Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › HAVRE DE GRACE › TIDEWAY DERMATOLOGY, PA

TIDEWAY DERMATOLOGY, PA

NPI: 1619054525 · HAVRE DE GRACE, MD 21078 · Specialist · NPI assigned 11/01/2006

$661.23
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2018-01
First Month
2018-01
Last Month

Provider Details

Authorized OfficialJAFFE, DAVID (OWNER)
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: JAFFE, DAVID

ProviderCityStateTotal Paid
DAVID F. JAFFE DPM PC SUN CITY WEST AZ $639.83

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $661.23

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14 14 $661.23