Medicaid Provider Spending

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

WABASH VALLEY DERMATOLOGY AND MED SPA INC

NPI: 1619561479 · TERRE HAUTE, IN 47803 · Family Nurse Practitioner · NPI assigned 02/23/2021

$127K
Total Medicaid Paid
3,179
Total Claims
2,277
Beneficiaries
7
Codes Billed
2021-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWILSON, LINDSAY (PRESIDENT)
NPI Enumeration Date02/23/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 313 $17K
2022 1,132 $35K
2023 1,146 $40K
2024 588 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,746 1,256 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 554 448 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 595 376 $13K
17110 238 160 $12K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $1K
11301 20 13 $815.71
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 12 $405.50