Lymphedema is more common among the elders. It is expensive. Adult patients have higher medical expense.
  The patients have annual medical cost around $42,617
  In one year, the patients are expected to see doctors 63 times
  There are 2 diagnosis codes containing lymphedema
  Based on 690+ patients
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Popular Medication

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

Statistics

$42,617
Annual Medical Cost
0.54
Annual Hospital Adms
63
Doctor Visits
49
Services Used
21
Doctors Used
$71,823
Annual Medical Charge
Drug Prevalence Average Charged Average Dispensed Average Supplied Days Average Supplied Quantity
  Oxycodone 19.42% $261 4.09 59 326
  Hydrocodone 18.23% $75 3.44 35 201
  Cephalexin 14.93% $51 2.30 26 73
  Lisinopril 14.05% $200 6.88 324 352
  Azithromycin 12.37% $83 1.85 10 16
  Furosemide 10.03% $54 5.42 228 283
  Ciprofloxacin 10.03% $130 2.15 29 47
  Lorazepam 10.03% $77 3.15 67 205
  Amoxicillin 9.20% $59 2.24 20 127
  Metoprolol 9.03% $328 4.98 256 369
  Prednisone 8.86% $21 2.02 48 83
  Hydrochlorothiazide 8.70% $60 5.96 286 292
  Sulfamethoxazole 8.53% $47 2.24 33 54
  Warfarin 7.69% $130 5.04 199 291
  Levothyroxine 7.69% $146 8.70 395 403
  Omeprazole 7.53% $962 5.16 217 299
  Simvastatin 7.53% $578 6.49 288 291
  Metformin 6.69% $353 5.55 277 649
  Fluticasone 6.69% $324 3.68 165 86
  Lipitor 6.52% $1,137 5.05 270 267
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
97140 11.95 68% 4.9% $1,915 $95 $1,200 $251 $169 7.34
Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes
97110 3.53 63% 6.4% $645 $42 $362 $146 $91 4.19
Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility
97535 4.07 73% 3.7% $491 $18 $339 $149 $108 3.18
Self-care/home management training (eg, activities of daily living (adl) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes
99213 0.91 75% 14.5% $246 $36 $150 $156 $118 1.58
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.
97001 1.80 64% 7.1% $282 $20 $160 $255 $162 1.08
Physical therapy evaluation
97112 6.01 67% 1.1% $1,451 $16 $959 $143 $96 9.62
Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities
99214 0.98 78% 12.7% $267 $34 $173 $197 $153 1.34
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.
29580 2.72 50% 15.7% $1,156 $182 $396 $174 $87 5.06
Strapping; unna boot
36415 0.27 49% 0.4% $61 $0 $30 $34 $17 1.81
Collection of venous blood by venipuncture
85025 3.54 66% 1.0% $729 $7 $477 $410 $272 1.73
Blood count; complete (cbc), automated (hgb, hct, rbc, wbc and platelet count) and automated differential wbc count
29581 4.23 49% 8.1% $1,785 $144 $722 $302 $146 5.58
Application of multi-layer compression system; leg (below knee), including ankle and foot
97530 2.04 65% 8.5% $369 $32 $207 $142 $92 2.45
Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes
99212 0.77 64% 14.2% $169 $24 $85 $134 $86 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: a problem focused history; a problem focused examination; straightforward medical decision making.
97760 3.78 67% 2.2% $798 $18 $516 $156 $104 4.00
Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes
97003 1.73 70% 11.2% $261 $29 $152 $238 $166 1.06
Occupational therapy evaluation
80053 0.79 61% 1.9% $177 $3 $104 $146 $89 1.21
Comprehensive metabolic panel
96413 11.86 78% 0.3% $3,272 $11 $2,544 $739 $577 4.43
Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
77413 34.31 46% 0.0% $8,278 $0 $3,794 $828 $379 10.00
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev
85610 0.61 68% 0.1% $146 $0 $99 $53 $36 2.67
Prothrombin time;
97113 3.69 71% 20.9% $741 $155 $372 $185 $132 4.00
Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises

High Risk Diagnoses

On every hundred of patients

Sample Distribution for Lymphedema
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Which group is risky?

Prevalence for Lymphedema
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Which group cost more?

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

Annual Doctor Visits for Lymphedema
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What diagnosis incurs the most expansive out-of-pocket payment for a patient?