DESIR, MATTHEW

$35K

Total Medicaid Paid

717

Total Claims

670

Beneficiaries

4

Codes Billed

2019-07

First Month

2021-06

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	610	563	$32K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	27	27	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14	14	$1K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	66	66	$597.30

Medicaid Provider Spending