MUMTAZ, ANWAR

$210K

Total Medicaid Paid

2,319

Total Claims

2,118

Beneficiaries

5

Codes Billed

2019-07

First Month

2024-11

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	597	558	$85K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	643	582	$63K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,038	939	$60K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13	13	$1K
69210		28	26	$851.57

Medicaid Provider Spending