SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC
NPI: 1992144364
· SPRINGVILLE, UT 84663
· Dermatopathology Physician
· NPI assigned 06/19/2013
$370K
Total Medicaid Paid
Provider Details
| Authorized Official | PETERSON, MICHAEL (OWNER/PHYSICIAN) |
| NPI Enumeration Date | 06/19/2013 |
Related Entities
Other providers sharing the same authorized official: PETERSON, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
375 |
$11K |
| 2019 |
345 |
$16K |
| 2020 |
592 |
$25K |
| 2021 |
1,282 |
$86K |
| 2022 |
1,353 |
$95K |
| 2023 |
953 |
$58K |
| 2024 |
1,191 |
$79K |
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 |
2,424 |
2,061 |
$129K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,378 |
1,183 |
$86K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,069 |
957 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
616 |
575 |
$48K |
| 17110 |
|
270 |
232 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
304 |
236 |
$12K |
| 11102 |
|
30 |
26 |
$254.78 |