CIPOLLINI, SHERYL

$30K

Total Medicaid Paid

769

Total Claims

511

Beneficiaries

4

Codes Billed

2018-05

First Month

2019-09

Last Month

Year	Claims	Total Paid
2018	357	$7K
2019	412	$23K

Code	Description	Claims	Beneficiaries	Total Paid
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	331	272	$18K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	396	200	$8K
99204	Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	25	25	$2K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	17	14	$843.84

Medicaid Provider Spending