SPECTRUM DERMATOLOGY, PLLC
NPI: 1922392398
· SCOTTSDALE, AZ 85258
· MOHS-Micrographic Surgery Physician
· NPI assigned 06/02/2011
Deactivated NPI
· This NPI was deactivated on 12/22/2021. Reactivated 01/24/2022.
$498K
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, NANCY (OWNER) |
| NPI Enumeration Date | 06/02/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,009 |
$48K |
| 2019 |
1,773 |
$88K |
| 2020 |
1,610 |
$84K |
| 2021 |
2,477 |
$172K |
| 2022 |
1,821 |
$106K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,657 |
2,566 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,096 |
2,896 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,579 |
1,533 |
$109K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
393 |
388 |
$40K |
| 17110 |
|
271 |
252 |
$22K |
| 11102 |
|
255 |
242 |
$17K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
223 |
218 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
136 |
112 |
$5K |
| 11100 |
|
34 |
28 |
$2K |
| 17000 |
|
46 |
41 |
$1K |