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Glenn Waldt

Neuromusculoskeletal Medicine & OMM·Las Cruces, NM·NPI: 1437219698SharePrint ReportML Risk: 82%

Total Paid

$436K

$435,836

Total Claims

6K

Beneficiaries

1K

5.0 claims/patient

Avg Cost/Claim

$77

🔍 Analysis

Provider Overview

Glenn Waldt is a Neuromusculoskeletal Medicine & OMM provider based in Las Cruces, NM. From 2022-01 through 2022-12, this provider received $436K in Medicaid payments across 6K claims serving 1K beneficiaries, billing 5 distinct procedure codes.

Key Findings

  • 📊Bills 1.8× the national median for 99214 (99214), at $95 per claim vs. the median of $53, placing them above the 75th percentile.
  • 📊Billing stopped in 2022-12, suggesting this provider is no longer active in Medicaid.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 5 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 58% of total spending.

99214Normal range

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

$253K

3K claims · 58.0%

Your Cost: $94.90/claim|Median: $53.41
1.8× median
98928Normal range

$173K

3K claims · 39.7%

Your Cost: $60.51/claim|Median: $31.88
1.9× median
99204Normal range

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

$7K

52 claims · 1.6%

Your Cost: $138.29/claim|Median: $84.03
1.6× median
99213Normal range

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

$2K

36 claims · 0.5%

Your Cost: $65.66/claim|Median: $37.81
1.7× median
72050Normal range

$561

14 claims · 0.1%

Your Cost: $40.09/claim|Median: $23.33
1.7× median