Medicaid Provider Spending

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

JORDAN VALLEY DERMATOLOGY CENTER LLC

NPI: 1558766477 · WEST JORDAN, UT 84088 · Dermatology Physician · NPI assigned 11/04/2014

$26K
Total Medicaid Paid
377
Total Claims
340
Beneficiaries
6
Codes Billed
2018-08
First Month
2022-11
Last Month

Provider Details

Authorized OfficialBROWN, WESLEY (OWNER)
NPI Enumeration Date11/04/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23 $528.74
2019 16 $480.52
2021 115 $9K
2022 223 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 164 152 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 57 54 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56 47 $3K
17110 16 12 $942.42
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 23 15 $528.74
81025 61 60 $43.05