Physician
Piedmont Plastic Surgery & Dermatology PA
Piedmont Plastic Surgery & Dermatology PA was paid $4.90M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoPIEDMONT PLASTIC SURGERY & DERMATOLOGY PA
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1801832837assigned 06/20/2006
33bProvider typeDermatology Physician
28Total paid$4.90M
24GClaims97,133
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dermatology Physician providers in North Carolina
Rank by total paid#5 of 54
Median peer was paid$176K
This provider vs. median28×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,139 | $342K | |
| 2019 | 9,002 | $456K | |
| 2020 | 7,522 | $393K | |
| 2021 | 14,077 | $586K | |
| 2022 | 16,059 | $822K | |
| 2023 | 17,411 | $965K | |
| 2024incomplete | 24,923 | $1.34M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 33,835 | 26,376 | $1.31M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 18,178 | 14,704 | $1.15M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 11,995 | 9,420 | $740K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 10% | 9,468 | 7,500 | $499K |
| 17110 | 9.2% | 8,312 | 6,067 | $451K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.1% | 3,864 | 3,187 | $398K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.6% | 3,989 | 3,370 | $178K |
| 11102 | 1.8% | 1,989 | 1,602 | $89K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,585 | 1,197 | $34K |
| 11103 | <1% | 258 | 200 | $10K | |
| 17000 | <1% | 727 | 544 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 565 | 432 | $7K |
12 more codes
| 81025 | <1% | 962 | $7K | |
| 11900 | <1% | 178 | $6K | |
| 17311 | <1% | 45 | $3K | |
| 88312 | <1% | 54 | $2K | |
| 17003 | <1% | 313 | $2K | |
| 11100 | <1% | 32 | $1K | |
| 11104 | <1% | 14 | $1K | |
| 11402 | <1% | 22 | $390.11 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 238 | $358.72 |
| 99072 | <1% | 402 | $13.23 | |
| J3490 | Unclassified drugs | 0% | 29 | $0.00 |
| J3590 | Unclassified biologics | 0% | 79 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialNESS, DANIEL (PRESIDENT)