Medicaid Provider Spending

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

DERMATOLOGY SPA MED INC

NPI: 1356094676 · PISMO BEACH, CA 93449 · Dermatology Physician · NPI assigned 01/27/2022

$181K
Total Medicaid Paid
5,680
Total Claims
5,363
Beneficiaries
12
Codes Billed
2022-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCABEZZAS, NOEL (CEO)
NPI Enumeration Date01/27/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,374 $44K
2023 3,391 $102K
2024 915 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,795 2,686 $61K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 643 643 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 827 822 $31K
17110 282 176 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 191 191 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 548 461 $9K
17000 171 168 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 59 59 $2K
11900 40 40 $612.41
11300 33 27 $581.50
17003 52 51 $362.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 39 39 $192.56