OLIVER STREET DERMATOLOGY ASC LLC
Ambulatory Surgical Clinic/Center · TYLER, TX
Organization Active NPI 1700822335
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,335 | 1,639 | $2,587,835 | $868,830 | $685,073 |
| 2023 | 1,365 | 1,717 | $2,434,999 | $760,848 | $603,369 |
| 2022 | 1,366 | 1,712 | $2,456,887 | $773,022 | $613,082 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 620 | $279 | $220 |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 269 | $842 | $664 |
| 14041 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm | 95 | $833 | $656 |
| 13152 | Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm | 89 | $280 | $223 |
| 14061 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm | 84 | $840 | $658 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 84 | $275 | $216 |
| 14021 | Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm | 70 | $805 | $635 |
| 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 | $822 | $653 |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 61 | $1,679 | $1,326 |
| 13151 | Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm | 49 | $290 | $231 |
| 13131 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm | 44 | $175 | $140 |
| 14020 | Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less | 16 | $780 | $621 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | ✓ | 007937 | TX |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.