PULLA, RICHARD

$45K

Total Medicaid Paid

1,187

Total Claims

1,054

Beneficiary Records

6

Codes Billed

2018-01

First Month

2022-10

Last Month

Code	Description	Claims	Bene. Records	Total Paid
11721		670	586	$17K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	97	85	$13K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	329	295	$13K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	35	32	$1K
99201		41	41	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	15	15	$307.45

Medicaid Provider Spending