Physician
Epiphany Dermatology of New Mexico, LLC
Epiphany Dermatology of New Mexico, LLC was paid $6.31M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoEPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
ALBUQUERQUE, NM 87111
ALBUQUERQUE, NM 87111
33aNPI1447615760assigned 12/31/2015
33bProvider typeDermatology Physician
28Total paid$6.31M
24GClaims75,708
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in New Mexico
Rank by total paid#1 of 11
Median peer was paid$67K
This provider vs. median94×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PUSTA, GHEORGHE controls 11+ related entities in our dataset. Read more
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 | 3,304 | $186K | |
| 2019 | 5,212 | $318K | |
| 2020 | 9,459 | $662K | |
| 2021 | 13,964 | $981K | |
| 2022 | 15,172 | $1.17M | |
| 2023 | 14,223 | $1.34M | |
| 2024incomplete | 14,374 | $1.66M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 35% | 20,725 | 20,321 | $2.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 23,847 | 23,155 | $1.51M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 9,700 | 9,542 | $903K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 4,165 | 4,096 | $671K |
| 11102 | 5.5% | 4,710 | 4,577 | $347K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.4% | 4,458 | 4,395 | $280K |
| 17110 | 3.4% | 2,462 | 2,349 | $216K | |
| 17311 | <1% | 207 | 181 | $49K | |
| 17000 | <1% | 1,264 | 1,199 | $42K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 944 | 918 | $35K |
| 81025 | <1% | 2,102 | 2,068 | $18K | |
| 11100 | <1% | 204 | 192 | $12K |
10 more codes
| 11103 | <1% | 106 | $7K | |
| 99201 | <1% | 131 | $5K | |
| 17003 | <1% | 254 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 101 | $2K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 41 | $2K |
| 11900 | <1% | 30 | $1K | |
| 11200 | <1% | 12 | $454.69 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 183 | $446.48 |
| 11101 | <1% | 13 | $426.67 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 49 | $144.37 |
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 officialPUSTA, GHEORGHE (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Epiphany Dermatology PA | Waco, TX | $7.52M |
| Epiphany Dermatology of Oklahoma, LLC | Tulsa, OK | $424K |
| Epiphany Dermatology of Colorado, LLC | Denver, CO | $350K |
| Epiphany Dermatology of Iowa, PLC | Cedar Rapids, IA | $166K |
| Epiphany Dermatology of Montana, PLLC | Butte, MT | $88K |
| Epiphany Dermatology of Maryland PA | Bethesda, MD | $54K |
| Epiphany Dermatology of Colorado, LLC | Grand Junction, CO | $40K |
| Epiphany Dermatology of Minnesota, LLC | Albert Lea, MN | $9K |
| Epiphany Dermatology of Arizona, LLC | Peoria, AZ | $6K |
| West Valley Dermatology | Salt Lake City, UT | $4K |
| Epiphany Dermatology of Oregon, LLC | Portland, OR | $80.85 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.