MICHIGAN CITY DERMATOLOGY AND VEIN CLINIC LLC
NPI: 1962027581
· MICHIGAN CITY, IN 46360
· Dermatology Physician
· NPI assigned 06/09/2020
$410K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DIMITROPOULOS, VASSILIOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
1,128 |
$33K |
| 2022 |
1,222 |
$77K |
| 2023 |
2,225 |
$150K |
| 2024 |
1,963 |
$149K |
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 |
3,760 |
3,154 |
$217K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,032 |
1,718 |
$139K |
| 17110 |
|
457 |
354 |
$38K |
| 11102 |
|
116 |
107 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
60 |
$3K |
| 11900 |
|
71 |
61 |
$3K |
| 17000 |
|
15 |
12 |
$622.89 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$612.44 |