NORTHSHORE DERMATOLOGY, LLC
NPI: 1194479725
· MADISONVILLE, LA 70447
· Dermatology Physician
· NPI assigned 02/11/2022
$264K
Total Medicaid Paid
Provider Details
| Authorized Official | TABOR, ERIC (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 02/11/2022 |
Related Entities
Other providers sharing the same authorized official: TABOR, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$896.15 |
| 2023 |
2,063 |
$90K |
| 2024 |
3,544 |
$173K |
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 |
2,001 |
1,732 |
$61K |
| 17110 |
|
1,070 |
817 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
727 |
653 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
968 |
835 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
534 |
491 |
$26K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
236 |
167 |
$9K |
| 11102 |
|
50 |
39 |
$2K |
| 88342 |
|
33 |
24 |
$730.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$237.62 |