Dermatology Spa Med INC

Dermatology Spa Med INC was paid $181K by Medicaid between Sep 2022 and Oct 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoDERMATOLOGY SPA MED INC
PISMO BEACH, CA 93449

33aNPI1356094676assigned 01/27/2022

33bProvider typeDermatology Physician

28Total paid$181K

24GClaims5,680

24DCodes billed12

24AFirst – last monthSep 2022 – Oct 2024

Compared with peers

Next to other Dermatology Physician providers in California

Rank by total paid#59 of 187

Median peer was paid$26K

This provider vs. median6.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2022	1,374	$44K
2023	3,391	$102K
2024incomplete	915	$36K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	2,795	2,686	$61K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	18%	643	643	$34K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17%	827	822	$31K
17110		15%	282	176	$26K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	6.4%	191	191	$12K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.9%	548	461	$9K
17000		3.0%	171	168	$5K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.0%	59	59	$2K
11900		<1%	40	40	$612.41
11300		<1%	33	27	$581.50
17003		<1%	52	51	$362.08
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	39	39	$192.56

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCABEZZAS, NOEL (CEO)