Table 4 Healthcare Provider Clusters: HCPCS Code 78452
From: Discovering healthcare provider behavior patterns through the lens of Medicare excess charge
| Â | Â | 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%) | |