ADVANCED SKIN CLINIC & SURGERY, PC
NPI: 1194028423
· UPLAND, CA 91786
· Dermatology Physician
· NPI assigned 12/08/2010
$780K
Total Medicaid Paid
18,278
Beneficiary Records
Provider Details
| Authorized Official | NGUYEN, TAN (OWNER) |
| NPI Enumeration Date | 12/08/2010 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, TAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,707 |
$87K |
| 2019 |
3,879 |
$123K |
| 2020 |
2,131 |
$58K |
| 2021 |
3,228 |
$125K |
| 2022 |
3,943 |
$177K |
| 2023 |
4,944 |
$196K |
| 2024 |
957 |
$15K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,755 |
12,076 |
$311K |
| 96922 |
|
1,233 |
1,188 |
$207K |
| 17110 |
|
1,158 |
1,103 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,199 |
1,196 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
778 |
776 |
$53K |
| 96910 |
|
826 |
201 |
$19K |
| 11901 |
|
362 |
349 |
$7K |
| 99205 |
Prolong outpt/office vis |
82 |
82 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
153 |
$5K |
| 11102 |
|
37 |
37 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
150 |
96 |
$3K |
| 99215 |
Prolong outpt/office vis |
43 |
42 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
914 |
885 |
$2K |
| 11900 |
|
64 |
63 |
$1K |
| 11100 |
|
18 |
17 |
$729.74 |
| 11101 |
|
14 |
14 |
$357.20 |