npidexNPI registry + Medicare data

GRACE AYANDIBU, M.D, M.S, LPC

Procedural Dermatology Physician · WICHITA FALLS, TX

Individual Active NPI 1023395928

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20247688,275$642,013$292,556$214,433
20237173,637$494,144$213,761$164,451

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg4,800$2$1
17003Destruction of precancer skin growth, 2-14 growths767$6$4
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more472$87$63
96910Therapy procedure using ultraviolet radiation with tar or petroleum jelly application367$110$88
17000Destruction of precancer skin growth, 1 growth263$52$37
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more217$105$67
11102Biopsy of related skin growth, first growth202$86$62
17110Destruction of skin growth, 1-14 growths159$105$74
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more146$54$36
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more133$123$87
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg81$1$1
99202New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more61$68$41

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Procedural Dermatology Physician207NS0135X✓T9346TX
Mental Health Counselor101YM0800X178007242IL
Student in an Organized Health Care Education/Training Program390200000X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.