SNAKE RIVER DERMATOLOGY, PA
NPI: 1528263670
· FRUITLAND, ID 83619
· Dermatology Physician
· NPI assigned 06/19/2007
$268K
Total Medicaid Paid
Provider Details
| Authorized Official | ANDERSEN, BROCK (PRINCIPAL OFFICER) |
| NPI Enumeration Date | 06/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,627 |
$57K |
| 2019 |
1,521 |
$63K |
| 2020 |
1,000 |
$47K |
| 2021 |
908 |
$41K |
| 2022 |
913 |
$44K |
| 2023 |
261 |
$12K |
| 2024 |
87 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,661 |
3,282 |
$158K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
844 |
790 |
$54K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
508 |
445 |
$21K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
779 |
682 |
$19K |
| 11100 |
|
134 |
110 |
$5K |
| 17110 |
|
81 |
72 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
172 |
142 |
$4K |
| 11102 |
|
29 |
24 |
$1K |
| 17000 |
|
80 |
64 |
$1K |
| 17003 |
|
15 |
12 |
$112.69 |
| 0753T |
|
14 |
12 |
$2.04 |