HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY LLC
NPI: 1891025334
· IDAHO FALLS, ID 83404
· MOHS-Micrographic Surgery Physician
· NPI assigned 01/06/2010
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | SEWELL, LINDSAY (MANAGER) |
| NPI Enumeration Date | 01/06/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
105 |
$5K |
| 2019 |
353 |
$18K |
| 2020 |
363 |
$19K |
| 2021 |
378 |
$23K |
| 2022 |
369 |
$24K |
| 2023 |
329 |
$23K |
| 2024 |
413 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,724 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
274 |
272 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
111 |
111 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$5K |
| 17110 |
|
15 |
13 |
$1K |
| 81025 |
|
66 |
65 |
$495.98 |