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

Epiphany Dermatology of Montana, PLLC

Epiphany Dermatology of Montana, PLLC was paid $88K by Medicaid between Nov 2020 and Jun 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoEPIPHANY DERMATOLOGY OF MONTANA, PLLC
BUTTE, MT 59701
33aNPI1902455074assigned 09/10/2019
33bProvider typeDermatology Physician
28Total paid$88K
24GClaims1,319
24DCodes billed6
24AFirst – last monthNov 2020 – Jun 2024
Compared with peers

Next to other Dermatology Physician providers in Montana

Rank by total paid#3 of 8
Median peer was paid$56K
This provider vs. median1.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PUSTA, GHEORGHE controls 11+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
202066$3K
2021322$17K
2022495$33K
2023319$23K
2024incomplete117$11K
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 71% 1,008 889 $63K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 22% 236 199 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.2% 35 32 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2.0% 12 12 $2K
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 1.9% 13 13 $2K
17000 <1% 15 13 $472.64

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 officialPUSTA, GHEORGHE (DIRECTOR/MANAGING EMPLOYEE)
Same official

Other billing entities under PUSTA, GHEORGHE

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