Compared to Obstetrics & Gynecology Peers
Total spending distribution among 5 providers in this specialty
This provider's total spending of $214K is at the 75th percentile among 5 Obstetrics & Gynecology providers.
Total Paid
$214K
$214,231
Total Claims
2,758
Beneficiaries
1,878
1.5 claims/patient
Avg Cost/Claim
$78
🔍 Analysis
Provider Overview
Robert Nielsen is a Obstetrics & Gynecology provider based in Osage Beach, MO. From 2018-01 through 2019-03, this provider received $214K in Medicaid payments across 3K claims serving 2K beneficiaries, billing 8 distinct procedure codes.
Key Findings
- 📊Bills 3.0× the national median for 99213 (99213), at $115 per claim vs. the median of $38. This places them well above the 99th percentile nationally.
- 📊Billing stopped in 2019-03, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 8 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 67% of total spending.
$144K
1,253 claims
$115.26
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$144K
1,253 claims · 67.4%
$26K
120 claims
$217.08
$74.78
Ultrasound, pregnant uterus, complete, single fetus
$26K
120 claims · 12.2%
$21K
1,216 claims
$17.39
$1.48
Urinalysis, automated without microscopy
$21K
1,216 claims · 9.9%
$12K
38 claims · 5.8%
Ultrasound, pregnant uterus, follow-up
$8K
48 claims · 3.8%
Office/outpatient visit, low complexity
$958
14 claims · 0.4%
$902
56 claims · 0.4%
Blood glucose level test
$211
13 claims · 0.1%
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