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Michael Fletcher

Anesthesiology, Addiction Medicine·Florence, KY·NPI: 1063476216SharePrint ReportML Risk: 89%

Total Paid

$89K

$88,958

Total Claims

1K

Beneficiaries

285

4.8 claims/patient

Avg Cost/Claim

$65

🔍 Analysis

Provider Overview

Michael Fletcher is a Anesthesiology, Addiction Medicine provider based in Florence, KY. From 2018-01 through 2020-05, this provider received $89K in Medicaid payments across 1K claims serving 285 beneficiaries, billing 6 distinct procedure codes.

Key Findings

  • 📊82% of billing is concentrated in H0018 (H0018), indicating significant specialization in this service.
  • 📊Spending grew 1767% from $4K in 2018 to $83K in 2020.
  • 📊Saw a 78.9× spike in 2020 ($1K → $83K), a sharp year-over-year increase.
  • 📊Billing stopped in 2020-05, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Yearly Spending

2018
$4K
-76%
2019
$1K
+7788%
2020
$83K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 82% of total spending.

H0018Normal range

Behavioral health; short-term residential, per diem

$73K

665 claims · 82.4%

Your Cost: $110.24/claim|Median: $467.51
0.2× median
H0038Normal range

Self-help/peer services, per 15 minutes

$9K

193 claims · 9.8%

Your Cost: $44.97/claim|Median: $55.04
0.8× median
99213Normal range

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

$4K

218 claims · 4.3%

Your Cost: $17.40/claim|Median: $37.81
0.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$2K

241 claims · 2.8%

Your Cost: $10.25/claim|Median: $35.43
0.3× median
99204Normal range

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

$674

15 claims · 0.8%

Your Cost: $44.91/claim|Median: $84.03
0.5× median
81025Normal range

Urine pregnancy test

$34

39 claims · 0.0%

Your Cost: $0.88/claim|Median: $4.81
0.2× median