Total Paid
$134K
$133,562
Total Claims
3,169
Beneficiaries
1,910
1.7 claims/patient
Avg Cost/Claim
$42
🔍 Analysis
Provider Overview
is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $134K in Medicaid payments across 3K claims serving 2K beneficiaries.
↓ 3% growthsince first billing year
Yearly Spending
2018
$68K
-3%
2019
$66K
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 84% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$112K
2,846 claims
$39.34
$25.06
1.6×
Top 25%
99212Top 25%
Office/outpatient visit, low complexity
$112K
2,846 claims · 83.8%
Your Cost: $39.34/claim|Median: $25.06
1.6× median$22K
323 claims
$66.88
$37.81
1.8×
Top 25%
99213Top 25%
Office/outpatient visit, est. patient, low-mod complexity
$22K
323 claims · 16.2%
Your Cost: $66.88/claim|Median: $37.81
1.8× median