BRISSEY, NICHOLAS

$22K

Total Medicaid Paid

651

Total Claims

556

Beneficiaries

6

Codes Billed

2019-08

First Month

2024-05

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	343	293	$13K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	119	111	$7K
73630		144	111	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17	16	$485.84
73610		16	13	$319.78
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12	12	$217.17

Medicaid Provider Spending