MIGUEL SABEDRA PLLC

$7K

Total Medicaid Paid

122

Total Claims

117

Beneficiaries

4

Codes Billed

2018-01

First Month

2018-03

Last Month

Authorized Official	SABEDRA, MIGUEL (OWNER)
NPI Enumeration Date	06/25/2010

Year	Claims	Total Paid
2018	122	$7K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	58	54	$3K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	37	36	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14	14	$948.33
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	13	13	$170.00

Medicaid Provider Spending