PARK AVENUE DERMATOLOGY PA
NPI: 1205871001
· ORANGE PARK, FL 32073
· MOHS-Micrographic Surgery Physician
· NPI assigned 06/17/2006
$1.25M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,073 |
$225K |
| 2020 |
2,895 |
$235K |
| 2021 |
3,988 |
$343K |
| 2022 |
2,594 |
$191K |
| 2023 |
3,036 |
$222K |
| 2024 |
804 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96920 |
|
3,078 |
680 |
$362K |
| 96910 |
|
3,674 |
635 |
$318K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,766 |
2,640 |
$232K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,456 |
5,227 |
$210K |
| 10040 |
|
882 |
830 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
467 |
455 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$6K |
| 11102 |
|
15 |
15 |
$1K |
| 17110 |
|
12 |
12 |
$472.45 |