Petersen, Tyler

Petersen, Tyler was paid $2K by Medicaid between Jun 2024 and Oct 2024, across 2 billing codes. Its largest line is 99222, Initial hospital care, per day, moderate complexity — 53% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2024incomplete	40	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99222	Initial hospital care, per day, moderate complexity	53%	12	12	$937.03
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	47%	28	28	$847.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.