OIG EXCLUDED — This provider appears on the federal exclusion list
Max Money
Compared to Family Medicine Peers
Total spending distribution among 19 providers in this specialty
This provider's total spending of $50K is at the below 25th percentile among 19 Family Medicine providers.
Total Paid
$50K
$49,832
Total Claims
2,704
Beneficiaries
2,488
1.1 claims/patient
Avg Cost/Claim
$18
🔍 Analysis
Provider Overview
Max Money is a Family Medicine provider based in New Tazewell, TN. From 2018-01 through 2018-07, this provider received $50K in Medicaid payments across 3K claims serving 2K beneficiaries, billing 5 distinct procedure codes.
Key Findings
- 📊96% of all billing comes from a single procedure code: 99213 (99213). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.
- 📊Billing stopped in 2018-07, suggesting this provider is no longer active in Medicaid.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 (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 96% of total spending.
$48K
1,953 claims
$24.48
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$48K
1,953 claims · 95.9%
$1K
134 claims
$9.69
$9.56
Therapeutic injection, subcutaneous/intramuscular
$1K
134 claims · 2.6%
$444
404 claims
$1.10
$1.57
Collection of venous blood by venipuncture
$444
404 claims · 0.9%
$238
171 claims
$1.39
$2.51
Urinalysis with microscopy, non-automated
$238
171 claims · 0.5%
$51
42 claims
$1.21
$1.04
Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg
$51
42 claims · 0.1%
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