SAN DIEGO DERMATOLOGY PARTNERS APC
NPI: 1396304986
· LA MESA, CA 91942
· Dermatology Physician
· NPI assigned 06/07/2019
$188K
Total Medicaid Paid
Provider Details
| Authorized Official | FERAMISCO, JAMISON (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 06/07/2019 |
Related Entities
Other providers sharing the same authorized official: FERAMISCO, JAMISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,035 |
$47K |
| 2023 |
2,563 |
$118K |
| 2024 |
1,137 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 17110 |
|
621 |
565 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
898 |
782 |
$32K |
| 96910 |
|
1,662 |
290 |
$31K |
| 17000 |
|
504 |
454 |
$24K |
| 97597 |
|
318 |
267 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
181 |
181 |
$12K |
| 99349 |
|
222 |
163 |
$10K |
| 11200 |
|
248 |
226 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
46 |
$1K |
| 99336 |
|
20 |
14 |
$846.00 |
| 99305 |
|
13 |
13 |
$562.80 |