GONDI, AVANTICA

$129K

Total Medicaid Paid

4,052

Total Claims

3,656

Beneficiaries

5

Codes Billed

2019-01

First Month

2022-12

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	2,255	2,019	$58K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,559	1,433	$57K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	145	143	$12K
99232	Subsequent hospital care, per day, moderate complexity	79	47	$1K
3008F		14	14	$0.00

Medicaid Provider Spending