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Phyllis Barson

Anesthesiology·Bowie, MD·NPI: 1578676748SharePrint ReportML Risk: 86%

Compared to Anesthesiology Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $203K is at the below 25th percentile among 13 Anesthesiology providers.

Total Paid

$203K

$202,771

Total Claims

2,665

Beneficiaries

1,414

1.9 claims/patient

Avg Cost/Claim

$76

🔍 Analysis

Provider Overview

Phyllis Barson is a Anesthesiology provider based in Bowie, MD. From 2018-04 through 2019-03, this provider received $203K in Medicaid payments across 3K claims serving 1K beneficiaries, billing 4 distinct procedure codes.

Key Findings

  • 📊Bills 1.9× the national median for 99213 (99213), at $74 per claim vs. the median of $38, placing them above the 90th percentile.
  • 📊Billing stopped in 2019-03, suggesting this provider is no longer active in Medicaid.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

2018
$156K
-70%
2019
$47K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 74% of total spending.

99213Top 10%

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

$151K

2,045 claims · 74.3%

Your Cost: $73.63/claim|Median: $37.81
1.9× median
99214Top 10%

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

$32K

293 claims · 15.7%

Your Cost: $108.50/claim|Median: $53.41
2.0× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$18K

311 claims · 8.8%

Your Cost: $57.10/claim|Median: $35.43
1.6× median
99204Top 5%

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

$3K

16 claims · 1.3%

Your Cost: $166.09/claim|Median: $84.03
2.0× median