Medicaid Provider Spending

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

SUMMERSVILLE SKIN CARE CENTER INC

NPI: 1346316395 · SUMMERSVILLE, WV 26651 · Nurse Practitioner · NPI assigned 11/28/2006

$98K
Total Medicaid Paid
2,418
Total Claims
2,203
Beneficiaries
9
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLUCKY, DELORES (NURSE PRACTITIONER)
NPI Enumeration Date11/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 546 $18K
2019 275 $12K
2020 497 $21K
2021 653 $25K
2022 202 $12K
2023 148 $6K
2024 97 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,619 1,463 $65K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 333 310 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 107 99 $8K
99201 167 155 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 57 50 $3K
17110 42 40 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 66 61 $2K
17000 15 13 $175.93
99000 12 12 $0.00