Pneumonia, Organism Unspecified is more common among the infants and small kids. It is expensive. Adult patients have higher medical expense.
  The patients have annual medical cost around $23,595
  In one year, the patients are expected to see doctors 37 times
  Based on 5,480+ patients
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Popular Medication

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

Statistics

$23,595
Annual Medical Cost
0.48
Annual Hospital Adms
37
Doctor Visits
33
Services Used
16
Doctors Used
$39,740
Annual Medical Charge
Drug Prevalence Average Charged Average Dispensed Average Supplied Days Average Supplied Quantity
  Azithromycin 31.65% $71 1.51 8 17
  Amoxicillin 17.30% $61 1.74 19 174
  Prednisone 12.24% $22 2.16 38 97
  Hydrocodone 11.75% $63 2.55 28 161
  Oxycodone 9.52% $181 3.81 47 262
  Ventolin 8.65% $83 1.82 39 38
  Proair 8.56% $106 1.96 47 20
  Levaquin 7.12% $316 1.48 14 16
  Lisinopril 6.59% $166 4.53 222 242
  Avelox 6.48% $204 1.23 11 11
  Albuterol 6.42% $76 1.85 24 219
  Ciprofloxacin 5.67% $72 1.51 14 28
  Lorazepam 5.56% $104 3.55 76 182
  Cephalexin 5.05% $39 1.36 14 85
  Amox 5.05% $104 1.44 15 79
  Fluticasone 4.96% $242 2.38 90 55
  Cheratussin 4.94% $12 1.26 9 203
  Advair 4.89% $1,272 3.75 150 281
  Metoprolol 4.85% $243 4.68 214 291
  Sulfamethoxazole 4.73% $30 1.68 29 80
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
71020 2.20 54% 8.9% $269 $24 $123 $168 $91 1.59
Radiologic examination, chest, 2 views, frontal and lateral;
99214 1.28 77% 12.8% $229 $29 $148 $189 $146 1.20
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.
99213 0.86 77% 17.2% $155 $27 $92 $123 $94 1.24
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.
99232 1.41 69% 6.8% $445 $30 $278 $166 $115 2.63
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: an expanded problem focused interval history; an expanded problem focused examination; medical decision making of moderate complexity.
85025 1.07 60% 6.0% $96 $6 $52 $77 $47 1.22
Blood count; complete (cbc), automated (hgb, hct, rbc, wbc and platelet count) and automated differential wbc count
99284 3.47 72% 11.6% $671 $77 $404 $506 $363 1.27
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.
36415 0.28 55% 6.1% $28 $2 $13 $23 $13 1.18
Collection of venous blood by venipuncture
99233 2.08 70% 6.4% $657 $42 $415 $232 $162 2.78
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: a detailed interval history; a detailed examination; medical decision making of high complexity.
99285 3.74 69% 7.3% $722 $53 $448 $593 $411 1.19
Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status:
94640 0.49 60% 9.5% $82 $8 $42 $73 $44 1.06
Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [ippb] device)
99283 2.93 74% 14.2% $503 $71 $302 $382 $283 1.27
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.
94760 0.18 26% 5.5% $35 $2 $7 $29 $7 1.20
Noninvasive ear or pulse oximetry for oxygen saturation; single determination
80053 1.40 61% 7.3% $144 $11 $77 $127 $78 1.11
Comprehensive metabolic panel
99291 6.06 62% 4.4% $1,821 $81 $1,054 $616 $384 2.90
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
71010 0.50 55% 6.6% $129 $9 $62 $76 $42 1.62
Radiologic examination, chest; single view, frontal
93010 0.26 36% 3.2% $51 $2 $17 $39 $14 1.24
Electrocardiogram, routine ecg with at least 12 leads; interpretation and report only
80048 0.72 53% 9.7% $93 $9 $40 $86 $46 1.06
Basic metabolic panel (calcium, total)
87040 1.68 58% 5.8% $215 $13 $112 $200 $115 1.02
Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)
99223 1.99 72% 10.3% $446 $46 $274 $418 $300 1.06
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity.
93005 2.68 65% 7.3% $333 $24 $193 $311 $204 1.02
Electrocardiogram, routine ecg with at least 12 leads; tracing only, without interpretation and report

High Risk Diagnoses

  • 100% Pneumonia, organism unspecified

On every hundred of patients

Sample Distribution for Pneumonia, Organism Unspecified
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Which group is risky?

Prevalence for Pneumonia, Organism Unspecified
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Which group cost more?

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

Annual Doctor Visits for Pneumonia, Organism Unspecified
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What diagnosis incurs the most expansive overall payment for a patient?