GANTWERKER, ERIC

$17K

Total Medicaid Paid

381

Total Claims

345

Beneficiaries

5

Codes Billed

2019-02

First Month

2024-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	301	265	$12K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	18	18	$2K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	14	$2K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25	25	$662.87
92567		23	23	$355.10

Medicaid Provider Spending