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Utilization Summary

0

0.0%

0.0

0.0

Claimants Per 1000

Transplant Claimants

3

-34.6%

1.2

1.8

Claimants Per 1000

Dialysis Claimants

37

-17.7%

14.4

17.5

Per 1000

Deliveries

106

39.3%

41.3

29.7

Per 1000

Physical Therapy

602

-6.5%

234.5

250.8

Per 1000

Chiropractic Visits

OTHER UTILIZATION

452

1.0%

176.1

174.3

Per 1000

Behavioral Health Office Visits

683

-6.1%

266.1

283.3

Per 1000

Preventative Office Visits

6280

-5.9%

2446.4

2600.2

Per 1000

Regular Office Visits

7415

-5.5%

2888.6

3057.9

Per 1000

Total Office Visits

$288,649

-7.1%

$45.96

$49.45

Average Cost Per Office

Visit

Regular Office Visits

OFFICE VISIT UTILIZATION

21093

1.1%

85.7%

84.7%

% of Generic Drugs

Pharmacy Scripts Generic Drugs

203

55.3%

0.8%

0.5%

% of Mail Order

Pharmacy Scripts Mail Order

24624

0.4%

9592.5

9558.1

Per 1000

Pharmacy Scripts

DRUG UTILIZATION

115

13.0%

44.8

39.7

Per 1000

MRI Scan

245

-5.3%

95.4

100.8

Per 1000

CT Scan

IMAGING UTILIZATION

5

-39.4%

1.9

3.2

Per 1000

Total Inpatient Re-admissions

0

33.6%

$4,425

$3,311

Paid Per Day

Total Admission Paid Per Day

$1,743,569

3.9%

$15,031

$14,465

Average Paid

Total Admission Paid Per Admission

116

-26.0%

45.2

61.1

Per 1000

Total Admissions

0

-22.2%

3.4

4.4

Average Days

Average Length Of Stay

86

-33.3%

33.5

46.1

Claimants Per 1000

Inpatient Claimants

394

-47.3%

153.5

266.9

Per 1000

Inpatient Days

INPATIENT UTILIZATION

$515,026.40

8.7%

$941.55

$865.81

Average Allowed

ER Visit Allowed Per ER Visit

$315,098.57

6.7%

$576.05

$540.10

Average Paid

ER Visit Paid per ER Visit

34

-15.7%

6.2%

7.4%

% of ER Visits

ER Visits resulting in an Admission

0

-3.5%

1.5

1.6

Average Visits

ER Visits per ER Claimant

363

-15.6%

141.4

167.6

Claimants Per 1000

ER Claimants

547

-18.5%

213.1

261.5

Per 1000

ER Visits

ER VISIT UTILIZATION

TOTAL

(CURRENT)

% CHANGE

CURRENT PERIOD

PRIOR PERIOD

METRIC TYPE

METRICS

Page 5 of 41

Incurred: 2/1/2016 to 1/31/2017

Episode Treatment Groups, third party software included in Design180 ™, is the proprietary and copyrighted

intellectual property of Symmetry ™. Copyright © 2015, NavigatorMD, Inc.

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