LOUPE, JOHN

$44K

Total Medicaid Paid

724

Total Claims

595

Beneficiaries

6

Codes Billed

2018-01

First Month

2023-08

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	468	409	$33K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	173	119	$6K
99205	Prolong outpt/office vis	29	20	$2K
95905		28	21	$817.28
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$758.60
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13	13	$498.36

Medicaid Provider Spending