SOUTHSIDE DERMATOLOGY PLLC
NPI: 1205586500
· MUSKOGEE, OK 74401
· Dermatology Physician
· NPI assigned 03/28/2022
$433K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: FISCHER, ALISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
605 |
$62K |
| 2023 |
1,957 |
$197K |
| 2024 |
1,797 |
$175K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,605 |
1,584 |
$162K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,003 |
1,003 |
$136K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
792 |
790 |
$70K |
| 11102 |
|
477 |
469 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
413 |
408 |
$28K |
| 11103 |
|
69 |
67 |
$4K |