Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Mismo Dermatology Group Apc

Mismo Dermatology Group Apc was paid $479K by Medicaid between Mar 2021 and Nov 2024, across 28 billing codes. Its largest line is 96910, — 47% of everything it billed.

33Billing provider infoMISMO DERMATOLOGY GROUP APC
SAN DIEGO, CA 92119
33aNPI1306405998assigned 06/07/2019
33bProvider typeDermatology Physician
28Total paid$479K
24GClaims45,635
24DCodes billed28
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers

Next to other Dermatology Physician providers in California

Rank by total paid#44 of 187
Median peer was paid$26K
This provider vs. median18×

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
20213,212$41K
20227,801$90K
202320,496$182K
2024incomplete14,126$166K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96910 47% 26,536 5,199 $226K
17000 8.8% 3,054 2,775 $42K
99336 8.1% 1,623 1,193 $39K
99349 7.9% 2,697 2,011 $38K
99305 5.4% 1,457 1,452 $26K
17110 5.2% 1,487 1,370 $25K
97597 4.1% 1,623 1,147 $20K
99309 Subsequent nursing facility care, per day, low to moderate complexity 3.4% 1,706 1,193 $16K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.9% 705 388 $9K
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 1.5% 209 181 $7K
99490 Ccm add 20min 1.3% 658 658 $6K
99348 1.2% 1,137 1,031 $6K
16 more codes
99335 <1% 450 $5K
99204 Doctor's office visit, new patient (more involved) <1% 29 $2K
11043 <1% 92 $2K
99350 Prolong home eval add 15m <1% 116 $2K
99439 <1% 272 $2K
99213 Doctor's office visit, returning patient (routine) <1% 77 $2K
17003 <1% 925 $1K
99308 Subsequent nursing facility care, per day, straightforward <1% 330 $1K
11200 <1% 188 $1K
99347 <1% 116 $588.85
17004 <1% 26 $458.82
99306 Prolong nursin fac eval 15m <1% 12 $365.45
99307 <1% 34 $107.24
99310 Prolong nursin fac eval 15m <1% 24 $94.99
99304 <1% 40 $91.43
99344 0% 12 $0.00

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 officialSPRINGE, STEVE (PRACTICE ADMINISTRATOR)