Total Paid
$11K
$11,227
Total Claims
905
Beneficiaries
835
1.1 claims/patient
Avg Cost/Claim
$12
🔍 Analysis
Provider Overview
is a Medicaid provider based in Unknown location. From 2018-01 through 2018-07, this provider received $11K in Medicaid payments across 905 claims serving 835 beneficiaries, billing 4 distinct procedure codes.
Key Findings
- 📊Billing stopped in 2018-07, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 58% of total spending.
$6K
698 claims
$9.27
$25.06
Office/outpatient visit, low complexity
$6K
698 claims · 57.7%
$4K
138 claims
$28.71
$76.06
Preventive medicine, established patient, age 40-64
$4K
138 claims · 35.3%
$696
33 claims
$21.08
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$696
33 claims · 6.2%
Collection of venous blood by venipuncture
$96
36 claims · 0.9%