Claims & Financials

Claims-only analysis: no clinical detail, and real claims arrive with lag. Flagged claims are excluded from totals.

Spend by medical center

Billing Pay To · FundCode

Eastside Medical Group · FC-210$112.8K

Harbor Medical Group · FC-340$107.3K

North Medical Group · FC-100$104.7K

Valley Medical Group · FC-100$57.4K

Eastside Medical Group · FC-100$57.4K

Valley Medical Group · FC-210$49.4K

North Medical Group · FC-340$37.3K

Harbor Medical Group · FC-210$35.7K

Valley Medical Group · FC-340$21.5K

North Medical Group · FC-210$19.3K

Harbor Medical Group · FC-100$18.6K

Eastside Medical Group · FC-340$8.8K

Highest-cost members

MemberAgeConditionsCost

Diego Moreno

BA-1014

62FHypertension, Major depression$37,426

Diego Stone

BA-1040

68MMajor depression, COPD, Type 2 diabetes, Morbid obesity$37,036

Omar Garza

BA-1034

71MType 2 diabetes, Major depression$33,871

Lena Rivera

BA-1007

74MHeart failure, Atrial fibrillation, Morbid obesity, Major depression$31,827

Grace Lowe

BA-1009

82MMorbid obesity, CKD stage 3$31,517

Ada Stone

BA-1006

54FCOPD, Hypertension$29,959

Luis Garza

BA-1027

74MMajor depression, Hypertension, Type 2 diabetes$25,764

Ada Ortiz

BA-1016

49MCKD stage 3, Heart failure, Type 2 diabetes, Atrial fibrillation$22,471

Felix Lowe

BA-1039

61MHeart failure$18,945

Ruth Quinn

BA-1023

77FHeart failure, Major depression, Atrial fibrillation, COPD$14,544

Anomaly & duplicate review queue

Prototype

Duplicate · BA-1001 · Pharmacy$0.1K

Anomaly · BA-1040 · Medical$0.7K

Duplicate · BA-1020 · Medical$0.6K

Anomaly · BA-1009 · Medical$0.5K

Duplicate · BA-1023 · Medical$0.9K

Anomaly · BA-1005 · Medical$0.6K