FADOJU, MERCY

$487K

Total Medicaid Paid

4,660

Total Claims

3,913

Beneficiaries

4

Codes Billed

2018-01

First Month

2019-12

Last Month

Year	Claims	Total Paid
2018	2,924	$309K
2019	1,736	$178K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	3,710	3,046	$389K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	538	507	$87K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	386	336	$10K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26	24	$2K

Medicaid Provider Spending