FESTA, ALFREDO

$57K

Total Medicaid Paid

1,028

Total Claims

1,026

Beneficiaries

5

Codes Billed

2018-01

First Month

2018-08

Last Month

Year	Claims	Total Paid
2018	1,028	$57K

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	365	365	$24K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	151	151	$9K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	210	210	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	242	240	$9K
99241		60	60	$6K

Medicaid Provider Spending