Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Dermatology Associates of Pikeville, PLLC

Dermatology Associates of Pikeville, PLLC was paid $29K by Medicaid between Jan 2018 and Apr 2022, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoDERMATOLOGY ASSOCIATES OF PIKEVILLE, PLLC
PIKEVILLE, KY 41501
33aNPI1811285117assigned 07/20/2011
33bProvider typeDermatology Physician
28Total paid$29K
24GClaims1,906
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers

Next to other Dermatology Physician providers in Kentucky

Rank by total paid#11 of 21
Median peer was paid$29K
This provider vs. median1.0×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018379$7K
2019133$2K
20201,207$18K
2021154$2K
202233$457.20
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 861 756 $14K
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 15% 149 125 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13% 202 181 $4K
17000 8.6% 294 243 $3K
11102 7.0% 120 93 $2K
17003 3.8% 163 131 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 84 76 $811.43
17110 <1% 17 15 $179.40
11100 <1% 16 13 $98.48

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 officialHALL, RONALD (PARTNER/OWNER)
Same official

Other billing entities under HALL, RONALD

Full network →
ProviderLocationPaid
North Texas Discover Hope Clinic PLLCWichita Falls, TX$640K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.