UL ISLAM, MUHAMMAD

$114K

Total Medicaid Paid

2,069

Total Claims

1,817

Beneficiaries

4

Codes Billed

2018-01

First Month

2020-06

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	1,094	956	$71K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	842	733	$38K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	87	87	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	46	41	$565.20

Medicaid Provider Spending