FILLIMAN, TRISHA

$187K

Total Medicaid Paid

1,505

Total Claims

1,346

Beneficiaries

5

Codes Billed

2019-01

First Month

2023-09

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	931	848	$127K
99215	Prolong outpt/office vis	218	199	$35K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	205	175	$22K
96110	Developmental screening, with scoring and documentation, per standardized instrument	127	109	$2K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	24	15	$2K

Medicaid Provider Spending