These patients are being seen by Dr. Christopher Connolly of Valley Associates, P. C. (Dr. Connelly's practice information is in the textbook.)
1. A new patient is being seen today by Dr. Christopher Connolly. His
name is Brian Kehoe, and he is insured by a Medicaid managed care
plan. The doctor accepts assignment. His copay is $10, which he paid
today. He is examined in the office today for an abscess on his mouth,
which is not related to any type of accident.
Encounter Form Data
Diagnosis 1
K12.2, abscess of mouth
Procedure Code 99201
Procedure Cost $70
If Medicaid pays 50 percent of the physician's usual charge, after applying
DU
the copay, what payment will Medicaid send?