Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN DERMATOLOGY CENTER, PC

NPI: 1336172634 · DECATUR, AL 35603 · Dermatology Physician · NPI assigned 07/09/2006

$25K
Total Medicaid Paid
659
Total Claims
587
Beneficiaries
6
Codes Billed
2019-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMANCUSO, ANGELO (OWNER)
NPI Enumeration Date07/09/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 111 $2K
2020 77 $2K
2021 54 $2K
2022 165 $7K
2023 211 $10K
2024 41 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 314 277 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 130 122 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 109 96 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 45 41 $1K
99241 48 38 $1K
99243 13 13 $734.00