75 / 99
Top 10 Providers
ITSP20PPOX
ITSP20PPO
ITSP30PPO
90809016
ITSP05PPO
ITSP11PPO
ITSF20PPOX
90029030
ITSF01PPO
ITSF01PPOX
$0
$80,000
$160,000
$240,000
$320,000
$400,000
$480,000
$560,000
$640,000
$720,000
# OF
CLAIMANTS
# OF CLAIMS
MEMBER PAID
% PLAN
PAID OF
TOTAL
PLAN PAID
PLAN PAID
NETWORK
CATEGORY
PROVIDER NAME
CODE
46
91
$47,850.38
42.18 %
$654,649.35
Yes
ITS HOSPITAL NTWK
ALT
ITSF01PPOX
149
536
$60,210.58
11.32 %
$175,719.50
Yes
ITS HOSPITAL NTWK
STD
ITSF01PPO
8
15
$7,992.58
5.24 %
$81,291.95
Yes
CENTERPOINT
MEDICAL CENTER
90029030
1
1
$0.00
1.78 %
$27,700.00
Yes
ITS HOSPITAL NTWK
ALT
ITSF20PPOX
102
255
$7,873.34
1.71 %
$26,574.56
Yes
ITS INT MED
ITSP11PPO
30
38
$3,095.39
1.52 %
$23,618.78
Yes
ITS ANES
ITSP05PPO
2
2
$0.00
1.09 %
$16,915.01
Yes
SAINT LUKES SOUTH
HOSPITAL
90809016
109
242
$9,673.95
0.99 %
$15,377.04
Yes
ITS DX RAD
ITSP30PPO
27
62
$4,383.13
0.92 %
$14,290.19
Yes
ITS ORTHO SURG
ITSP20PPO
3
3
$1,108.16
0.91 %
$14,109.44
Yes
ITS ORTHO SURG
ITSP20PPOX
1,482
3,123
$164,992.66
32.33 %
$501,740.54
Remaining
Providers
Page 8 of 28
Paid: 7/1/2016 to 6/29/2017
Episode Treatment Groups, third party software included in Design180 ™, is the proprietary and copyrighted
intellectual property of Symmetry ™. Copyright © 2015, NavigatorMD, Inc.
PRESERVATION HOUSING MANAGEMENT
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