DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC
NPI: 1215460290
· FORT COLLINS, CO 80524
· 261QM2500X
$1.26M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,188 |
$83K |
| 2019 |
891 |
$66K |
| 2020 |
1,029 |
$80K |
| 2021 |
2,484 |
$175K |
| 2022 |
3,785 |
$244K |
| 2023 |
4,176 |
$268K |
| 2024 |
4,704 |
$347K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
4,282 |
4,067 |
$379K |
| 99203 |
|
3,575 |
3,459 |
$320K |
| 99213 |
|
4,555 |
4,270 |
$273K |
| 99204 |
|
995 |
944 |
$129K |
| 11102 |
|
1,475 |
1,381 |
$73K |
| 17110 |
|
1,205 |
1,114 |
$33K |
| 99202 |
|
404 |
389 |
$23K |
| 17000 |
|
635 |
564 |
$20K |
| 11900 |
|
229 |
217 |
$5K |
| 17003 |
|
192 |
170 |
$3K |
| 11103 |
|
49 |
48 |
$1K |
| 11100 |
|
79 |
70 |
$1K |
| 99212 |
|
31 |
28 |
$1K |
| 81025 |
|
101 |
97 |
$838.08 |
| J3301 |
Triamcinolone acet inj nos |
394 |
377 |
$605.35 |
| 96372 |
|
16 |
13 |
$230.00 |
| 99211 |
|
12 |
12 |
$198.14 |
| 11200 |
|
16 |
13 |
$98.17 |
| 99024 |
|
12 |
12 |
$0.00 |