Medicaid Provider Spending

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

ADVANCED DERMATOLOGY OF SOUTHEAST MISSOURI PC

NPI: 1770713950 · CAPE GIRARDEAU, MO 63701 · Dermatology Physician · NPI assigned 07/22/2009

$67K
Total Medicaid Paid
5,120
Total Claims
3,526
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMOON, CHARLES (PRESIDENT)
NPI Enumeration Date07/22/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 357 $7K
2019 228 $3K
2020 209 $3K
2021 757 $11K
2022 927 $12K
2023 1,348 $16K
2024 1,294 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,823 1,192 $28K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,045 1,364 $22K
88305 Level IV - Surgical pathology, gross and microscopic examination 555 475 $9K
17000 410 282 $2K
11102 165 119 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38 28 $2K
17311 16 12 $868.28
11100 19 17 $606.24
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 12 $590.71
17003 34 25 $80.63