ALHABIAN, OULA

$77K

Total Medicaid Paid

1,456

Total Claims

1,170

Beneficiaries

5

Codes Billed

2018-01

First Month

2019-07

Last Month

Year	Claims	Total Paid
2018	961	$49K
2019	495	$28K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	990	781	$65K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	233	198	$10K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	27	26	$1K
90686		36	32	$558.78
36415	Collection of venous blood by venipuncture	170	133	$0.00

Medicaid Provider Spending