SAKLA, JOHN

$45K

Total Medicaid Paid

1,693

Total Claims

1,391

Beneficiary Records

6

Codes Billed

2021-03

First Month

2024-11

Last Month

Code	Description	Claims	Bene. Records	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	826	685	$22K
73630		510	389	$14K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	185	157	$6K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	100	95	$3K
11721		58	52	$544.87
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	14	13	$254.09

Medicaid Provider Spending