WADE KELLER, D.O.
Dermatology Physician · EAGLE, ID
Individual Active NPI 1942402169
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 240 | 1,421 | $323,147 | $138,061 | $105,214 |
| 2023 | 245 | 1,439 | $302,681 | $123,860 | $91,209 |
| 2022 | 266 | 1,463 | $334,400 | $136,118 | $99,906 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 613 | $6 | $5 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 251 | $88 | $62 |
| 17000 | Destruction of precancer skin growth, 1 growth | 162 | $60 | $43 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 70 | $616 | $491 |
| 11102 | Biopsy of related skin growth, first growth | 43 | $92 | $72 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 33 | $170 | $138 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 26 | $397 | $322 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 24 | $160 | $106 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 23 | $255 | $188 |
| 12051 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 23 | $138 | $112 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 19 | $125 | $83 |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 12 | $113 | $92 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ✓ | O-0559 | ID |
| Dermatology Physician | 207N00000X | 4692 | AZ | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | O-0559 | ID | |
| Procedural Dermatology Physician | 207NS0135X | O-0559 | ID |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Dermatology Physician providers in Idaho
- NPI 1417456385
- NPI 1184080210
- NPI 1699866822
- NPI 1215936034
- NPI 1649543323
- NPI 1518973338
- NPI 1902952930
- NPI 1306936794
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.