133 / 208
Top 20 Episodes of Care
% MEMBER
PAID OF
TOTAL PAID
# OF
CLAIMS
MEMBER PAID
PLAN PAID
(PHARMACY)
PLAN PAID
(MEDICAL)
PLAN PAID
TOP CONDITION
EPISODE
NUMBER
4.53 %
18
$4,450.00
$0.00
$93,599.69
$93,599.69
Other neonatal
disorders, perinatal
origin
0353564212
1.78 %
16
$1,552.49
$84,671.48
$734.54
$85,406.02
Leukemia
0353584807
0.14 %
4
$124.04
$0.00
$83,486.38
$83,486.38
Septicemia
0353583402
5.41 %
42
$4,268.66
$3,075.27
$71,444.59
$74,519.86
Ischemic heart disease
0353583418
3.83 %
33
$2,902.53
$2,564.35
$70,194.79
$72,759.14
Embolism & thrombosis
of veins
0353569419
1.52 %
8
$1,126.60
$72,640.12
$47.91
$72,688.03
Hyper-functioning
adrenal gland
0353566818
3.88 %
21
$2,872.07
$70,734.86
$388.24
$71,123.10
Multiple sclerosis
0353571288
5.08 %
12
$3,485.11
$0.00
$65,106.04
$65,106.04
Hernias, except hiatal
0353570126
4.50 %
52
$3,015.24
$98.74
$63,756.78
$63,855.52
Malignant neoplasm of
pulmonary system
0353564248
1.11 %
17
$716.94
$22.44
$63,709.32
$63,731.76
Brain trauma
0353577401
7.28 %
127
$4,884.56
$0.00
$62,145.29
$62,145.29
Chronic renal failure
0353594508
1.54 %
10
$945.00
$0.00
$60,064.32
$60,064.32
Psoriasis
0353575321
35.76 %
45,946
$1,867,505.45
$1,424,381.87
$3,798,668.73
$5,223,050.60
Remaining
Episodes of
Care
Page 32 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.
Sample Company