HAMULA, MATHEW

$35K

Total Medicaid Paid

1,320

Total Claims

1,271

Beneficiaries

5

Codes Billed

2021-01

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,084	1,053	$29K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	132	124	$5K
20610		37	27	$361.04
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	53	53	$277.49
J1010	Injection, methylprednisolone acetate, 1 mg	14	14	$40.44

Medicaid Provider Spending