Medicaid Provider Spending

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

THEO MEDICAL DERMATOLOGY, LLC

NPI: 1558707588 · APOPKA, FL 32703 · Dermatology Physician · NPI assigned 05/16/2013

$432K
Total Medicaid Paid
123,195
Total Claims
57,163
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHEODOSATOS, ATHENA (OWNER)
NPI Enumeration Date05/16/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,538 $611.58
2019 21,697 $70K
2020 29,573 $100K
2021 22,791 $150K
2022 11,956 $49K
2023 19,035 $37K
2024 14,605 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 50,414 26,294 $192K
77280 8,662 1,598 $56K
99308 Subsequent nursing facility care, per day, straightforward 18,156 10,000 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,493 1,909 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,370 605 $24K
99336 3,162 1,488 $18K
11102 3,296 2,094 $16K
99305 2,442 1,714 $16K
17000 5,519 3,141 $13K
Q4197 Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure) 137 24 $3K
77401 8,514 1,555 $3K
99335 128 51 $2K
77332 2,113 352 $2K
17110 151 109 $2K
11103 1,144 713 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $1K
11755 1,032 587 $954.39
99304 359 232 $908.16
11719 1,926 1,062 $777.37
G6003 Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev 576 182 $738.75
77334 608 181 $546.00
17003 4,446 2,515 $381.65
77300 296 178 $276.13
99347 181 109 $183.92
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 560 166 $127.86
11100 114 107 $122.37
77290 23 14 $108.34
11101 14 14 $1.28
99349 32 25 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 221 77 $0.00
77427 79 43 $0.00
77261 15 12 $0.00