Physician
Fairmont Dermatology Medical Associates INC
Fairmont Dermatology Medical Associates INC was paid $155K by Medicaid between Jan 2018 and Nov 2021, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoFAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC
LODI, CA 95242
LODI, CA 95242
33aNPI1477729291assigned 05/01/2008
33bProvider typeDermatology Physician
28Total paid$155K
24GClaims3,871
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Dermatology Physician providers in California
Rank by total paid#60 of 187
Median peer was paid$26K
This provider vs. median5.9×
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 | 1,553 | $66K | |
| 2019 | 1,446 | $67K | |
| 2020 | 442 | $11K | |
| 2021 | 430 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 2,016 | 1,950 | $65K |
| 17311 | 17% | 41 | 39 | $27K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 626 | 561 | $16K |
| 17000 | 5.3% | 280 | 271 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 114 | 114 | $7K |
| 17110 | 4.6% | 82 | 79 | $7K | |
| 17312 | 3.7% | 16 | 12 | $6K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 3.4% | 276 | 271 | $5K |
| 11102 | 2.9% | 73 | 72 | $4K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.4% | 106 | 104 | $4K |
| 11100 | 2.1% | 90 | 90 | $3K | |
| 11900 | <1% | 48 | 46 | $1K |
1 more codes
| 17003 | <1% | 103 | $1K |
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 officialKHOURDAJI, ABDALLAH (PRESIDENT)
Parent organizationFAIRMONT DERMATLOGY MEDICAL ASSOCIATES INC