npidexNPI registry + Medicare data

DALLAS PROVENCE, NP

Dermatopathology Physician · MEMPHIS, TN

Individual Active NPI 1619556230

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244792,053$237,952$94,997$64,793
20235352,272$237,770$107,226$75,744

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
17003Destruction of precancer skin growth, 2-14 growths681$5$3
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more423$71$47
17000Destruction of precancer skin growth, 1 growth236$38$26
11102Biopsy of related skin growth, first growth202$68$50
17110Destruction of skin growth, 1-14 growths136$84$57
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more115$99$65
11103Biopsy of related skin growth, each additional growth93$38$29
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more41$44$31
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more38$87$56
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more30$126$77
11104Punch biopsy, first skin growth16$95$70

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dermatopathology Physician207ND0900X✓28973TN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

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