TRAY, MACKENZIE
NPI: 1063904209
· WARREN, PA 16365
· Student in an Organized Health Care Education/Training Program
· NPI assigned 06/04/2018
$119K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
650 |
$30K |
| 2023 |
644 |
$50K |
| 2024 |
369 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
738 |
716 |
$63K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
704 |
686 |
$48K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
221 |
220 |
$8K |