Table 3 Healthcare Provider Clusters: HCPCS Code 66984
From: Discovering healthcare provider behavior patterns through the lens of Medicare excess charge
| Â | Â | 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%) | |