KOSHY, NEETHU

$156K

Total Medicaid Paid

2,061

Total Claims

1,947

Beneficiaries

5

Codes Billed

2018-01

First Month

2019-12

Last Month

Year	Claims	Total Paid
2018	932	$70K
2019	1,129	$87K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,854	1,747	$142K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	107	105	$5K
99215	Prolong outpt/office vis	43	38	$4K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	45	45	$3K
90792	Psychiatric diagnostic evaluation with medical services	12	12	$2K

Medicaid Provider Spending