JEZIORCZAK, PAUL

$6K

Total Medicaid Paid

152

Total Claims

104

Beneficiaries

4

Codes Billed

2018-02

First Month

2023-09

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
99232	Subsequent hospital care, per day, moderate complexity	97	49	$3K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	16	16	$1K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	27	27	$743.94
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12	12	$482.15

Medicaid Provider Spending