Total Paid
$451K
$450,937
Total Claims
4,849
Beneficiaries
1,126
4.3 claims/patient
Avg Cost/Claim
$93
🔍 Analysis
Provider Overview
is a Medicaid provider based in Unknown location. From 2018-01 through 2019-09, this provider received $451K in Medicaid payments across 5K claims serving 1K beneficiaries, billing 2 distinct procedure codes.
Key Findings
- 📊79% of billing is concentrated in H2032 (H2032), indicating significant specialization in this service.
- 📊Billing stopped in 2019-09, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
2018
$248K
-18%
2019
$203K
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 2 distinct procedure codes. The top code (H2032 (Activity therapy, per 15 minutes)) accounts for 79% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$357K
2,893 claims
$123.35
$108.23
1.1×
Normal range
H2032Normal range
Activity therapy, per 15 minutes
$357K
2,893 claims · 79.1%
Your Cost: $123.35/claim|Median: $108.23
1.1× median$94K
1,956 claims
$48.10
$96.24
0.5×
Normal range
H2015Normal range
Comprehensive community support services, per 15 min
$94K
1,956 claims · 20.9%
Your Cost: $48.10/claim|Median: $96.24
0.5× median