DERMATOLOGY ASSOCIATES OF SWLA LLC
NPI: 1780663419
· LAKE CHARLES, LA 70605
· Dermatology Physician
· NPI assigned 01/11/2006
$499.60
Total Medicaid Paid
Provider Details
| Authorized Official | CONNER, LISA (ADMINISTRATOR) |
| NPI Enumeration Date | 01/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2019 |
69 |
$239.45 |
| 2020 |
42 |
$6.22 |
| 2021 |
14 |
$253.93 |
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 |
57 |
53 |
$459.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
66 |
$34.33 |
| 17000 |
|
13 |
13 |
$6.22 |