ALTMAN, WAYNE

$50K

Total Medicaid Paid

574

Total Claims

551

Beneficiaries

Codes Billed

2018-01

First Month

2018-11

Last Month

Year	Claims	Total Paid
2018	574	$50K

Code	Description	Claims	Beneficiaries	Total Paid
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	147	147	$19K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	251	228	$15K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	162	162	$15K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	14	14	$1K

Medicaid Provider Spending