Medicaid Provider Spending

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

INTEGRATED DERMATOLOGY OF PONCHATOULA, LLC

NPI: 1508234600 · PONCHATOULA, LA 70454 · Dermatology Physician · NPI assigned 09/04/2015

$3.39M
Total Medicaid Paid
80,104
Total Claims
69,489
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialQUEEN, JEFFREY (MANAGER)
NPI Enumeration Date09/04/2015

Related Entities

Other providers sharing the same authorized official: QUEEN, JEFFREY

ProviderCityStateTotal Paid
INTEGRATED DERMATOLOGY OF COLUMBUS LLC COLUMBUS OH $341K
WESTMINSTER DERMATOLOGY, LLC WESTMINSTER MD $118K
INTEGRATED DERMATOLOGY OF GLOUCESTER, LLC GLOUCESTER VA $90K
INTEGRATED DERMATOLOGY OF ENFIELD, LLC SIMSBURY CT $72K
INTEGRATED DERMATOLOGY OF GROTON LLC GROTON CT $62K
ON SITE DERMATOLOGY LLC BOCA RATON FL $58K
SANFORD DERMATOLOGY PLLC SANFORD NC $48K
INTEGRATED DERMATOLOGY OF CLINTON, LLC CLINTON CT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,782 $408K
2019 10,132 $464K
2020 10,566 $467K
2021 10,686 $434K
2022 11,626 $453K
2023 15,125 $613K
2024 13,187 $551K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 29,373 25,323 $1.31M
17110 13,706 11,205 $685K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 11,298 10,622 $556K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,170 15,011 $524K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,086 1,922 $154K
11102 2,569 2,113 $99K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,099 950 $19K
11100 324 299 $12K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 350 328 $12K
81025 1,554 1,280 $7K
11900 128 119 $3K
17000 222 160 $3K
17311 21 13 $2K
17111 19 17 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 154 102 $527.21
11103 14 13 $399.04
17003 17 12 $70.37