Advanced Dermatology of Southeast Missouri PC

Advanced Dermatology of Southeast Missouri PC was paid $67K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoADVANCED DERMATOLOGY OF SOUTHEAST MISSOURI PC
CAPE GIRARDEAU, MO 63701

33aNPI1770713950assigned 07/22/2009

33bProvider typeDermatology Physician

28Total paid$67K

24GClaims5,120

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dermatology Physician providers in Missouri

Rank by total paid#11 of 45

Median peer was paid$21K

This provider vs. median3.3×

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	357	$7K
2019	228	$3K
2020	209	$3K
2021	757	$11K
2022	927	$12K
2023	1,348	$16K
2024incomplete	1,294	$16K

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	42%	1,823	1,192	$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	33%	2,045	1,364	$22K
88305	Level IV - Surgical pathology, gross and microscopic examination	14%	555	475	$9K
17000		2.9%	410	282	$2K
11102		2.7%	165	119	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	38	28	$2K
17311		1.3%	16	12	$868.28
11100		<1%	19	17	$606.24
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	<1%	15	12	$590.71
17003		<1%	34	25	$80.63

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 officialMOON, CHARLES (PRESIDENT)