DERMATOLOGY SPA MED INC
NPI: 1356094676
· PISMO BEACH, CA 93449
· 207N00000X
$181K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,374 |
$44K |
| 2023 |
3,391 |
$102K |
| 2024 |
915 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,795 |
2,686 |
$61K |
| 99203 |
|
643 |
643 |
$34K |
| 99214 |
|
827 |
822 |
$31K |
| 17110 |
|
282 |
176 |
$26K |
| 99204 |
|
191 |
191 |
$12K |
| 99212 |
|
548 |
461 |
$9K |
| 17000 |
|
171 |
168 |
$5K |
| 99202 |
|
59 |
59 |
$2K |
| 11900 |
|
40 |
40 |
$612.41 |
| 11300 |
|
33 |
27 |
$581.50 |
| 17003 |
|
52 |
51 |
$362.08 |
| J3301 |
Triamcinolone acet inj nos |
39 |
39 |
$192.56 |