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Medical Cost and Utilization by Provider Type in Claims with Provider Involvement, 2004/2005 Claims with More Than 7 Days of Lost Time
(14-state median)

Measures Physicians Chiropractors Physical/ Occupational Therapists Hospitals Other Providers
Percent of payments 33.7% 1.2% 9.4% 45.5% 8.3%
Average medical cost per claim $2,973 $1,371 $1,883 $5,111 $1,289
Average number of visits per claim 9.5 16.6 14.5 5.5 4.0
Notes: 2004/2005 refers to claims arising in October 2003 through September 2004, evaluated as of March 2005. The 14-state median is the average of the states ranked 7th and 8th on a given measure; those states change depending on the measure being evaluated. States included are Arkansas, California, Florida, Illinois, Indiana, Louisiana, Massachusetts, Maryland, Michigan, North Carolina, Pennsylvania, Tennessee, Texas, and Wisconsin. A small percentage of payments are made to providers where the provider type is not known because of missing data. Payments to unclassified providers typically make up less than 3 percent of medical payments.

 

 

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