DEARBORN ALLERGY & ASTHMA CLINIC PC
NPI: 1477545200
· DEARBORN, MI 48124
· Clinical & Laboratory Immunology (Allergy & Immunology) Physician
· NPI assigned 08/18/2005
$137K
Total Medicaid Paid
3,449
Beneficiary Records
Provider Details
| Authorized Official | SHORT, KATHY (OFFICE MANAGER) |
| NPI Enumeration Date | 08/18/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
945 |
$26K |
| 2019 |
1,286 |
$45K |
| 2020 |
839 |
$25K |
| 2021 |
896 |
$30K |
| 2022 |
418 |
$7K |
| 2023 |
347 |
$3K |
| 2024 |
161 |
$1K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
815 |
783 |
$51K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
421 |
412 |
$36K |
| 95117 |
|
2,795 |
1,418 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
368 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
136 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$4K |
| 94010 |
|
194 |
193 |
$4K |
| 95024 |
|
12 |
12 |
$410.40 |
| 95012 |
|
12 |
12 |
$135.48 |
| 99072 |
|
45 |
42 |
$0.00 |
| 3008F |
|
30 |
30 |
$0.00 |