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Martin Barrios

Surgery·Fort Myers, FL·NPI: 1770788689SharePrint ReportML Risk: 84%

Compared to Surgery Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

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  • 📊Billing stopped in 2018-03, suggesting this provider is no longer active in Medicaid.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.

99213Normal range

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

$56K

1,631 claims · 59.0%

Your Cost: $34.54/claim|Median: $37.81
0.9× median
80305Top 25%

$23K

2,082 claims · 24.5%

Your Cost: $11.24/claim|Median: $7.44
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$11K

432 claims · 11.7%

Your Cost: $25.96/claim|Median: $25.06
1.0× median
99214Normal range

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

$3K

49 claims · 3.0%

Your Cost: $59.07/claim|Median: $53.41
1.1× median
99204Normal range

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

$1K

12 claims · 1.4%

Your Cost: $109.46/claim|Median: $84.03
1.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$387

25 claims · 0.4%

Your Cost: $15.49/claim|Median: $12.93
1.2× median