Medicaid Provider Spending

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

SOUTH LYON DERMATOLOGY, PC

NPI: 1407233323 · SOUTH LYON, MI 48178 · Dermatology Physician · NPI assigned 04/29/2015

$55K
Total Medicaid Paid
1,210
Total Claims
1,173
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCLAY, ANGELA (AUTHORIZED REP/OWNER)
NPI Enumeration Date04/29/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 328 $14K
2019 358 $15K
2020 146 $6K
2021 103 $5K
2022 125 $6K
2023 124 $6K
2024 26 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 962 940 $42K
17110 127 112 $8K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 109 109 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $727.44