Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Shelby Twp. › NPI 1265645535
Physician

Academic Dermatology & Cosmetic Surgery Center, PLLC

Academic Dermatology & Cosmetic Surgery Center, PLLC was paid $1.93M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoACADEMIC DERMATOLOGY & COSMETIC SURGERY CENTER, PLLC
SHELBY TWP., MI 48315
33aNPI1265645535assigned 05/07/2007
28Total paid$1.93M
24GClaims36,880
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other MOHS-Micrographic Surgery Physician providers in Michigan

Rank by total paid#2 of 16
Median peer was paid$65K
This provider vs. median29×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20186,015$268K
20195,505$256K
20204,965$226K
20216,201$356K
20225,132$314K
20234,716$286K
2024incomplete4,346$221K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 8,796 8,258 $391K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19% 5,389 5,095 $374K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11% 2,298 2,294 $216K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11% 3,459 3,435 $207K
10040 8.1% 2,480 2,439 $156K
17110 7.9% 2,409 2,063 $152K
88305 Level IV - Surgical pathology, gross and microscopic examination 7.7% 2,562 2,465 $148K
11102 5.0% 1,870 1,834 $96K
17111 4.3% 1,148 1,021 $83K
11900 1.8% 1,280 1,221 $34K
11100 1.0% 393 376 $20K
11103 1.0% 423 417 $19K
8 more codes
81025 <1% 1,481 $10K
17000 <1% 254 $9K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 2,215 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 154 $2K
11901 <1% 42 $2K
11101 <1% 86 $2K
17003 <1% 115 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 26 $233.24

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 officialSANDLER, BRIAN (OWNER)