MARLIZ MEDICAL SERVICES P.S.C.

$2K

Total Medicaid Paid

1,472

Total Claims

1,364

Beneficiaries

21

Codes Billed

2018-01

First Month

2018-07

Last Month

Authorized Official	CORCHADO, MARCO (PRESIDENT)
NPI Enumeration Date	08/10/2015

Year	Claims	Total Paid
2018	1,472	$2K

Code	Description	Claims	Beneficiaries	Total Paid
1158F		132	125	$302.80
1157F		131	123	$298.88
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	141	129	$234.15
G0008	Administration of influenza virus vaccine	14	13	$201.63
90656		14	13	$151.74
3078F		120	117	$100.00
3074F		114	112	$90.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	174	147	$77.85
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	88	72	$69.14
2022F		13	12	$0.00
1159F		12	12	$0.00
4035F		17	13	$0.00
3017F		14	13	$0.00
3008F		110	107	$0.00
4010F		52	50	$0.00
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	51	51	$0.00
1125F		105	95	$0.00
1170F		111	105	$0.00
3061F		13	13	$0.00
1126F		29	29	$0.00
1030F		17	13	$0.00

Medicaid Provider Spending