ANCONA, SALVATORE

$281K

Total Medicaid Paid

3,139

Total Claims

2,672

Beneficiaries

5

Codes Billed

2018-01

First Month

2021-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2,815	2,383	$255K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	245	211	$23K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	14	$2K
99401		38	37	$667.32
36415	Collection of venous blood by venipuncture	27	27	$16.25

Medicaid Provider Spending