JESSUP, TODD · NPI 1144202979 · Medicaid Spending

$72K

Total Medicaid Paid

1,652

Total Claims

1,643

Beneficiaries

Codes Billed

2018-02

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,559	1,552	$62K
A4550	Surgical trays	13	13	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	31	29	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$973.48
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	37	37	$556.55