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View WCRI Benchmarks
Medical Cost and Utilization by Provider
Type in Claims with Provider Involvement, 2003/2004 Claims with More
Than 7 Days of Lost Time
(13-state median)
|
Measures |
Physicians |
Chiropractors |
Physical/ Occupational Therapists |
Hospitals |
Other Providers |
|
Percent of payments |
34.6% |
1.7% |
9.6% |
45.7% |
6.1% |
|
Average medical cost per claim |
$3,244 |
$1,333 |
$1,927 |
$5,212 |
$1,236 |
|
Average number of visits per claim |
10.0 |
18.3 |
15.2 |
5.5 |
3.8 |
Notes:
2003/2004 refers to claims arising in October 2002 through
September 2003, evaluated as of March 2004. The 13-state median
is the state ranked 7th on a given measure; the state changes
depending on the measure being evaluated. States included are
Arkansas, California, Florida, Illinois, Indiana, Louisiana,
Massachusetts, Maryland, North Carolina, Pennsylvania,
Tennessee, Texas, and Wisconsin. Eight percent to 27 percent of
claims involve payments to providers that could not be
classified because of missing data. Payments to unclassified
providers typically make up only between less than 1 and 4
percent of medical payments. |
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