Total Paid
$114K
$114,455
Total Claims
3,595
Beneficiaries
1,071
3.4 claims/patient
Avg Cost/Claim
$32
🔍 Analysis
Provider Overview
is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $114K in Medicaid payments across 4K claims serving 1K beneficiaries.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 3 distinct procedure codes. The top code (S0215 (Non-invasive prenatal screening, fetal chromosomal abnormalities)) accounts for 74% of total spending.
$85K
1,722 claims
$49.17
$21.33
Non-invasive prenatal screening, fetal chromosomal abnormalities
$85K
1,722 claims · 74.0%
$20K
1,649 claims
$11.99
$16.09
Non-emergency mini-bus transport
$20K
1,649 claims · 17.3%
$10K
224 claims
$44.66
$29.37
Non-emergency wheelchair van transport
$10K
224 claims · 8.7%