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WESTSIDE DERMATOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION
WESTSIDE DERMATOLOGY ASSOCIATES A PROFESSIONAL MEDICAL CORPORATION
NPI: 1588725808
· GRETNA, LA 70056
· Specialist
· NPI assigned 12/12/2006
$347K
Total Medicaid Paid
Provider Details
| Authorized Official | RUSSO, GORDON (PHYSICIAN) |
| NPI Enumeration Date | 12/12/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
232 |
$8K |
| 2019 |
449 |
$21K |
| 2020 |
345 |
$15K |
| 2021 |
693 |
$43K |
| 2022 |
1,621 |
$83K |
| 2023 |
2,318 |
$84K |
| 2024 |
2,043 |
$93K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,903 |
2,417 |
$100K |
| 17110 |
|
1,604 |
1,263 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,625 |
1,279 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
972 |
890 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
535 |
431 |
$39K |
| 17000 |
|
47 |
37 |
$404.59 |
| 17003 |
|
15 |
12 |
$31.78 |