GOODMAN, RYAN

$36K

Total Medicaid Paid

410

Total Claims

378

Beneficiary Records

4

Codes Billed

2019-01

First Month

2020-10

Last Month

Year	Claims	Total Paid
2019	208	$19K
2020	202	$17K

Code	Description	Claims	Bene. Records	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	288	257	$28K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	71	70	$5K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	26	26	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	25	25	$309.18

Medicaid Provider Spending