Medicaid Provider Spending

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

MODERN DERMATOLOGY OF MARYLAND, LLC

NPI: 1619605078 · ANNAPOLIS, MD 21401 · Procedural Dermatology Physician · NPI assigned 08/12/2022

$132K
Total Medicaid Paid
1,139
Total Claims
1,049
Beneficiaries
8
Codes Billed
2023-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNEIDIG, LANE (MANAGING MEMBER)
NPI Enumeration Date08/12/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 180 $24K
2024 959 $107K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 607 551 $72K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 286 268 $45K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 78 74 $7K
17110 87 79 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 12 $2K
11900 13 12 $443.00
81025 28 28 $130.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 27 25 $43.80