ESPENSHADE, MATTHEW

$38K

Total Medicaid Paid

1,203

Total Claims

1,131

Beneficiary Records

5

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	621	592	$17K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	277	265	$10K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	142	142	$7K
20610		149	118	$3K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14	14	$1K

Medicaid Provider Spending