From: Discovering healthcare provider behavior patterns through the lens of Medicare excess charge
 |  | Cluster Centroids (Average) | |||
---|---|---|---|---|---|
Cluster # Relative Size (Frequency) | 1 12.1% (2171) | 2 27.7% (4834) | 3 3.5% (620) | 4 56.4% (9848) | |
Healthcare Provider Attributes | Provider Type | Diagnostic Radiology (76.9%) Obstetrics/Gynecology (20.64%) | Diagnostic Radiology (66.1%) Family Practice (15.76%) Internal Medicine (12.83%) | Diagnostic Radiology (43.9%) Independent Diagnostic Testing Facility (40.81%) | Diagnostic Radiology (97.9%) |
Medical Procedure Attributes | Place of Service | Office (55%) | Office (100%) | Office (96.5%) | Office (91.2%) |
Service Volume | 666.22 | 178.07 | 602.31 | 263.33 | |
Unique Beneficiary | 664.40 | 177.61 | 534.18 | 263.30 | |
Service/Unique Beneficiary | 1.00 | 1.00 | 1.29 | 1.00 | |
Medicare Allowed Amount | $81.13 | $125.99 | $101.08 | $35.32 | |
Medicare Payment Amount | $79.22 | $123.12 | $98.88 | $34.57 | |
Excess Charge Ratio | 2.65 | 2.30 | 2.43 | 3.04 | |
Medical Practice Attributes | Total Unique HCPCS codes submitted | 64.80 | 147.08 | 149.50 | 171.38 |
Total Unique Beneficiary | 1574.76 | 1903.67 | 3011.00 | 2931.56 | |
Overall Excess Charge Ratio | 3.00 | 3.28 | 4.03 | 3.96 | |
Demographic and Socio-economic Attributes | Beneficiary Average Risk Score | 1.02 | 1.37 | 1.26 | 1.59 |
Beneficiary Dual Percentage | 16.95 | 23.31 | 20.64 | 27.82 | |
Location Mix (Urban: Rural: Very Rural) | (94.5%: 5.3%: 0.2%) | (87.4%: 10.3%: 2.3%) | (87.9%: 11.5%: 0.6%) | (83.9%: 14.0%: 2.2%) |