MISMO DERMATOLOGY GROUP APC
NPI: 1306405998
· SAN DIEGO, CA 92119
· 207N00000X
$479K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,212 |
$41K |
| 2022 |
7,801 |
$90K |
| 2023 |
20,496 |
$182K |
| 2024 |
14,126 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96910 |
|
26,536 |
5,199 |
$226K |
| 17000 |
|
3,054 |
2,775 |
$42K |
| 99336 |
|
1,623 |
1,193 |
$39K |
| 99349 |
|
2,697 |
2,011 |
$38K |
| 99305 |
|
1,457 |
1,452 |
$26K |
| 17110 |
|
1,487 |
1,370 |
$25K |
| 97597 |
|
1,623 |
1,147 |
$20K |
| 99309 |
|
1,706 |
1,193 |
$16K |
| 11042 |
|
705 |
388 |
$9K |
| 99214 |
|
209 |
181 |
$7K |
| 99490 |
Ccm add 20min |
658 |
658 |
$6K |
| 99348 |
|
1,137 |
1,031 |
$6K |
| 99335 |
|
450 |
423 |
$5K |
| 99204 |
|
29 |
29 |
$2K |
| 11043 |
|
92 |
42 |
$2K |
| 99350 |
Prolong home eval add 15m |
116 |
88 |
$2K |
| 99439 |
|
272 |
272 |
$2K |
| 99213 |
|
77 |
73 |
$2K |
| 17003 |
|
925 |
839 |
$1K |
| 99308 |
|
330 |
292 |
$1K |
| 11200 |
|
188 |
160 |
$1K |
| 99347 |
|
116 |
110 |
$588.85 |
| 17004 |
|
26 |
25 |
$458.82 |
| 99306 |
Prolong nursin fac eval 15m |
12 |
12 |
$365.45 |
| 99307 |
|
34 |
29 |
$107.24 |
| 99310 |
Prolong nursin fac eval 15m |
24 |
13 |
$94.99 |
| 99304 |
|
40 |
39 |
$91.43 |
| 99344 |
|
12 |
12 |
$0.00 |