Medicaid Provider Spending

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

CENTRAL UTAH DERMATOLOGY

NPI: 1245863893 · RICHFIELD, UT 84701 · Dermatology Physician · NPI assigned 02/21/2020

$136K
Total Medicaid Paid
2,040
Total Claims
1,898
Beneficiaries
5
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTINAJERO, SEALTIEL (PRESIDENT)
NPI Enumeration Date02/21/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 75 $5K
2021 435 $28K
2022 541 $40K
2023 504 $31K
2024 485 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,284 1,193 $76K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 673 625 $56K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 56 54 $3K
11102 15 14 $777.42
88305 Level IV - Surgical pathology, gross and microscopic examination 12 12 $56.60