SIEMIONOW, KRZYSZTOF

$177K

Total Medicaid Paid

1,539

Total Claims

1,338

Beneficiaries

4

Codes Billed

2018-01

First Month

2021-11

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	588	506	$87K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	726	635	$56K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	159	142	$26K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	66	55	$7K

Medicaid Provider Spending