CASTILLO, SAMUEL

$104K

Total Medicaid Paid

2,072

Total Claims

1,747

Beneficiaries

4

Codes Billed

2018-01

First Month

2022-04

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1,247	1,103	$76K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	524	466	$23K
99232	Subsequent hospital care, per day, moderate complexity	258	136	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	43	42	$2K

Medicaid Provider Spending