EVERGREEN DERMATOLOGY GROUP PLLC
NPI: 1497269989
· HOUSTON, TX 77084
· 207ND0101X
$242K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$289.81 |
| 2020 |
1,819 |
$111K |
| 2021 |
2,157 |
$131K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
621 |
591 |
$49K |
| 17110 |
|
563 |
438 |
$46K |
| 99203 |
|
762 |
750 |
$41K |
| 99243 |
|
464 |
464 |
$40K |
| 99213 |
|
824 |
718 |
$25K |
| 99214 |
|
391 |
366 |
$17K |
| 17111 |
|
117 |
85 |
$12K |
| 11102 |
|
157 |
148 |
$11K |
| 11900 |
|
43 |
38 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
47 |
42 |
$117.77 |