Medicaid Provider Spending

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

COASTAL MEDICAL AND COSMETIC DERMATOLOGY INC

NPI: 1346488004 · LA JOLLA, CA 92037 · Dermatology Physician · NPI assigned 02/03/2009

$1K
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2020-09
First Month
2020-09
Last Month

Provider Details

Authorized OfficialGONZALES, DARRELL (OWNER, PRESIDENT, CFO)
NPI Enumeration Date02/03/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K