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Table 3 Healthcare Provider Clusters: HCPCS Code 66984

From: Discovering healthcare provider behavior patterns through the lens of Medicare excess charge

   Cluster Centroids (Average)
Cluster #
Relative Size (Frequency)
1
31% (5403)
2
11% (1867)
3
58% (9908)
Healthcare Provider Attributes Provider Type Optometry (99.29%) Ambulatory Surgical Center (99.8%) Ophthalmology (99.8%)
Medical Procedure Attributes Place of Service Office (94.9%) Facility (99.9%) Facility (97.9%)
Service Volume 649.43 623.32 223.55
Unique Beneficiary 25.27 404.33 110.27
Service/Unique Beneficiary 27.76 1.51 2.38
Medicare Allowed Amount $94.15 $961.84 $612.69
Medicare Payment Amount $73.37 $745.52 $474.28
Excess Charge Ratio 2.32 4.30 3.60
Medical Practice Attributes Total Unique HCPCS codes submitted 18.01 92.86 39.07
Total Unique Beneficiary 381.68 974.02 953.69
Overall Excess Charge Ratio 1.31 4.34 2.28
Demographic and Socio-economic Attributes Beneficiary Dual Percentage 18.77 15.40 16.89
Location Mix (Urban: Rural: Very Rural) (48%: 40%: 12%) (84%: 13%: 3%) (86%: 12%: 2%)