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Medical Cost and Utilization by Provider Type in Claims with Provider Involvement,
2007/2008 Claims with More Than 7 Days of Lost Time (15-state median)

Measures Physicians Chiropractors Physical/ Occupational Therapists Hospitals Other Nonhospital Providers
Percent of payments 35.2% 1.1% 8.9% 46.2% 5.6%
Average medical cost per claim $3,459 $1,091 $1,908 $6,675 $948
Average number of visits per claim 10.4 12.5 15.3 6.1 5.3
Notes: 2007/2008 refers to claims arising in October 2006 through September 2007, evaluated as of March 2008. The 15-state median is the state ranked 8th on a given measure; that state changes depending on the measure being evaluated. States included are California, Florida, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Maryland, Michigan, Minnesota, 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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