Medicaid Provider Spending

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

SOUTHWEST MOBILE DERMATOLOGY PLC

NPI: 1881235489 · PHOENIX, AZ 85029 · Dermatology Physician · NPI assigned 10/04/2019

$4K
Total Medicaid Paid
272
Total Claims
256
Beneficiaries
7
Codes Billed
2020-05
First Month
2021-07
Last Month

Provider Details

Authorized OfficialSTATHAKIS, JOHN (OWNER)
NPI Enumeration Date10/04/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 210 $2K
2021 62 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99335 101 100 $3K
99325 12 12 $445.52
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 18 $268.33
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 68 61 $77.39
99201 20 19 $34.24
36415 Collection of venous blood by venipuncture 20 17 $2.70
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 33 29 $0.00