RENEW FAMILY DERMATOLOGY LLC
NPI: 1275198913
· FORT PAYNE, AL 35968
· Medical Specialty Clinic/Center
· NPI assigned 05/08/2019
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | MASON, PAM (MANAGER) |
| NPI Enumeration Date | 05/08/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
88 |
$4K |
| 2020 |
638 |
$30K |
| 2021 |
350 |
$16K |
| 2022 |
481 |
$20K |
| 2023 |
585 |
$23K |
| 2024 |
342 |
$13K |
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 |
1,359 |
1,282 |
$48K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
585 |
562 |
$36K |
| 17110 |
|
237 |
234 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
163 |
160 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
137 |
$3K |