 |
Provider Contract Analysis Summary |
 |
|
| |
| By Group Code |
Report Date: 10/30/2003 |
| By PPO Contract |
Report Period: 09/01/2003 - 09/30/2003 Paid |
| |
|
| Type |
Count |
Charge |
Paid |
Avg Paid |
Total Disc |
Avg Disc |
|
|
|
|
|
|
| Non-PPO |
137 |
$42,402.67 |
$23,554.07 |
$171.93 |
$7,686.22 |
$56.10 |
| PPO |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
137 |
$42,402.67 |
$23,554.07 |
$171.93 |
$7,686.22 |
$56.10 |
|
|
| Non-PPO |
2333 |
$227,078.00 |
$105,476.42 |
$45.21 |
$0.00 |
$0.00 |
| PPO |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
2333 |
$227,078.00 |
$105,476.42 |
$45.21 |
$0.00 |
$0.00 |
|
|
| Non-PPO |
1097 |
$368,518.19 |
$154,919.14 |
$141.22 |
$10,854.82 |
$9.90 |
| PPO |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
1097 |
$368,518.19 |
$154,919.14 |
$141.22 |
$10,854.82 |
$9.90 |
|
|
| Non-PPO |
244 |
$23,153.08 |
$10,323.32 |
$42.31 |
$115.86 |
$0.47 |
| PPO |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
244 |
$23,153.08 |
$10,323.32 |
$42.31 |
$115.86 |
$0.47 |
|
|
|
|
| Non-PPO |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| PPO |
1535 |
$333,001.91 |
$158,915.66 |
$103.53 |
$49,492.79 |
$32.24 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
1535 |
$333,001.91 |
$158,915.66 |
$103.53 |
$49,492.79 |
$32.24 |
|
|
|
|
| Non-PPO |
102 |
$16,371.40 |
$4,226.13 |
$41.43 |
$4,503.41 |
$44.15 |
| PPO |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
102 |
$16,371.40 |
$4,226.13 |
$41.43 |
$4,503.41 |
$44.15 |
|
|
|
|
| Non-PPO |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| PPO |
155 |
$20,701.91 |
$11,343.21 |
$73.18 |
$5,010.65 |
$32.33 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
155 |
$20,701.91 |
$11,343.21 |
$73.18 |
$5,010.65 |
$32.33 |
|
|
|
|
| Non-PPO |
253 |
$70,610.11 |
$37,431.49 |
$147.95 |
$6,930.87 |
$27.39 |
| PPO |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
253 |
$70,610.11 |
$37,431.49 |
$147.95 |
$6,930.87 |
$27.39 |
|
|
|
|
| Non-PPO |
38 |
$2,795.77 |
$37.58 |
$0.99 |
$0.00 |
$0.00 |
| PPO |
10132 |
$3,483,272.45 |
$1,011,042.34 |
$99.79 |
$1,286,187.40 |
$126.94 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Total |
10170 |
$3,486,068.22 |
$1,011,079.92 |
$99.42 |
$1,286,187.40 |
$126.47 |
| |
| Totals: |
| Non-PPO |
4204 |
$750,929.22 |
$335,968.15 |
$79.92 |
$30,091.18 |
$7.16 |
| PPO |
11822 |
$3,836,976.27 |
$1,181,301.21 |
$99.92 |
$1,340,690.84 |
$113.41 |
| OOA |
0 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
|
| Total |
16026 |
$4,587,905.49 |
$1,517,269.36 |
$94.68 |
$1,370,782.02 |
$85.53 |
| |
| Provider Contract Analysis Summary |
| Requestor: Report Caster |
| Report Date: 10/30/2003 |
| Sort Fields: Selected values: |
| Group: 99999 |
| PPO Contract: ALL |
| Benefit Type(s): ALL |
| Date: Paid |
| Report Period: 09/01/2003 - 09/30/2003 |
| Benefit Suffix: All |
|