ADVANCED DERMATOLOGY OF OHIO, INC
NPI: 1760491401
· MASON, OH 45040
· Dermatology Physician
· NPI assigned 08/05/2006
$475K
Total Medicaid Paid
Provider Details
| Authorized Official | DECLUE, AMY (DIRECTOR, PROVIDER SERVICES) |
| NPI Enumeration Date | 08/05/2006 |
Related Entities
Other providers sharing the same authorized official: DECLUE, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
769 |
$23K |
| 2019 |
1,688 |
$59K |
| 2020 |
3,287 |
$123K |
| 2021 |
2,655 |
$138K |
| 2022 |
1,927 |
$94K |
| 2023 |
441 |
$24K |
| 2024 |
233 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,997 |
3,627 |
$144K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,227 |
2,121 |
$130K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,057 |
1,884 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
978 |
949 |
$50K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
537 |
521 |
$40K |
| 11102 |
|
388 |
360 |
$15K |
| 17110 |
|
233 |
204 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
523 |
484 |
$12K |
| 11100 |
|
60 |
45 |
$2K |