Michael Fletcher
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- 📊Billing stopped in 2020-05, suggesting this provider is no longer active in Medicaid.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
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.
$73K
665 claims
$110.24
$467.51
Behavioral health; short-term residential, per diem
$73K
665 claims · 82.4%
$9K
193 claims
$44.97
$55.04
Self-help/peer services, per 15 minutes
$9K
193 claims · 9.8%
$4K
218 claims
$17.40
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$4K
218 claims · 4.3%
$2K
241 claims
$10.25
$35.43
Drug test, presumptive, by chemistry analyzers
$2K
241 claims · 2.8%
$674
15 claims
$44.91
$84.03
Office/outpatient visit, new patient, mod-high complexity
$674
15 claims · 0.8%
Urine pregnancy test
$34
39 claims · 0.0%
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