Medicaid Provider Spending

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

PROVIDENCE DERMATOLOGY LLC

NPI: 1568029957 · PROVIDENCE, UT 84332 · MOHS-Micrographic Surgery Physician · NPI assigned 05/22/2019

$20K
Total Medicaid Paid
304
Total Claims
276
Beneficiaries
5
Codes Billed
2020-12
First Month
2024-08
Last Month

Provider Details

Authorized OfficialJAMES, TRAVIS (OWNER/PHYSICIAN)
NPI Enumeration Date05/22/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $326.50
2021 16 $740.80
2022 86 $7K
2023 63 $3K
2024 124 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 97 87 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 131 126 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 43 39 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 12 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 15 12 $326.50