122 / 537
Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
48
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Page
5.4 "Top 10" Analysis
5.4.1 Providers
Table 5.4.1 shows the top 10 providers, based on medical claim expenses, providing services to the members of your
population. The providers generating the most claim expenses are usually institutional. Network changes or changes
in provider reimbursement strategy may cause previous period to current period percentage changes.
Table 5.4.1 Total Plan Paid ($K) by Providers
% of Total
Plan Paid
Apr 2015 - Dec
2015
% Change in
Plan Paid
3.6%
409.8%
1.9%
2,449.5%
1.5%
155.4%
1.2%
596.7%
1.2%
7.2%
0.9%
172.6%
0.9%
-20.8%
0.8%
34.9%
0.8%
-27.6%
0.8%
13.6%
Provider
Apr 2014 - Dec 2014
Apr 2015 - Dec 2015
% Change in
Plan Paid
Plan Paid
% of Total
Plan Paid
Plan Paid
% of Total
Plan Paid
Subtotal
$3,468,074
5.5%
$7,312,222
13.6%
110.8%
All Others
$59,244,024
94.5%
$46,413,164
86.4%
-21.7%
Total
$62,712,098
100.0%
$53,725,386
100.0%
-14.3%