Physician
State Wide Dermatology LLC
State Wide Dermatology LLC was paid $361K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 60% of everything it billed.
33Billing provider infoSTATE WIDE DERMATOLOGY LLC
ODESSA, FL 33556
ODESSA, FL 33556
33aNPI1427473073assigned 02/19/2014
33bProvider typeDermatology Physician
28Total paid$361K
24GClaims47,444
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in Florida
Rank by total paid#17 of 135
Median peer was paid$7K
This provider vs. median50×
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 | |
|---|---|---|---|
| 2018 | 2,842 | $3K | |
| 2019 | 6,836 | $21K | |
| 2020 | 3,763 | $21K | |
| 2021 | 7,442 | $44K | |
| 2022 | 9,246 | $66K | |
| 2023 | 10,730 | $164K | |
| 2024incomplete | 6,585 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99310 | Prolong nursin fac eval 15m | 60% | 19,123 | 11,080 | $217K |
| 99337 | 9.6% | 2,570 | 1,517 | $35K | |
| 99349 | 8.8% | 2,842 | 1,880 | $32K | |
| 99336 | 7.0% | 3,013 | 1,847 | $25K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.8% | 6,858 | 4,181 | $21K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.7% | 6,216 | 3,795 | $17K |
| 17000 | 2.9% | 5,106 | 3,023 | $10K | |
| 17110 | <1% | 441 | 256 | $2K | |
| 99307 | <1% | 315 | 183 | $1K | |
| 17003 | <1% | 687 | 440 | $421.05 | |
| 11102 | <1% | 129 | 90 | $297.87 | |
| 99335 | <1% | 97 | 91 | $235.79 |
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 officialHARRELL, KATHLEEN (OWNER)