Total Paid
$216K
$216,297
Total Claims
2,394
Beneficiaries
2,039
1.2 claims/patient
Avg Cost/Claim
$90
🔍 Analysis
Provider Overview
Twyla Bartel is a Medicaid provider based in Little Rock, AR. From 2018-01 through 2018-12, this provider received $216K in Medicaid payments across 2K claims serving 2K beneficiaries, billing 9 distinct procedure codes.
Key Findings
- 📊Bills 2.8× the national median for 78815 (78815), at $916 per claim vs. the median of $325, placing them above the 75th percentile.
- 📊Billing stopped in 2018-12, suggesting this provider is no longer active in Medicaid.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 9 distinct procedure codes. The top code (78815 (PET imaging for limited area)) accounts for 54% of total spending.
PET imaging for limited area
$116K
127 claims · 53.8%
$30K
162 claims · 14.0%
$20K
202 claims
$98.32
$65.76
CT abdomen and pelvis with contrast
$20K
202 claims · 9.2%
$17K
215 claims
$79.96
$106.14
Myocardial perfusion imaging, SPECT, multiple studies
$17K
215 claims · 7.9%
Chest X-ray, 2 views
$15K
921 claims · 6.8%
$8K
86 claims
$92.74
$60.19
CT abdomen and pelvis without contrast
$8K
86 claims · 3.7%
CT head/brain without contrast
$6K
139 claims · 2.7%
Chest X-ray, single view
$4K
514 claims · 1.8%
$249
28 claims
$8.88
$3.42
Low osmolar contrast material, 300-399 mg iodine/ml, per ml
$249
28 claims · 0.1%
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