VERGNE SANTIAGO, NORMA

$13K

Total Medicaid Paid

122

Total Claims

111

Beneficiaries

4

Codes Billed

2023-09

First Month

2024-12

Last Month

Year	Claims	Total Paid
2023	20	$2K
2024	102	$12K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	39	39	$5K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46	44	$4K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	17	16	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	20	12	$2K

Medicaid Provider Spending