STATE WIDE DERMATOLOGY LLC
NPI: 1427473073
· ODESSA, FL 33556
· Dermatology Physician
· NPI assigned 02/19/2014
$361K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,842 |
$3K |
| 2019 |
6,836 |
$21K |
| 2020 |
3,763 |
$21K |
| 2021 |
7,442 |
$44K |
| 2022 |
9,246 |
$66K |
| 2023 |
10,730 |
$164K |
| 2024 |
6,585 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99310 |
Prolong nursin fac eval 15m |
19,123 |
11,080 |
$217K |
| 99337 |
|
2,570 |
1,517 |
$35K |
| 99349 |
|
2,842 |
1,880 |
$32K |
| 99336 |
|
3,013 |
1,847 |
$25K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,858 |
4,181 |
$21K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
6,216 |
3,795 |
$17K |
| 17000 |
|
5,106 |
3,023 |
$10K |
| 17110 |
|
441 |
256 |
$2K |
| 99307 |
|
315 |
183 |
$1K |
| 17003 |
|
687 |
440 |
$421.05 |
| 11102 |
|
129 |
90 |
$297.87 |
| 99335 |
|
97 |
91 |
$235.79 |
| 99350 |
Prolong home eval add 15m |
16 |
13 |
$8.89 |
| 11100 |
|
31 |
28 |
$6.55 |