Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › GLOUCESTER › INTEGRATED DERMATOLOGY OF GLOUCESTER, LLC

INTEGRATED DERMATOLOGY OF GLOUCESTER, LLC

NPI: 1710479936 · GLOUCESTER, VA 23061 · Dermatology Physician · NPI assigned 06/04/2018

$90K
Total Medicaid Paid
1,217
Total Claims
1,148
Beneficiaries
4
Codes Billed
2019-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialQUEEN, JEFFREY (MANAGER)
NPI Enumeration Date06/04/2018

Related Entities

Other providers sharing the same authorized official: QUEEN, JEFFREY

ProviderCityStateTotal Paid
INTEGRATED DERMATOLOGY OF PONCHATOULA, LLC PONCHATOULA LA $3.39M
INTEGRATED DERMATOLOGY OF COLUMBUS LLC COLUMBUS OH $341K
WESTMINSTER DERMATOLOGY, LLC WESTMINSTER MD $118K
INTEGRATED DERMATOLOGY OF ENFIELD, LLC SIMSBURY CT $72K
INTEGRATED DERMATOLOGY OF GROTON LLC GROTON CT $62K
ON SITE DERMATOLOGY LLC BOCA RATON FL $58K
SANFORD DERMATOLOGY PLLC SANFORD NC $48K
INTEGRATED DERMATOLOGY OF CLINTON, LLC CLINTON CT $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 65 $1K
2020 126 $6K
2021 314 $25K
2022 296 $25K
2023 279 $22K
2024 137 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 698 659 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 287 275 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 170 155 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 62 59 $3K