ADVANCED DERMATOLOGY OF SOUTHEAST MISSOURI PC
NPI: 1770713950
· CAPE GIRARDEAU, MO 63701
· Dermatology Physician
· NPI assigned 07/22/2009
Provider Details
| Authorized Official | MOON, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 07/22/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total 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 |