OZARK DERMATOLOGY CLINIC
NPI: 1134207483
· FAYETTEVILLE, AR 72703
· Specialist
· NPI assigned 11/02/2006
$272K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIAMS, DIANE (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 11/02/2006 |
Related Entities
Other providers sharing the same authorized official: WILLIAMS, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
985 |
$29K |
| 2019 |
1,004 |
$34K |
| 2020 |
955 |
$35K |
| 2021 |
1,177 |
$47K |
| 2022 |
1,094 |
$46K |
| 2023 |
1,061 |
$46K |
| 2024 |
760 |
$34K |
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 |
2,890 |
2,621 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,076 |
996 |
$69K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,151 |
1,483 |
$63K |
| 99243 |
|
209 |
185 |
$18K |
| 17110 |
|
341 |
296 |
$14K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
114 |
100 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
79 |
67 |
$4K |
| 99242 |
|
55 |
42 |
$3K |
| 11102 |
|
14 |
13 |
$380.28 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$372.36 |
| 11100 |
|
13 |
13 |
$230.55 |
| 99072 |
|
79 |
67 |
$10.00 |