
|
36 |
35 |
$0.00 |