NP / PA
Advanced Clinical Dermatology, PSC
Advanced Clinical Dermatology, PSC was paid $2.09M by Medicaid between Jan 2018 and May 2021, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoADVANCED CLINICAL DERMATOLOGY, PSC
LEXINGTON, KY 40504
LEXINGTON, KY 40504
33aNPI1558553560assigned 08/14/2007
33bProvider typeMedical Physician Assistant
28Total paid$2.09M
24GClaims59,542
24DCodes billed26
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Medical Physician Assistant providers in Kentucky
Rank by total paid#10 of 45
Median peer was paid$258K
This provider vs. median8.1×
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 | 23,277 | $872K | |
| 2019 | 24,773 | $824K | |
| 2020 | 10,781 | $371K | |
| 2021 | 711 | $25K |
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 | 29% | 20,798 | 18,632 | $596K |
| 99243 | 18% | 6,002 | 5,292 | $382K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 15% | 6,694 | 5,757 | $304K |
| 88342 | 6.3% | 2,663 | 2,379 | $131K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.7% | 3,169 | 2,441 | $120K |
| 99242 | 5.7% | 2,375 | 2,176 | $119K | |
| 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 | 5.6% | 2,729 | 2,367 | $117K |
| 17110 | 4.6% | 5,507 | 4,495 | $96K | |
| 11102 | 3.0% | 1,519 | 1,252 | $63K | |
| 17000 | 1.6% | 2,150 | 1,561 | $34K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.3% | 960 | 789 | $28K |
| 88312 | 1.2% | 729 | 656 | $25K |
14 more codes
| 11100 | <1% | 838 | $17K | |
| 11300 | <1% | 1,343 | $16K | |
| 12032 | <1% | 207 | $15K | |
| 17003 | <1% | 893 | $13K | |
| 11301 | <1% | 258 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 141 | $3K |
| 11103 | <1% | 73 | $2K | |
| 11101 | <1% | 105 | $2K | |
| 96910 | <1% | 137 | $1K | |
| 11310 | <1% | 70 | $1K | |
| 88304 | <1% | 85 | $573.38 | |
| 11305 | <1% | 23 | $336.29 | |
| 11900 | <1% | 15 | $222.86 | |
| 99024 | 0% | 59 | $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 officialCARTER, LEIGH (PRESIDENT/DERMATOLOGIST)