Physician
Bold City Dermatology LLC
Bold City Dermatology LLC was paid $0.00 by Medicaid between Apr 2022 and Jan 2023, across 3 billing codes. Its largest line is 17110, — 0% of everything it billed.
33Billing provider infoBOLD CITY DERMATOLOGY LLC
ST AUGUSTINE, FL 32095
ST AUGUSTINE, FL 32095
33aNPI1538761655assigned 11/13/2020
33bProvider typeDermatology Physician
28Total paid$0.00
24GClaims352
24DCodes billed3
24AFirst – last monthApr 2022 – Jan 2023
Compared with peers
Next to other Dermatology Physician providers in Florida
Rank by total paid#115 of 135
Median peer was paid$7K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 304 | $0.00 | |
| 2023 | 48 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 17110 | 0% | 27 | 14 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 0% | 14 | 13 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 311 | 122 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAL DABAGH, BISHR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Fora Dermatology PLLC | Mooresville, NC | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.