Vaughan, Jerrica

Vaughan, Jerrica was paid $3K by Medicaid between Jun 2018 and Aug 2018, across 10 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 33% of everything it billed.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	212	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	33%	18	18	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	15	15	$587.10
83655		11%	22	22	$362.34
D1208	Topical application of fluoride, excluding varnish	11%	27	27	$348.03
92551		8.0%	20	20	$253.80
3008F		7.2%	23	23	$230.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.3%	15	15	$138.08
36416		3.3%	35	35	$106.05
85018		2.4%	24	24	$77.52
81002		1.4%	13	13	$45.24

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.