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Top 10 Conditions: Benchmark Comparison

Ischemic heart disease

Hypertension

Diverticulitis & diverticulosis

Malignant neoplasm of pulmonary system

Routine exam

Joint degeneration, localized - neck

Joint degeneration, localized - knee & lower leg

Diabetes

Joint degeneration, localized - back

Malignant neoplasm of genitourinary system, except prostate

0

1

2

0.45

0.59

1.05

0.41

1.00

0.58

1.03

1.19

1.11

2.17

$ OVER OR UNDER

($0 = NORM)

BENCHMARK SCALE

(1 = NORM)

TOTAL PAID

#

CLAIMANTS

EPISODE

$96,469.09

2.17

$179,162.34

2

Malignant neoplasm of genitourinary

system, except prostate

$10,118.61

1.11

$100,899.63

21

Joint degeneration, localized - back

$12,727.98

1.19

$81,140.75

26

Diabetes

$1,915.75

1.03

$78,247.28

13

Joint degeneration, localized - knee &

lower leg

($36,304.27)

0.58

$50,120.06

12

Joint degeneration, localized - neck

($41.59)

1.00

$45,465.31

176

Routine exam

($53,730.44)

0.41

$37,809.29

1

Malignant neoplasm of pulmonary

system

$1,627.11

1.05

$36,308.35

2

Diverticulitis & diverticulosis

($15,452.48)

0.59

$22,287.35

61

Hypertension

($26,691.50)

0.45

$22,272.12

8

Ischemic heart disease

($71,698.89)

0.88

$513,938.27

281

All Others

($81,060.63)

0.90

$1,167,650.75

Page 21 of 28

Paid: 7/1/2016 to 6/29/2017

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