DEJTIRANUKUL, NIRANAT

$31K

Total Medicaid Paid

1,233

Total Claims

1,050

Beneficiaries

4

Codes Billed

2018-01

First Month

2019-11

Last Month

Year	Claims	Total Paid
2018	534	$12K
2019	699	$19K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	753	591	$15K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	233	232	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	213	199	$4K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	34	28	$3K

Medicaid Provider Spending