Skip to main content

Table 5 Healthcare Provider Clusters: HCPCS Code G0202

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%)