GIBLY, ROMIE

$279K

Total Medicaid Paid

4,244

Total Claims

3,403

Beneficiaries

5

Codes Billed

2020-01

First Month

2024-10

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	1,693	1,358	$114K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,368	1,073	$62K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	519	412	$51K
99243		312	254	$31K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	352	306	$20K

Medicaid Provider Spending