GAUTHIER, CRAIG

$79K

Total Medicaid Paid

3,103

Total Claims

2,055

Beneficiaries

6

Codes Billed

2018-01

First Month

2023-06

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	2,151	1,349	$75K
87210		874	642	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	12	12	$833.14
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	13	12	$663.81
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	28	27	$624.98
81000		25	13	$28.44

Medicaid Provider Spending