Martin Barrios
Compared to Surgery Peers
Total spending distribution among 8 providers in this specialty
This provider's total spending of $96K is at the below 25th percentile among 8 Surgery providers.
Total Paid
$96K
$95,534
Total Claims
4,231
Beneficiaries
1,622
2.6 claims/patient
Avg Cost/Claim
$23
🔍 Analysis
Provider Overview
Martin Barrios is a Surgery provider based in Fort Myers, FL. From 2018-01 through 2018-03, this provider received $96K in Medicaid payments across 4K claims serving 2K beneficiaries, billing 6 distinct procedure codes.
Key Findings
- 📊Billing stopped in 2018-03, suggesting this provider is no longer active in Medicaid.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 6 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 59% of total spending.
$56K
1,631 claims
$34.54
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$56K
1,631 claims · 59.0%
$23K
2,082 claims · 24.5%
$11K
432 claims
$25.96
$25.06
Office/outpatient visit, low complexity
$11K
432 claims · 11.7%
$3K
49 claims
$59.07
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$3K
49 claims · 3.0%
$1K
12 claims
$109.46
$84.03
Office/outpatient visit, new patient, mod-high complexity
$1K
12 claims · 1.4%
$387
25 claims
$15.49
$12.93
Office/outpatient visit, minimal complexity
$387
25 claims · 0.4%
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