NAVIWALA, SALEEM

$4K

Total Medicaid Paid

71

Total Claims

71

Beneficiaries

4

Codes Billed

2023-02

First Month

2024-11

Last Month

Year	Claims	Total Paid
2023	41	$3K
2024	30	$787.10

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	29	29	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12	12	$537.12
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17	17	$443.90
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13	13	$343.20

Medicaid Provider Spending