KASTELIC, RICHARD

$57K

Total Medicaid Paid

5,162

Total Claims

4,487

Beneficiaries

4

Codes Billed

2020-12

First Month

2024-06

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	4,442	3,807	$31K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	263	238	$13K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	367	352	$9K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	90	90	$4K

Medicaid Provider Spending