Medicaid Provider Spending

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

NPI: 1205240868 · SANFORD, NC 27330 · Physician Assistant · NPI assigned 06/11/2014

$48K
Total Medicaid Paid
1,733
Total Claims
1,179
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialQUEEN, JEFFREY (MANAGER)
NPI Enumeration Date06/11/2014

Related Entities

Other providers sharing the same authorized official: QUEEN, JEFFREY

ProviderCityStateTotal Paid
INTEGRATED DERMATOLOGY OF PONCHATOULA, LLC PONCHATOULA LA $3.39M
INTEGRATED DERMATOLOGY OF COLUMBUS LLC COLUMBUS OH $341K
WESTMINSTER DERMATOLOGY, LLC WESTMINSTER MD $118K
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
INTEGRATED DERMATOLOGY OF CLINTON, LLC CLINTON CT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 382 $8K
2019 350 $4K
2020 132 $2K
2021 317 $6K
2022 123 $4K
2023 153 $3K
2024 276 $20K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 393 283 $17K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 973 624 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 98 95 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 194 114 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 75 63 $1K