ADVANCED DERMATOLOGY & SKIN CANCER CENTER, LLC
NPI: 1245426162
· FAYETTEVILLE, AR 72703
· Clinic/Center
· NPI assigned 09/25/2007
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | HENRY, LANCE (DIRECTOR) |
| NPI Enumeration Date | 09/25/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
239 |
$7K |
| 2019 |
668 |
$18K |
| 2020 |
357 |
$6K |
| 2021 |
361 |
$12K |
| 2022 |
591 |
$24K |
| 2023 |
704 |
$35K |
| 2024 |
391 |
$18K |
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 |
1,919 |
1,604 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
415 |
345 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
371 |
310 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
164 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
237 |
206 |
$7K |
| 17110 |
|
171 |
131 |
$4K |