Is TOBIAS MOELLER-BERTRAM, MD CORPORATION DESERT CLINIC PAIN INSTITUTE flagged for Medicaid fraud?

TOBIAS MOELLER-BERTRAM, MD CORPORATION DESERT CLINIC PAIN INSTITUTE (NPI: 1265813125) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

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TOBIAS MOELLER-BERTRAM, MD CORPORATION DESERT CLINIC PAIN INSTITUTE

RANCHO MIRAGE, CA·NPI: 1265813125Share

Active Billing Period:2018-01→2022-12(60 months)

Billing appears to have stoppedLast active: 2022-12

Total Paid

$47.2M

$47,178,196

Total Claims

216K

Beneficiaries

158K

1.4 claims/patient

Avg Cost/Claim

$219

Monthly Spending Trend

Yearly Spending

2018

$9.5M

+13%

2019

$10.7M

-1%

2020

$10.6M

+1%

2021

$10.7M

-47%

2022

$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 45% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

99215Office/outpatient visit, high complexitySee all providers →

$21.2M

26K claims

$829.05

$74.09

11.2×

Top 1%

99215Top 1%

Office/outpatient visit, high complexity

$21.2M

26K claims · 44.9%

Your Cost: $829.05/claim|Median: $74.09

11.2× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$12.9M

33K claims

$384.98

$37.81

10.2×

Top 1%

99213Top 1%

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

$12.9M

33K claims · 27.3%

Your Cost: $384.98/claim|Median: $37.81

10.2× median

99245Office consultation, high complexitySee all providers →

$9.5M

18K claims

$523.88

$143.30

3.7×

Top 1%

99245Top 1%

Office consultation, high complexity

$9.5M

18K claims · 20.2%

Your Cost: $523.88/claim|Median: $143.30

3.7× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$3.6M

8,191 claims

$437.44

$111.09

3.9×

Top 1%

99205Top 1%

Office/outpatient visit, new patient, high complexity

$3.6M

8,191 claims · 7.6%

Your Cost: $437.44/claim|Median: $111.09

3.9× median

97002 See all providers →

4,691 claims

$0.00

$54.45

—

Normal range

97002Normal range

4,691 claims · 0.0%

Your Cost: $0.00/claim|Median: $54.45

97162PT evaluation, moderate complexitySee all providers →

18K claims

$0.00

$46.10

—

Normal range

97162Normal range

PT evaluation, moderate complexity

18K claims · 0.0%

Your Cost: $0.00/claim|Median: $46.10

97110Therapeutic exercises, each 15 minSee all providers →

3,008 claims

$0.00

$24.49

—

Normal range

97110Normal range

Therapeutic exercises, each 15 min

3,008 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.49

90832Psychotherapy, 30 minutesSee all providers →

22K claims

$0.00

$41.28

—

Normal range

90832Normal range

Psychotherapy, 30 minutes

22K claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

1,077 claims

$0.00

$57.85

—

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

1,077 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85

90853Group psychotherapySee all providers →

12K claims

$0.00

$25.02

—

Normal range

90853Normal range

Group psychotherapy

12K claims · 0.0%

Your Cost: $0.00/claim|Median: $25.02

97161Physical therapy evaluation, low complexitySee all providers →

219 claims

$0.00

$47.89

—

Normal range

97161Normal range

Physical therapy evaluation, low complexity

219 claims · 0.0%

Your Cost: $0.00/claim|Median: $47.89

S9451 See all providers →

3,311 claims

$0.00

$0.35

—

Normal range

S9451Normal range

3,311 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.35

97810 See all providers →

4,357 claims

$0.00

$23.92

—

Normal range

97810Normal range

4,357 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.92

90791Psychiatric diagnostic evaluationSee all providers →

2,740 claims

$0.00

$99.21

—

Normal range

90791Normal range

Psychiatric diagnostic evaluation

2,740 claims · 0.0%

Your Cost: $0.00/claim|Median: $99.21

98941Chiropractic manipulative treatment, 3-4 spinal regionsSee all providers →

34K claims

$0.00

$20.83

—

Normal range

98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

34K claims · 0.0%

Your Cost: $0.00/claim|Median: $20.83

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

1,399 claims

$0.00

$53.41

—

Normal range

99214Normal range

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

1,399 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41

98962 See all providers →

13K claims

$0.00

$12.43

—

Normal range

98962Normal range

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $12.43

97124 See all providers →

10K claims

$0.00

$17.78

—

Normal range

97124Normal range

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $17.78

Other Top Providers in California

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Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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