SQUIRE, CHAD

$75K

Total Medicaid Paid

1,303

Total Claims

1,183

Beneficiaries

6

Codes Billed

2019-11

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	617	531	$30K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	246	243	$24K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	123	115	$9K
73630		260	239	$9K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	30	28	$2K
11721		27	27	$712.19

Medicaid Provider Spending