Physician
LP Derm LLC
LP Derm LLC was paid $4K by Medicaid between Aug 2023 and Oct 2024, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoLP DERM LLC
PROVIDENCE, UT 84332
PROVIDENCE, UT 84332
33aNPI1538875786assigned 01/30/2023
33bProvider typeMOHS-Micrographic Surgery Physician
28Total paid$4K
24GClaims49
24DCodes billed1
24AFirst – last monthAug 2023 – Oct 2024
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 | |
|---|---|---|---|
| 2023 | 13 | $736.32 | |
| 2024incomplete | 36 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 100% | 49 | 49 | $4K |
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 officialMAUGHAN, CORY (OWNER)
Parent organizationLP DERM LLC