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Table 4 Healthcare Provider Clusters: HCPCS Code 78452

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

   Cluster Centroids (Average)
Cluster #
Relative Size (Frequency)
1
35% (7153)
2
39.3% (7882)
3
20.0% (4006)
4
5% (993)
Healthcare Provider Attributes Provider Type Cardiology (83.8%) Cardiology (89.6%) Diagnostic Radiology (97.4%) Cardiology (72.5%)
Medical Procedure Attributes Place of Service Office (100%) Facility (94.9%) Facility (97.7%) Office (82.2%)
Service Volume 108.39 96.41 53.74 324.18
Unique Beneficiary 86.703 84.846 51.169 279.283
Service/Unique Beneficiary 1.01 1.01 1.00 1.18
Medicare Allowed Amount $473.02 $80.09 $81.87 $343.88
Medicare Payment Amount $364.42 $60.35 $61.16 $264.49
Excess Charge Ratio 2.59 4.04 3.87 3.97
Medical Practice Attributes Total Unique HCPCS codes submitted 72.53 61.45 178.94 104.63
Overall Excess Charge Ratio 0.86 1.18 1.30 2.45
Demographic and Socio-economic Attributes Beneficiary Dual Percentage 22.19 23.06 28.82 25.73
Location Mix (Urban: Rural: Very Rural) (92%: 8%: 0%) (87%: 12%: 1%) (82%: 15%: 3%) (82%: 17%: 1%)