OCEAN SKIN AND VEIN INSTITUTE
NPI: 1790246841
· TUSTIN, CA 92780
· Non-Pharmacy Dispensing Site
· NPI assigned 03/29/2019
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | SHOKEEN, DIVYA (OWNER) |
| NPI Enumeration Date | 03/29/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
379 |
$43K |
| 2023 |
232 |
$26K |
| 2024 |
376 |
$43K |
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 |
617 |
570 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
328 |
327 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
29 |
$2K |
| 11102 |
|
13 |
13 |
$1K |