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Rebekah Mattingly

Nurse Practitioner, Family·Maysville, KY·NPI: 1578013587SharePrint ReportML Risk: 89%

Compared to Nurse Practitioner, Family Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $128K is at the 50th percentile among 11 Nurse Practitioner, Family providers.

Total Paid

$128K

$127,595

Total Claims

2,486

Beneficiaries

1,335

1.9 claims/patient

Avg Cost/Claim

$51

🔍 Analysis

Provider Overview

Rebekah Mattingly is a Nurse Practitioner, Family provider based in Maysville, KY. From 2020-01 through 2020-09, this provider received $128K in Medicaid payments across 2K claims serving 1K beneficiaries, billing 5 distinct procedure codes.

Key Findings

  • 📊Bills 1.7× the national median for 80307 (80307), at $61 per claim vs. the median of $35, placing them above the 75th percentile.
  • 📊Billing stopped in 2020-09, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 58% of total spending.

80307Top 25%

Drug test, presumptive, by chemistry analyzers

$73K

1,200 claims · 57.6%

Your Cost: $61.22/claim|Median: $35.43
1.7× median
99213Normal range

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

$51K

1,157 claims · 39.6%

Your Cost: $43.68/claim|Median: $37.81
1.2× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$3K

25 claims · 2.2%

Your Cost: $114.43/claim|Median: $37.56
3.0× median
81025Top 10%

Urine pregnancy test

$672

79 claims · 0.5%

Your Cost: $8.50/claim|Median: $4.81
1.8× median
36415Top 25%

Collection of venous blood by venipuncture

$72

25 claims · 0.1%

Your Cost: $2.88/claim|Median: $1.57
1.8× median

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