Physician
Rational Dermatology, PC
Rational Dermatology, PC was paid $12K by Medicaid between Jan 2018 and Aug 2022, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.
33Billing provider infoRATIONAL DERMATOLOGY, PC
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
33aNPI1548592363assigned 02/03/2010
33bProvider typeDermatology Physician
28Total paid$12K
24GClaims425
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Dermatology Physician providers in Colorado
Rank by total paid#23 of 36
Median peer was paid$40K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2018 | 135 | $6K | |
| 2019 | 97 | $5K | |
| 2020 | 13 | $0.00 | |
| 2021 | 102 | $526.26 | |
| 2022 | 78 | $482.82 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 86% | 215 | 191 | $10K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 14% | 43 | 38 | $2K |
| 99072 | <1% | 167 | 147 | $42.00 |
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 officialANDERSON, REAGAN (PRESIDENT)