Vanguard Dermatology
Vanguard Dermatology was paid $10.72M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoVANGUARD DERMATOLOGY
BROOKLYN, NY 11229
BROOKLYN, NY 11229
33aNPI1619179009assigned 06/05/2007
33bProvider typeSpecialist
28Total paid$10.72M
24GClaims228,249
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in New York
Rank by total paid#14 of 1,221
Median peer was paid$45K
This provider vs. median237×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SHAPIRO, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 35,445 | $1.70M | |
| 2019 | 47,393 | $1.94M | |
| 2020 | 31,188 | $1.37M | |
| 2021 | 26,522 | $1.37M | |
| 2022 | 34,549 | $1.67M | |
| 2023 | 33,615 | $1.66M | |
| 2024incomplete | 19,537 | $998K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 58,217 | 48,731 | $3.16M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 19,352 | 19,329 | $1.59M |
| 11901 | 10% | 25,194 | 17,213 | $1.11M | |
| 17110 | 8.4% | 11,572 | 10,299 | $898K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.3% | 7,732 | 7,208 | $680K |
| 10040 | 6.3% | 9,383 | 8,000 | $673K | |
| 11900 | 4.7% | 14,321 | 12,130 | $508K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.5% | 7,911 | 7,903 | $486K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 13,686 | 12,581 | $482K |
| 11102 | 2.6% | 4,548 | 4,411 | $274K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 1,871 | 1,870 | $233K |
| 17111 | 1.1% | 1,247 | 1,083 | $117K |
24 more codes
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.1% | 3,049 | $115K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 40,987 | $82K |
| 11100 | <1% | 1,080 | $74K | |
| 10060 | <1% | 888 | $66K | |
| 96910 | <1% | 529 | $30K | |
| 11103 | <1% | 440 | $24K | |
| 17311 | <1% | 107 | $23K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,239 | $16K |
| 88304 | <1% | 639 | $16K | |
| 17340 | <1% | 1,583 | $15K | |
| 17000 | <1% | 466 | $11K | |
| 96920 | <1% | 40 | $6K | |
| 11101 | <1% | 176 | $6K | |
| 17004 | <1% | 38 | $5K | |
| 81025 | <1% | 1,103 | $4K | |
| 88312 | <1% | 86 | $4K | |
| 11104 | <1% | 29 | $3K | |
| 13132 | <1% | 14 | $3K | |
| 17003 | <1% | 189 | $2K | |
| 64650 | <1% | 17 | $676.10 | |
| 11055 | <1% | 65 | $501.01 | |
| 99051 | <1% | 137 | $412.58 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 12 | $159.41 |
| 99024 | 0% | 302 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHAPIRO, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Able Healthcare Service, INC. | Merrick, NY | $110.27M |
| New England Home Therapies, INC. | Southborough, MA | $23.29M |
| Clinical Specialties INC. | Hudson, OH | $12.59M |
| Bioscrip Infusion Services, LLC | Tampa, FL | $12.46M |
| Knoxville Home Therapies LLC | Knoxville, TN | $11.74M |
| Homechoice Partners, LLC | Duncan, SC | $7.95M |
| Professional Home Care Services,inc | Cromwell, CT | $7.80M |
| Infusion Partners, LLC | Canfield, OH | $7.53M |
| Professional Home Care Services, INC. | Cromwell, CT | $4.44M |
| Option Care Enterprises, INC. | Eatontown, NJ | $1.32M |
| East Goshen Pharmacy, LLC | Somers Point, NJ | $1.23M |
| Option Care Enterprises, INC. | Lincoln, NE | $993K |
| Homechoice Partners LLC | Fayetteville, NC | $907K |
| New England Home Therapies, INC. | Smithfield, RI | $670K |
| Option Care Enterprises, INC. | Pensacola, FL | $524K |
| Option Care Enterprises, INC. | Chantilly, VA | $479K |
| Wilcox Medical, INC | Rutland, VT | $445K |
| Bioscrip Pharmacy(Ny), INC | Lake Success, NY | $247K |
| Able Health Care Service, INC. | Merrick, NY | $175K |
| Option Care Enterprises INC | Ashland, KY | $97K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.