Total Paid
$197K
$196,906
Total Claims
3,795
Beneficiaries
2,725
1.4 claims/patient
Avg Cost/Claim
$52
🔍 Analysis
Provider Overview
is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $197K in Medicaid payments across 4K claims serving 3K beneficiaries.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 12 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 36% of total spending.
$72K
1,741 claims
$41.21
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$72K
1,741 claims · 36.4%
$43K
421 claims · 21.9%
$30K
412 claims
$71.77
$58.55
Ultrasound, pregnant uterus, follow-up
$30K
412 claims · 15.0%
$14K
438 claims
$32.67
$25.06
Office/outpatient visit, low complexity
$14K
438 claims · 7.3%
Ultrasound, transvaginal
$14K
189 claims · 7.1%
Ultrasound, pelvic, complete
$11K
198 claims · 5.8%
$6K
67 claims
$86.28
$47.65
Ultrasound, pregnant uterus, transvaginal
$6K
67 claims · 2.9%
$4K
45 claims
$82.22
$58.16
Ultrasound, pregnant uterus, single fetus, first trimester
$4K
45 claims · 1.9%
$1K
14 claims
$77.50
$74.78
Ultrasound, pregnant uterus, complete, single fetus
$1K
14 claims · 0.6%
$839
42 claims
$19.97
$72.71
Preventive medicine, established patient, age 18-39
$839
42 claims · 0.4%
$666
12 claims
$55.53
$57.85
Office/outpatient visit, new patient, low-mod complexity
$666
12 claims · 0.3%
$612
216 claims · 0.3%