Acute Pharyngitis Adult patients have higher medical expense.
  The patients have annual medical cost around $7,089
  In one year, the patients are expected to see doctors 22 times
  There are 3 diagnosis codes containing Acute pharyngitis
  Based on 35,300+ patients
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Popular Medication

Popular Medication for Acute Pharyngitis
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Medication : Prevalence (%)
Annual Cost ($)

Experienced and Focused Doctors

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Exp Score measures the experience toward treating the query diagnosis.

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Cost Score measures the cost. Higher means more expensive.

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Focus Score measures the dominance of the related services over other services performed.

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Avoid the providers listed suspicious on the OIG exclusion database.

 

Popular Medical Services

Popular Medical Services for Acute Pharyngitis
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Medical Services : Dominance (%)
Popular Medical Services for Acute Pharyngitis
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Medical Services : Prevalence (%)
Annual Cost ($)

Statistics

$7,089
Annual Medical Cost
0.09
Annual Hospital Adms
22
Doctor Visits
23
Services Used
11
Doctors Used
$11,486
Annual Medical Charge
Drug Prevalence Average Charged Average Dispensed Average Supplied Days Average Supplied Quantity
  Amoxicillin 18.25% $50 1.59 16 135
  Azithromycin 16.99% $66 1.45 8 15
  Hydrocodone 8.54% $41 2.07 17 101
  Prednisone 5.51% $14 1.54 22 51
  Oxycodone 5.44% $106 2.63 29 139
  Penicillin 5.31% $17 1.16 12 51
  Fluticasone 5.00% $172 1.90 70 40
  Cephalexin 4.84% $35 1.25 12 83
  Ciprofloxacin 3.86% $56 1.37 11 19
  Sulfamethoxazole 3.59% $23 1.35 16 62
  Proair 3.54% $98 1.79 45 19
  Ventolin 3.50% $75 1.65 38 35
  Ibuprofen 3.44% $23 1.45 27 83
  Cyclobenzaprine 3.37% $56 1.80 36 75
  Lorazepam 3.34% $84 2.92 69 144
  Fluconazole 3.29% $63 1.76 11 8
  Amox 3.24% $98 1.33 14 67
  Lisinopril 2.98% $161 4.85 230 241
  Acetaminophen 2.83% $19 1.36 8 95
  Methylprednisolone 2.82% $19 1.25 9 30
Procedure Provider Unit Charge Provider Paid Ratio Provider Paid by Patient Ratio Patient Charged Patient Pays Patient Covered Per Claim Charged Per Claim Paid Services Per Patient
99213 1.65 78% 18.3% $146 $27 $87 $122 $96 1.18
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity.
87880 0.70 58% 10.9% $54 $6 $25 $45 $26 1.17
Infectious agent antigen detection by immunoassay with direct optical observation; streptococcus, group a
87081 1.45 59% 13.3% $47 $6 $22 $40 $24 1.16
Culture, presumptive, pathogenic organisms, screening only;
99214 1.85 78% 14.3% $207 $30 $131 $185 $144 1.11
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity.
87070 2.81 49% 11.0% $78 $9 $29 $69 $34 1.12
Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates
87430 1.35 67% 13.9% $59 $8 $31 $50 $33 1.15
Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; streptococcus, group a
99000 0.25 1% 0.3% $18 $0 $0 $15 $0 1.19
Handling and/or conveyance of specimen for transfer from the office to a laboratory
36415 0.26 50% 10.3% $23 $2 $9 $21 $11 1.06
Collection of venous blood by venipuncture
99283 2.87 73% 18.4% $417 $77 $226 $294 $213 1.38
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of moderate complexity.
86308 0.81 47% 11.2% $62 $7 $22 $59 $28 1.05
Heterophile antibodies; screening
85025 0.82 59% 11.8% $62 $7 $30 $58 $34 1.06
Blood count; complete (cbc), automated (hgb, hct, rbc, wbc and platelet count) and automated differential wbc count
87147 1.23 54% 13.0% $72 $9 $30 $54 $29 1.06
Culture, typing; immunologic method, other than immunofluoresence (eg, agglutination grouping), per antiserum
87650 6.03 67% 12.1% $117 $14 $65 $99 $67 1.18
Infectious agent detection by nucleic acid (dna or rna); streptococcus, group a, direct probe technique
99203 1.26 73% 20.3% $204 $41 $107 $188 $137 1.06
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity.
99212 0.92 72% 25.5% $107 $27 $49 $100 $71 1.04
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making.
99282 2.39 80% 27.7% $247 $68 $129 $212 $169 1.14
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of low complexity.
99211 0.44 66% 32.7% $55 $18 $18 $52 $34 1.05
Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. usually, the presenting problem(s) are minimal. typically, 5 minutes are spent performing or supervising these services.
86403 1.64 68% 13.7% $62 $9 $34 $58 $39 1.07
Particle agglutination; screen, each antibody
87077 1.19 68% 14.5% $57 $8 $31 $54 $37 1.05
Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate
99284 3.35 75% 12.6% $619 $78 $386 $485 $363 1.23
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: a detailed history; a detailed examination; and medical decision making of moderate complexity.

High Risk Diagnoses

On every hundred of patients

Sample Distribution for Acute Pharyngitis
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Which group is risky?

Prevalence for Acute Pharyngitis
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Which group cost more?

Annual Cost ($) for Acute Pharyngitis
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Which group has more hassle?

Annual Doctor Visits for Acute Pharyngitis
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