Medicaid Provider Spending

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

RIVERSIDE DERMATOLOGY & SPA LLC

NPI: 1699262329 · HANNIBAL, MO 63401 · Multi-Specialty Clinic/Center · NPI assigned 04/18/2018

$64K
Total Medicaid Paid
2,039
Total Claims
1,511
Beneficiaries
5
Codes Billed
2018-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOOKE, LINDA (OWNER)
NPI Enumeration Date04/18/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $579.27
2019 257 $2K
2022 106 $3K
2023 603 $21K
2024 1,018 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,430 1,086 $45K
17110 237 128 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 121 87 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 201 171 $3K
17000 50 39 $334.39