ZILBERSTEIN, ASHLEY

$103K

Total Medicaid Paid

1,530

Total Claims

1,477

Beneficiaries

5

Codes Billed

2023-01

First Month

2024-09

Last Month

Year	Claims	Total Paid
2023	930	$60K
2024	600	$43K

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	639	630	$51K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	729	689	$43K
17110		50	49	$4K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	63	63	$3K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	49	46	$2K

Medicaid Provider Spending