Medicaid Provider Spending

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

TREASURE VALLEY DERMATOLOGY & SKIN CANCER CENTER, PLLC

NPI: 1598271645 · MERIDIAN, ID 83642 · Dermatology Physician · NPI assigned 12/26/2017

$241K
Total Medicaid Paid
3,365
Total Claims
3,261
Beneficiaries
7
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPORTELA, DUSTIN (PRESIDENT)
NPI Enumeration Date12/26/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $6K
2019 88 $5K
2020 399 $27K
2021 662 $42K
2022 618 $40K
2023 592 $46K
2024 901 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,070 1,024 $89K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,049 1,006 $59K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 796 791 $58K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 132 132 $17K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 280 270 $16K
11102 26 26 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $340.11