DOHERTY, WILLIAM

$18K

Total Medicaid Paid

435

Total Claims

431

Beneficiaries

4

Codes Billed

2021-04

First Month

2023-10

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	299	296	$10K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	99	98	$5K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24	24	$1K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13	13	$1K

Medicaid Provider Spending