Medicaid Provider Spending

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

SHADY GROVE DERMATOLOGY

NPI: 1790177210 · ROCKVILLE, MD 20850 · Medical Specialty Clinic/Center · NPI assigned 02/20/2015

$5K
Total Medicaid Paid
234
Total Claims
205
Beneficiaries
1
Codes Billed
2018-04
First Month
2023-02
Last Month

Provider Details

Authorized OfficialDAVIDSON, SANDEE (BUSINESS CONSULTANT)
NPI Enumeration Date02/20/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $2K
2019 78 $2K
2020 12 $42.84
2021 13 $0.00
2022 48 $233.41
2023 15 $108.42

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 234 205 $5K