MORTOTI, SAMUEL SELASIE
NPI: 1154588762
· NEWPORT, AR 72112
· 207RC0000X
$100K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
245 |
$2K |
| 2019 |
1,484 |
$16K |
| 2020 |
1,121 |
$12K |
| 2021 |
1,307 |
$17K |
| 2022 |
1,083 |
$17K |
| 2023 |
1,261 |
$18K |
| 2024 |
1,215 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93010 |
|
6,247 |
5,723 |
$55K |
| 93306 |
|
1,036 |
957 |
$32K |
| 99214 |
|
295 |
284 |
$12K |
| 78452 |
|
29 |
24 |
$925.28 |
| 93018 |
|
46 |
37 |
$723.23 |
| 93356 |
|
63 |
61 |
$379.60 |