DEFANTI, THOMAS

$3.59M

Total Medicaid Paid

12,744

Total Claims

2,101

Beneficiaries

5

Codes Billed

2020-08

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
S0201	Partial hospitalization services, less than 24 hours, per diem	11,723	1,221	$3.51M
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	308	303	$32K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	432	339	$29K
99215	Prolong outpt/office vis	88	85	$9K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	193	153	$9K

Medicaid Provider Spending