SANFORD, THOMAS

$32K

Total Medicaid Paid

691

Total Claims

669

Beneficiary Records

4

Codes Billed

2018-01

First Month

2020-07

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	598	577	$25K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	38	38	$3K
69436	Tympanostomy (requiring insertion of ventilating tube), general anesthesia	13	13	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	42	41	$2K

Medicaid Provider Spending