GUPTA, SUMIT

$126K

Total Medicaid Paid

1,819

Total Claims

1,769

Beneficiaries

5

Codes Billed

2018-01

First Month

2020-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	802	787	$72K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	695	663	$36K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	192	189	$7K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	116	116	$7K
25600		14	14	$3K

Medicaid Provider Spending