Medicaid Provider Spending

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

PRAIRIE DERMATOLOGY PC

NPI: 1164622098 · ABERDEEN, SD 57401 · Medical Specialty Clinic/Center · NPI assigned 07/19/2007

$40K
Total Medicaid Paid
1,385
Total Claims
1,102
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHANSON, TY (DERMATOLOGIST)
NPI Enumeration Date07/19/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 341 $8K
2019 237 $5K
2020 61 $2K
2021 73 $3K
2022 208 $6K
2023 242 $9K
2024 223 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,156 918 $30K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 135 108 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 94 76 $4K