WESTMINSTER DERMATOLOGY, LLC

NPI: 1144649492 · WESTMINSTER, MD 21157 · Physician Assistant · NPI assigned 04/15/2014

$118K

Total Medicaid Paid

1,180

Total Claims

1,111

Beneficiaries

Codes Billed

2020-01

First Month

2024-10

Last Month

Provider Details

Authorized Official	QUEEN, JEFFREY (MANAGER)
NPI Enumeration Date	04/15/2014

Other providers sharing the same authorized official: QUEEN, JEFFREY

Provider	City	State	Total Paid
INTEGRATED DERMATOLOGY OF PONCHATOULA, LLC	PONCHATOULA	LA	$3.39M
INTEGRATED DERMATOLOGY OF COLUMBUS LLC	COLUMBUS	OH	$341K
INTEGRATED DERMATOLOGY OF GLOUCESTER, LLC	GLOUCESTER	VA	$90K
INTEGRATED DERMATOLOGY OF ENFIELD, LLC	SIMSBURY	CT	$72K
INTEGRATED DERMATOLOGY OF GROTON LLC	GROTON	CT	$62K
ON SITE DERMATOLOGY LLC	BOCA RATON	FL	$58K
SANFORD DERMATOLOGY PLLC	SANFORD	NC	$48K
INTEGRATED DERMATOLOGY OF CLINTON, LLC	CLINTON	CT	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	507	479	$58K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	515	481	$41K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	55	52	$9K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	48	47	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	30	28	$3K
17110		25	24	$2K