Regional Dermatology PLLC

Regional Dermatology PLLC was paid $118K by Medicaid between Feb 2018 and Mar 2022, across 4 billing codes. Its largest line is 17311, — 87% of everything it billed.

33Billing provider infoREGIONAL DERMATOLOGY PLLC
LEXINGTON, KY 40513

33aNPI1255851200assigned 06/21/2017

33bProvider typeDermatopathology Physician

28Total paid$118K

24GClaims891

24DCodes billed4

24AFirst – last monthFeb 2018 – Mar 2022

Compared with peers

Next to other Dermatopathology Physician providers in Kentucky

Rank by total paid#3 of 7

Median peer was paid$68K

This provider vs. median1.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	365	$39K
2019	336	$50K
2020	164	$27K
2021	14	$557.35
2022	12	$703.46

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
17311		87%	433	361	$103K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	9.3%	311	283	$11K
88305	Level IV - Surgical pathology, gross and microscopic examination	2.5%	121	99	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.1%	26	24	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPRUDEN, SAMUEL (PRESIDENT)