Medicaid Provider Spending

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

MOUNTAIN PINE DERMATOLOGY, PLLC

NPI: 1659827665 · MERIDIAN, ID 83646 · Dermatology Physician · NPI assigned 08/30/2016

$1.22M
Total Medicaid Paid
18,524
Total Claims
18,181
Beneficiaries
12
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, RICHARD (OWNER)
NPI Enumeration Date08/30/2016

Related Entities

Other providers sharing the same authorized official: THOMAS, RICHARD

ProviderCityStateTotal Paid
OUTPATIENT SURGERY CENTER OF HILTON HEAD HILTON HEAD ISLAND SC $896K
LIFE CHIROPRACTIC CENTER PA POST FALLS ID $148K
MEDICAL CENTER RADIOLOGISTS INC NORFOLK VA $870.73
IMAGING SERVICES OF WESTERN NEW YORK PC SPRINGVILLE NY $813.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,051 8,844 $530K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,081 3,038 $275K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,661 2,642 $201K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,903 1,880 $114K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 373 371 $45K
17110 381 373 $29K
11102 206 204 $13K
81025 674 667 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 104 90 $4K
96910 24 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40 36 $506.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 26 24 $87.37