CONGDON, GERALD

$104K

Total Medicaid Paid

2,744

Total Claims

1,459

Beneficiaries

6

Codes Billed

2019-04

First Month

2020-09

Last Month

Year	Claims	Total Paid
2019	2,186	$85K
2020	558	$19K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,035	578	$78K
80305		1,084	506	$10K
90853	Group psychotherapy (other than of a multiple-family group)	524	280	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	43	43	$2K
99215	Prolong outpt/office vis	18	18	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	40	34	$1K

Medicaid Provider Spending