ZACHAR, DANIELLE

$15K

Total Medicaid Paid

388

Total Claims

363

Beneficiaries

3

Codes Billed

2020-10

First Month

2024-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	317	296	$15K
1159F		13	12	$0.00
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	58	55	$0.00

Medicaid Provider Spending