VICENCIO, JULIE

$193K

Total Medicaid Paid

2,744

Total Claims

2,547

Beneficiaries

4

Codes Billed

2020-12

First Month

2024-11

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	1,925	1,815	$149K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	649	568	$32K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	142	137	$12K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	28	27	$1K

Medicaid Provider Spending