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NPI 1134192834 · Pikesville, MD · Specialist
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Ditra Stanford-scruggs is a specialist provider located in Pikesville, Maryland. This profile covers 12 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ditra Stanford-scruggs |
| Address | 19 Walker Ave |
| City | Pikesville |
| State | MD |
| ZIP | 21208 |
| Taxonomy | Specialist |
| NPI Enumerated | February 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $114.1K |
| Medicaid | $107.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 660 | $60 | $40.9K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 1,010 | $30 | $25.1K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 370 | $60 | $23.5K |
| 11719 | The provider performs trimming of one or more normally developed nails of the fingers or toes. | 920 | $10 | $6.4K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 60 | $60 | $3.4K |
| 10140 | The provider makes an incision into the hematoma, seroma, or other collection of fluid and bluntly penetrates it to allow fluid evacuation. | 30 | $130 | $3.3K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 50 | $70 | $3.2K |
| 11057 | The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 40 | $70 | $2.9K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 50 | $40 | $2.2K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 40 | $30 | $1.3K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 11056 | 25 | 260 | 190 | $60 | $17.8K |
| 11721 | 236 | 260 | 300 | $30 | $14.5K |
| 99213 | 1,467 | 9,280 | 100 | $60 | $12.5K |
| 11720 | 26 | 230 | 290 | $30 | $11.6K |
| 11055 | 138 | 210 | 90 | $60 | $8K |
| 11057 | 66 | 100 | 70 | $70 | $7.4K |
| 10140 | 6 | 20 | 20 | $140 | $7.2K |
| 99203 | 1,568 | 3,630 | 40 | $80 | $5K |
| 11719 | 17 | 110 | 210 | $10 | $3.1K |
| 10060 | 95 | 120 | 20 | $100 | $2.8K |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,300 | $40 | $57.2K |
| 11719 | The provider performs trimming of one or more normally developed nails of the fingers or toes. | 1,810 | $10 | $14.5K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 390 | $40 | $14K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 2,280 | $1 | $9.1K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 410 | $10 | $4K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 670 | $10 | $3.4K |
| G8783 | Normal blood pressure reading documented, follow-up not required | 410 | $10 | $3.3K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 330 | $10 | $1.6K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 220 | $1 | $430 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 370 | $1 | $370 |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,234 | 3,280 | 610 | $80 | $296.1K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 306 | 900 | 160 | $60 | $57.8K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 59 | 120 | 290 | $10 | $24.6K |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 62 | 110 | 480 | $20 | $20.3K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 19 | 70 | 210 | $10 | $11.6K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 86 | 180 | 310 | $10 | $9.9K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 16 | 70 | 750 | $10 | $9.8K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 14 | 30 | 380 | $10 | $8.2K |
| 11719 | The provider performs trimming of one or more normally developed nails of the fingers or toes. | 9 | 40 | 940 | $10 | $7.8K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 132 | 310 | 420 | $1 | $6.7K |
Showing 1–10 of 15
Other providers in the same ZIP code as Ditra Stanford-scruggs, ranked by combined Medicare and Medicaid revenue.
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