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Unknown Provider A000054000

NPI: A000054000SharePrint ReportML Risk: 84%

Total Paid

$516K

$515,544

Total Claims

7,160

Beneficiaries

2,174

3.3 claims/patient

Avg Cost/Claim

$72

🔍 Analysis

Provider Overview

is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $516K in Medicaid payments across 7K claims serving 2K beneficiaries.

41% growthsince first billing year

Yearly Spending

2018
$324K
-41%
2019
$191K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 56% of total spending.

T1016Normal range

Case management, each 15 min

$288K

4,643 claims · 55.8%

Your Cost: $61.96/claim|Median: $49.62
1.2× median
T2023Normal range

Community transition, waiver; per service

$205K

609 claims · 39.7%

Your Cost: $336.40/claim|Median: $300.13
1.1× median
A0090Normal range

Non-emergency transport, per mile

$23K

1,908 claims · 4.5%

Your Cost: $12.06/claim|Median: $10.45
1.2× median