FOOTHILL DERMATOLOGY MEDICAL CENTER
NPI: 1154592368
· GLENDORA, CA 91740
· MOHS-Micrographic Surgery Physician
· NPI assigned 03/14/2008
$1.65M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,516 |
$168K |
| 2019 |
2,965 |
$113K |
| 2020 |
2,399 |
$138K |
| 2021 |
3,012 |
$193K |
| 2022 |
4,223 |
$276K |
| 2023 |
4,990 |
$301K |
| 2024 |
6,842 |
$465K |
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 |
7,173 |
6,331 |
$443K |
| 99215 |
Prolong outpt/office vis |
5,269 |
4,633 |
$307K |
| 99205 |
Prolong outpt/office vis |
1,823 |
1,822 |
$155K |
| 10040 |
|
2,556 |
2,470 |
$135K |
| 17110 |
|
1,932 |
1,793 |
$135K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,098 |
1,098 |
$91K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
816 |
814 |
$63K |
| 11102 |
|
908 |
873 |
$52K |
| 11104 |
|
565 |
560 |
$49K |
| 17004 |
|
454 |
407 |
$48K |
| 96910 |
|
680 |
114 |
$38K |
| 11103 |
|
472 |
450 |
$33K |
| 11900 |
|
1,580 |
1,520 |
$27K |
| 11105 |
|
329 |
327 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
604 |
573 |
$23K |
| 11100 |
|
224 |
214 |
$15K |
| 11901 |
|
323 |
316 |
$10K |
| 11101 |
|
88 |
85 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
36 |
30 |
$1K |
| 11401 |
|
17 |
13 |
$715.96 |