GIFFORD, ERIC

$98K

Total Medicaid Paid

1,277

Total Claims

1,223

Beneficiary Records

5

Codes Billed

2018-01

First Month

2023-11

Last Month

Code	Description	Claims	Bene. Records	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	669	657	$59K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	510	469	$29K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	40	40	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	42	41	$4K
73560		16	16	$414.24

Medicaid Provider Spending