Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FAIRMONT DERMATOLOGY MEDICAL ASSOCIATES INC

NPI: 1477729291 · LODI, CA 95242 · Dermatology Physician · NPI assigned 05/01/2008

$155K
Total Medicaid Paid
3,871
Total Claims
3,710
Beneficiaries
13
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialKHOURDAJI, ABDALLAH (PRESIDENT)
Parent OrganizationFAIRMONT DERMATLOGY MEDICAL ASSOCIATES INC
NPI Enumeration Date05/01/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,553 $66K
2019 1,446 $67K
2020 442 $11K
2021 430 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,016 1,950 $65K
17311 41 39 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 626 561 $16K
17000 280 271 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 114 114 $7K
17110 82 79 $7K
17312 16 12 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 276 271 $5K
11102 73 72 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 106 104 $4K
11100 90 90 $3K
11900 48 46 $1K
17003 103 101 $1K