SUSSAL, JOSHUA

$206K

Total Medicaid Paid

2,839

Total Claims

2,705

Beneficiaries

5

Codes Billed

2018-01

First Month

2019-12

Last Month

Year	Claims	Total Paid
2018	1,815	$134K
2019	1,024	$73K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	724	673	$74K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	872	853	$62K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	1,065	1,014	$54K
90792	Psychiatric diagnostic evaluation with medical services	107	106	$16K
80305		71	59	$759.70

Medicaid Provider Spending