STODDARD MEDICAL, INC
NPI: 1972745594
· CHUBBUCK, ID 83202
· Dermatology Physician
· NPI assigned 03/27/2009
$248K
Total Medicaid Paid
Provider Details
| Authorized Official | STODDARD, EARL (OWNER/PHYSICIAN) |
| NPI Enumeration Date | 03/27/2009 |
Related Entities
Other providers sharing the same authorized official: STODDARD, EARL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
572 |
$20K |
| 2019 |
539 |
$19K |
| 2020 |
1,014 |
$49K |
| 2021 |
1,844 |
$102K |
| 2022 |
912 |
$58K |
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 |
1,965 |
1,850 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,241 |
1,202 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
615 |
615 |
$43K |
| 81025 |
|
947 |
914 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
85 |
85 |
$5K |
| 11102 |
|
28 |
28 |
$2K |