GRAY, TIMOTHY

$17K

Total Medicaid Paid

729

Total Claims

616

Beneficiaries

4

Codes Billed

2018-01

First Month

2023-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	535	441	$10K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	163	148	$6K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	19	15	$342.90
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$317.20

Medicaid Provider Spending