Medicaid Provider Spending

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

LUMINARY DERMATOLOGY OF OKLAHOMA, LLC

NPI: 1730758541 · EDMOND, OK 73034 · Dermatology Physician · NPI assigned 06/24/2021

$19K
Total Medicaid Paid
303
Total Claims
288
Beneficiaries
2
Codes Billed
2023-06
First Month
2024-06
Last Month

Provider Details

Authorized OfficialPHILLIPS, JESSICA (CEO)
NPI Enumeration Date06/24/2021

Related Entities

Other providers sharing the same authorized official: PHILLIPS, JESSICA

ProviderCityStateTotal Paid
LUMINARY DERMATOLOGY, PA BRADENTON FL $318.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 198 $12K
2024 105 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 143 143 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 160 145 $8K