npidexNPI registry + Medicare data

SODERSTROM DERMATOLOGY CENTER S C

Ambulatory Surgical Clinic/Center · PEORIA, IL

Organization Active NPI 1053362343

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20249902,369$3,199,898$668,452$515,478
20238632,102$764,151$517,813$401,092
20221,0832,791$920,600$640,983$497,830

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks698$240$175
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm274$216$169
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm254$169$133
13101Complicated repair of wound of trunk, 2.6-7.5 cm128$240$188
14060Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less119$840$663
11602Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm90$72$54
13152Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm87$157$125
11603Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm80$78$57
11606Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm68$596$472
11604Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm34$328$261
11402Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm34$53$35
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks34$267$196

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ambulatory Surgical Clinic/Center261QA1903X✓7001530IL

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