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Unknown Provider 1912173402

NPI: 1912173402SharePrint ReportML Risk: 82%

Total Paid

$107K

$106,724

Total Claims

2,660

Beneficiaries

2,016

1.3 claims/patient

Avg Cost/Claim

$40

🔍 Analysis

Provider Overview

is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $107K in Medicaid payments across 3K claims serving 2K beneficiaries.

41% growthsince first billing year

Yearly Spending

2018
$67K
-41%
2019
$39K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 59% of total spending.

99212Top 25%

Office/outpatient visit, low complexity

$63K

1,594 claims · 59.1%

Your Cost: $39.58/claim|Median: $25.06
1.6× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$34K

507 claims · 32.1%

Your Cost: $67.57/claim|Median: $37.81
1.8× median
D1206Normal range

Topical application of fluoride varnish

$8K

431 claims · 7.5%

Your Cost: $18.58/claim|Median: $18.12
1.0× median
92551Top 25%

Screening audiometry, pure tone, air only

$816

79 claims · 0.8%

Your Cost: $10.33/claim|Median: $6.61
1.6× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$479

12 claims · 0.4%

Your Cost: $39.89/claim|Median: $27.38
1.5× median
99173Normal range

$78

37 claims · 0.1%

Your Cost: $2.11/claim|Median: $2.16
1.0× median