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Medical Cost and Utilization by Provider Type in Claims with Provider Involvement, 2009/2010 Claims with More Than 7 Days of Lost Time (16-state median)

Measures Physicians Chiropractors Physical/ Occupational Therapists Hospitals Other Nonhospital Providers
Percent of payments 33.5% 0.9% 9.6% 48.3% 7.0%
Average medical cost per claim $3,910 $1,270 $2,391 $8,382 $1,233
Average number of visits per claim 10.6 14.3 16.3 6.1 6.2
Notes: 2009/2010 refers to claims arising in October 2008 through September 2009, evaluated as of March 2010. The 16-state median is the average of the states ranked 8th and 9th on a given measure; those states change depending on the measure being evaluated.  States included are California, Florida, Illinois, Indiana, Iowa, Louisiana, Massachusetts, Maryland, Michigan, Minnesota, New Jersey, North Carolina, Pennsylvania, Texas, Virginia, 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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