MOUNTAIN WEST DERM - BLACKHART PLLC
Ambulatory Surgical Clinic/Center · SPOKANE VALLEY, WA
Organization Active NPI 1619517539
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 585 | 668 | $1,179,464 | $679,316 | $538,205 |
| 2023 | 491 | 558 | $1,006,880 | $550,247 | $435,754 |
| 2022 | 714 | 827 | $1,498,917 | $891,928 | $710,494 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 15260 | Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less | 192 | $938 | $740 |
| 14041 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm | 111 | $933 | $736 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 84 | $915 | $726 |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | 63 | $902 | $719 |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 62 | $1,859 | $1,482 |
| 14061 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm | 56 | $935 | $745 |
| 14021 | Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm | 33 | $916 | $724 |
| 15240 | Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less | 32 | $923 | $736 |
| 14020 | Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less | 13 | $948 | $741 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.