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.

 

 

955 Massachusetts Avenue    Cambridge, Massachusetts 02139    617-661-WCRI (9274)

about WCRI  |  what's new  |  search our studies  |  order our publications  |  view WCRI benchmarks  |  members only
Join WCRI  | Conferences & Seminars  |  Media Information  |  Contact Us  |  Site Map