Physician
Dermatology Surgical & Medical Group
Dermatology Surgical & Medical Group was paid $2.36M by Medicaid between Jan 2018 and May 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoDERMATOLOGY SURGICAL & MEDICAL GROUP
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
33aNPI1962509109assigned 09/20/2006
33bProvider typeDermatology Physician
28Total paid$2.36M
24GClaims38,460
24DCodes billed23
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Dermatology Physician providers in California
Rank by total paid#18 of 187
Median peer was paid$26K
This provider vs. median90×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,568 | $290K | |
| 2019 | 6,276 | $331K | |
| 2020 | 6,018 | $322K | |
| 2021 | 6,194 | $377K | |
| 2022 | 6,970 | $461K | |
| 2023 | 5,813 | $429K | |
| 2024incomplete | 1,621 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 12,019 | 11,576 | $814K |
| 99242 | 13% | 3,120 | 3,115 | $297K | |
| 17110 | 9.2% | 2,378 | 2,265 | $217K | |
| 99243 | 6.8% | 1,260 | 1,256 | $160K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 6.8% | 4,218 | 4,051 | $160K |
| 11102 | 5.9% | 2,302 | 1,768 | $139K | |
| 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 | 5.5% | 1,032 | 1,015 | $129K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 2,956 | 2,822 | $112K |
| 17000 | 3.5% | 2,631 | 2,591 | $83K | |
| 99241 | 3.3% | 1,519 | 1,516 | $77K | |
| 11100 | 1.3% | 642 | 413 | $32K | |
| 11900 | 1.3% | 587 | 561 | $30K |
11 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.2% | 310 | $29K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.2% | 160 | $28K |
| 17003 | <1% | 1,330 | $17K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 60 | $11K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,368 | $9K |
| 96900 | <1% | 253 | $5K | |
| 17004 | <1% | 51 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 53 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 173 | $3K |
| 11200 | <1% | 26 | $2K | |
| 11103 | <1% | 12 | $356.42 |
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 officialNILES, DIANA (OFFICE MANAGER)