EPIPHANY DERMATOLOGY OF MONTANA, PLLC

NPI: 1902455074 · BUTTE, MT 59701 · Dermatology Physician · NPI assigned 09/10/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PUSTA, GHEORGHE controls 11+ related entities in our dataset. Read more

$88K

Total Medicaid Paid

1,319

Total Claims

1,158

Beneficiaries

Codes Billed

2020-11

First Month

2024-06

Last Month

Provider Details

Authorized Official	PUSTA, GHEORGHE (DIRECTOR/MANAGING EMPLOYEE)
NPI Enumeration Date	09/10/2019

Other providers sharing the same authorized official: PUSTA, GHEORGHE

Provider	City	State	Total Paid
EPIPHANY DERMATOLOGY PA	WACO	TX	$7.52M
EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC	ALBUQUERQUE	NM	$6.31M
EPIPHANY DERMATOLOGY OF OKLAHOMA, LLC	TULSA	OK	$424K
EPIPHANY DERMATOLOGY OF COLORADO, LLC	DENVER	CO	$350K
EPIPHANY DERMATOLOGY OF IOWA, PLC	CEDAR RAPIDS	IA	$166K
EPIPHANY DERMATOLOGY OF MARYLAND PA	BETHESDA	MD	$54K
EPIPHANY DERMATOLOGY OF COLORADO, LLC	GRAND JUNCTION	CO	$40K
EPIPHANY DERMATOLOGY OF MINNESOTA, LLC	ALBERT LEA	MN	$9K
EPIPHANY DERMATOLOGY OF ARIZONA, LLC	PEORIA	AZ	$6K
WEST VALLEY DERMATOLOGY	SALT LAKE CITY	UT	$4K
EPIPHANY DERMATOLOGY OF OREGON, LLC	PORTLAND	OR	$80.85

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,008	889	$63K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	236	199	$19K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	35	32	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12	12	$2K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	13	13	$2K
17000		15	13	$472.64