FRED F. SOEPRONO, M.D., INC.
NPI: 1346441276
· REDLANDS, CA 92373
· Dermatology Physician
· NPI assigned 05/29/2007
$435K
Total Medicaid Paid
Provider Details
| Authorized Official | DAWOOD, RONNIE (PHYSICIAN) |
| NPI Enumeration Date | 05/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,117 |
$91K |
| 2019 |
2,456 |
$111K |
| 2020 |
1,482 |
$54K |
| 2021 |
1,098 |
$41K |
| 2022 |
1,148 |
$56K |
| 2023 |
657 |
$31K |
| 2024 |
841 |
$51K |
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 |
4,972 |
4,886 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,200 |
2,170 |
$102K |
| 17111 |
|
480 |
476 |
$58K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
867 |
821 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
759 |
759 |
$43K |
| 17110 |
|
325 |
312 |
$32K |
| 99205 |
Prolong outpt/office vis |
92 |
92 |
$12K |
| 17999 |
|
55 |
54 |
$8K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$737.20 |
| 11901 |
|
12 |
12 |
$364.24 |
| 81025 |
|
24 |
24 |
$77.43 |