BRIZUELA DUCHARNE, ALBERTO

$45K

Total Medicaid Paid

1,914

Total Claims

1,701

Beneficiaries

5

Codes Billed

2020-08

First Month

2023-07

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,396	1,382	$40K
99232	Subsequent hospital care, per day, moderate complexity	403	213	$5K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13	13	$321.78
99429		56	47	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	46	46	$0.00

Medicaid Provider Spending