BLAKE SAMPSON, M.D.

Dermatology Physician · SALT LAKE CITY, UT

Individual Active NPI 1588007520

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244537,092$9,947,367$9,571,732$7,620,262
20234462,137$993,453$796,385$630,853
20224041,604$827,833$666,456$528,575

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
Q4299Amnicore pro+, per square centimeter3,166$2,406$1,917
Q4248Dermacyte amniotic membrane allograft, per square centimeter724$1,075$856
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks459$419$332
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks438$402$321
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more252$89$69
15275Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less234$147$117
17000Destruction of precancer skin growth, 1 growth172$33$26
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less153$146$116
88342Special stained specimen slides to examine tissue, initial procedure102$102$81
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks99$507$397
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm94$231$185
17003Destruction of precancer skin growth, 2-14 growths94$7$5

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dermatology Physician207N00000X91787531205UT
Student in an Organized Health Care Education/Training Program390200000X
Internal Medicine Physician207R00000XMRM-1316ID
Procedural Dermatology Physician207NS0135X91787753UT
MOHS-Micrographic Surgery Physician207ND0101X91787753UT

Medicare eligibility

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

Other Dermatology Physician providers in Utah

See all Dermatology Physician providers in Utah

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