MOUNTAIN PINE DERMATOLOGY, PLLC
NPI: 1659827665
· MERIDIAN, ID 83646
· 207N00000X
$1.22M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,065 |
$58K |
| 2019 |
1,630 |
$92K |
| 2020 |
2,647 |
$156K |
| 2021 |
3,329 |
$202K |
| 2022 |
4,025 |
$261K |
| 2023 |
3,165 |
$240K |
| 2024 |
2,663 |
$207K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
|
9,051 |
8,844 |
$530K |
| 99214 |
|
3,081 |
3,038 |
$275K |
| 99203 |
|
2,661 |
2,642 |
$201K |
| 99202 |
|
1,903 |
1,880 |
$114K |
| 99204 |
|
373 |
371 |
$45K |
| 17110 |
|
381 |
373 |
$29K |
| 11102 |
|
206 |
204 |
$13K |
| 81025 |
|
674 |
667 |
$5K |
| 99212 |
|
104 |
90 |
$4K |
| 96910 |
|
24 |
12 |
$2K |
| 96372 |
|
40 |
36 |
$506.28 |
| J3301 |
Triamcinolone acet inj nos |
26 |
24 |
$87.37 |