Medicaid Provider Spending

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

EVERGREEN DERMATOLOGY GROUP PLLC

NPI: 1497269989 · HOUSTON, TX 77084 · MOHS-Micrographic Surgery Physician · NPI assigned 11/21/2017

$242K
Total Medicaid Paid
3,989
Total Claims
3,640
Beneficiaries
10
Codes Billed
2019-07
First Month
2021-06
Last Month

Provider Details

Authorized OfficialLIN, ROBERT (OWNER)
NPI Enumeration Date11/21/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $289.81
2020 1,819 $111K
2021 2,157 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 621 591 $49K
17110 563 438 $46K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 762 750 $41K
99243 464 464 $40K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 824 718 $25K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 391 366 $17K
17111 117 85 $12K
11102 157 148 $11K
11900 43 38 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 47 42 $117.77