SUBURBAN DERMATOLOGY LLC
NPI: 1528333432
· KOKOMO, IN 46902
· Dermatology Physician
· NPI assigned 03/12/2012
$364K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
658 |
$22K |
| 2019 |
1,147 |
$56K |
| 2020 |
734 |
$40K |
| 2021 |
1,043 |
$68K |
| 2022 |
718 |
$50K |
| 2023 |
819 |
$57K |
| 2024 |
816 |
$72K |
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 |
2,600 |
2,255 |
$119K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,708 |
1,424 |
$103K |
| 99215 |
Prolong outpt/office vis |
608 |
557 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
721 |
656 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
98 |
$14K |
| 17110 |
|
174 |
136 |
$10K |
| 17000 |
|
12 |
12 |
$369.32 |