Pneumonia is more common among the infants. Adult patients have higher medical expense. Adult patients see doctors more frequently.
  The patients have annual medical cost around $17,339
  In one year, the patients are expected to see doctors 31 times
  There are 42 diagnosis codes containing Pneumonia
  Based on 22,700+ patients
Jump to: Medication Doctors Billing Risky Variety Charts

Popular Medication

Popular Medication for Pneumonia
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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 Pneumonia
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Medical Services : Dominance (%)
Popular Medical Services for Pneumonia
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Medical Services : Prevalence (%)
Annual Cost ($)

Statistics

$17,339
Annual Medical Cost
0.37
Annual Hospital Adms
31
Doctor Visits
31
Services Used
13
Doctors Used
$28,891
Annual Medical Charge
Drug Prevalence Average Charged Average Dispensed Average Supplied Days Average Supplied Quantity
  Azithromycin 18.22% $81 1.76 11 24
  Amoxicillin 16.97% $50 2.03 22 227
  Hydrocodone 8.19% $68 3.00 33 170
  Prednisone 7.10% $24 2.45 47 119
  Oxycodone 6.96% $174 3.81 47 244
  Lisinopril 6.42% $180 5.99 272 291
  Ventolin 5.22% $92 2.09 48 44
  Proair 5.04% $125 2.28 61 25
  Amox 4.87% $122 1.86 21 133
  Simvastatin 4.81% $619 6.05 275 274
  Albuterol 4.57% $79 2.11 27 258
  Fluticasone 4.41% $244 2.68 100 63
  Cephalexin 4.35% $39 1.58 16 110
  Ciprofloxacin 4.18% $71 1.65 17 30
  Lorazepam 4.09% $113 3.95 96 223
  Metformin 4.02% $285 5.46 257 596
  Sulfamethoxazole 3.94% $33 2.03 36 119
  Nystatin 3.90% $56 1.92 28 218
  Sodium 3.82% $31 2.36 164 716
  Metoprolol 3.54% $279 5.59 250 340
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
90471 0.32 79% 0.9% $41 $0 $32 $33 $26 1.20
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
90472 0.40 70% 0.6% $51 $0 $36 $37 $26 1.34
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (list separately in addition to code for primary procedure)
90670 0.03 69% 3.2% $2 $0 $1 $1 $1 1.34
Pneumococcal conjugate vaccine, 13 valent, for intramuscular use
90466 0.76 74% 0.8% $62 $0 $46 $39 $29 1.58
Immunization administration younger than 8 years of age (includes percutaneous, intradermal, subcutaneous, or intramuscular injections) when the physician counsels the patient/family; each additional injection (single or combination vaccine/toxoid), per day (list separately in addition to code for primary procedure)
90465 0.71 67% 0.8% $57 $0 $38 $40 $27 1.38
Immunization administration younger than 8 years of age (includes percutaneous, intradermal, subcutaneous, or intramuscular injections) when the physician counsels the patient/family; first injection (single or combination vaccine/toxoid), per day
99391 2.34 79% 6.1% $315 $19 $228 $170 $134 1.82
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/ diagnostic procedures, established patient; infant (age younger than 1 year)
99392 2.28 78% 5.3% $207 $11 $151 $191 $149 1.07
Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/ diagnostic procedures, established patient; early childhood (age 1 through 4 years)
90698 0.01 70% 1.1% $1 $0 $1 $1 $1 1.79
Diphtheria, tetanus toxoids, acellular pertussis vaccine, haemophilus influenza type b, and poliovirus vaccine, inactivated (dtap - hib - ipv), for intramuscular use
90680 0.01 68% 1.0% $1 $0 $1 $1 $0 1.85
Rotavirus vaccine, pentavalent, 3 dose schedule, live, for oral use
90669 0.02 68% 6.0% $3 $0 $2 $2 $1 1.36
Pneumococcal conjugate vaccine, 7 valent, for intramuscular use
99214 1.13 78% 12.7% $216 $28 $141 $189 $148 1.13
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.
90732 0.56 52% 1.1% $90 $1 $46 $89 $46 1.01
Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use
99213 0.76 77% 16.9% $146 $25 $88 $123 $94 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.
71020 1.88 54% 8.7% $262 $23 $119 $170 $92 1.53
Radiologic examination, chest, 2 views, frontal and lateral;
90744 0.00 50% 0.7% $0 $0 $0 $0 $0 1.38
Hepatitis b vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular use
90474 0.28 73% 0.5% $32 $0 $23 $20 $15 1.55
Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (list separately in addition to code for primary procedure)
90648 0.01 56% 5.9% $1 $0 $1 $1 $1 1.17
Hemophilus influenza b vaccine (hib), prp-t conjugate (4 dose schedule), for intramuscular use
90467 0.34 69% 1.2% $39 $0 $26 $22 $15 1.75
Immunization administration younger than age 8 years (includes intranasal or oral routes of administration) when the physician counsels the patient/family; first administration (single or combination vaccine/toxoid), per day
90468 0.28 67% 0.3% $35 $0 $23 $23 $16 1.48
Immunization administration younger than age 8 years (includes intranasal or oral routes of administration) when the physician counsels the patient/family; each additional administration (single or combination vaccine/ toxoid), per day (list separately in addition to code for primary procedure)
90716 0.01 70% 0.0% $1 $0 $1 $1 $1 1.01
Varicella virus vaccine, live, for subcutaneous use

High Risk Diagnoses

On every hundred of patients

Sample Distribution for Pneumonia
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Which group is risky?

Prevalence for Pneumonia
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Which group cost more?

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

Annual Doctor Visits for Pneumonia
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Patient of what condition has the most expansive overall payment (including covered benefits) in medical bill?