Medicaid Provider Spending

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

KNOTT STREET DERMATOLOGY PC

NPI: 1891741864 · PORTLAND, OR 97212 · Specialist · NPI assigned 05/25/2006

$14K
Total Medicaid Paid
186
Total Claims
170
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialHANSON, ERIC (PRESIDENT)
NPI Enumeration Date05/25/2006

Related Entities

Other providers sharing the same authorized official: HANSON, ERIC

ProviderCityStateTotal Paid
INTERMOUNTAIN DENTURES PLLC ST GEORGE UT $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 128 $11K
2019 32 $892.20
2020 13 $593.60
2024 13 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 116 103 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 21 21 $4K
11100 17 16 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 12 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 19 18 $558.31