DOMNITZ-GEBET, AVI

$19K

Total Medicaid Paid

655

Total Claims

637

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-10

Last Month

Year	Claims	Total Paid
2018	655	$19K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	398	387	$10K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	176	169	$7K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	49	49	$2K
99308	Subsequent nursing facility care, per day, straightforward	32	32	$529.48

Medicaid Provider Spending