Physician
Theta Dermatology PC
Theta Dermatology PC was paid $44K by Medicaid between Feb 2018 and Dec 2021, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoTHETA DERMATOLOGY PC
ALTAMONT, NY 12009
ALTAMONT, NY 12009
33aNPI1689189185assigned 12/06/2017
33bProvider typeDermatology Physician
28Total paid$44K
24GClaims655
24DCodes billed4
24AFirst – last monthFeb 2018 – Dec 2021
Compared with peers
Next to other Dermatology Physician providers in New York
Rank by total paid#152 of 349
Median peer was paid$26K
This provider vs. median1.7×
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.
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 | 126 | $7K | |
| 2019 | 25 | $2K | |
| 2020 | 202 | $13K | |
| 2021 | 302 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 366 | 356 | $28K |
| 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% | 250 | 243 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 27 | 27 | $2K |
| 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 | 3.0% | 12 | 12 | $1K |
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 officialPATTISON, THETA (DIRECTOR)