Medicaid Provider Spending

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

LAKESHORE DERM & LASER CENTER PLC

NPI: 1538209945 · NORTON SHORES, MI 49444 · Procedural Dermatology Physician · NPI assigned 02/07/2007

$114K
Total Medicaid Paid
2,679
Total Claims
2,551
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialVAN ITTERSUM, JASON (OWNER)
NPI Enumeration Date02/07/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 377 $15K
2019 368 $15K
2020 467 $13K
2021 569 $22K
2022 406 $22K
2023 420 $22K
2024 72 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,577 1,545 $85K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 599 583 $20K
88305 Level IV - Surgical pathology, gross and microscopic examination 227 222 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $556.29
17000 12 12 $116.07
99072 252 177 $0.00