Sinusitis Chronic is more common among the adults. Adult patients have higher medical expense.
  The patients have annual medical cost around $12,595
  In one year, the patients are expected to see doctors 31 times
  There are 6 diagnosis codes containing sinusitis chronic
  Based on 19,100+ patients
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Popular Medication

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

Statistics

$12,595
Annual Medical Cost
0.13
Annual Hospital Adms
31
Doctor Visits
31
Services Used
14
Doctors Used
$21,373
Annual Medical Charge
Drug Prevalence Average Charged Average Dispensed Average Supplied Days Average Supplied Quantity
  Azithromycin 25.85% $90 2.03 13 19
  Amoxicillin 23.25% $85 1.90 22 120
  Fluticasone 15.97% $218 2.94 105 58
  Hydrocodone 15.43% $61 2.85 27 142
  Prednisone 13.25% $20 2.29 37 88
  Amox 11.57% $157 2.13 27 90
  Oxycodone 11.16% $124 3.18 36 184
  Nasonex 8.62% $408 2.72 104 62
  Cephalexin 7.48% $37 1.59 16 74
  Ciprofloxacin 7.24% $69 1.73 16 30
  Methylprednisolone 7.23% $24 1.68 11 39
  Sulfamethoxazole 7.06% $29 1.71 23 63
  Lorazepam 6.72% $111 4.12 108 232
  Fluconazole 6.58% $75 2.44 16 13
  Levaquin 6.34% $437 1.84 22 24
  Proair 6.34% $140 2.45 69 28
  Singulair 5.94% $1,045 5.45 225 225
  Lisinopril 5.89% $169 6.31 273 285
  Ventolin 5.82% $94 2.19 53 46
  Cyclobenzaprine 5.73% $74 2.27 50 105
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 1.16 77% 18.0% $151 $27 $90 $122 $94 1.23
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.
99214 1.54 78% 12.5% $217 $27 $141 $186 $145 1.15
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.
70486 6.79 63% 13.9% $1,106 $153 $540 $846 $530 1.30
Computed tomography, maxillofacial area; without contrast material
31231 5.20 71% 7.7% $639 $49 $405 $452 $321 1.40
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)
31255 23.43 42% 2.0% $4,688 $95 $1,853 $2,169 $901 1.48
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior)
31267 16.01 36% 1.7% $3,464 $57 $1,193 $1,834 $662 1.41
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus
99283 1.80 70% 16.8% $337 $57 $179 $260 $182 1.26
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.
99243 2.16 75% 10.3% $277 $29 $180 $265 $200 1.02
Office consultation for a new or established patient, which requires these 3 key components: a detailed history; a detailed examination; and medical decision making of low complexity.
36415 0.15 41% 7.3% $21 $2 $7 $19 $8 1.08
Collection of venous blood by venipuncture
31256 11.20 40% 1.2% $2,123 $26 $827 $1,153 $463 1.29
Nasal/sinus endoscopy, surgical, with maxillary antrostomy;
31276 16.98 45% 3.0% $3,670 $109 $1,525 $1,796 $800 1.43
Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of tissue from frontal sinus
99212 1.01 74% 23.2% $126 $29 $64 $103 $76 1.21
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.
30520 17.71 56% 2.4% $3,816 $90 $2,046 $2,511 $1,406 1.48
Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft
99244 3.10 82% 9.1% $390 $36 $283 $377 $308 1.03
Office consultation for a new or established patient, which requires these 3 key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity.
31237 11.47 50% 3.1% $2,004 $63 $947 $1,058 $533 1.62
Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)
87880 0.30 50% 10.9% $50 $5 $19 $46 $23 1.07
Infectious agent antigen detection by immunoassay with direct optical observation; streptococcus, group a
85025 0.52 63% 11.0% $73 $8 $38 $66 $41 1.08
Blood count; complete (cbc), automated (hgb, hct, rbc, wbc and platelet count) and automated differential wbc count
87070 0.65 50% 6.9% $80 $6 $34 $64 $32 1.24
Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates
30140 9.03 51% 2.2% $1,877 $42 $908 $1,061 $537 1.23
Submucous resection inferior turbinate, partial or complete, any method
88305 3.01 60% 2.5% $562 $14 $325 $448 $270 1.23
Level iv - surgical pathology, gross and microscopic examination

High Risk Diagnoses

On every hundred of patients

Sample Distribution for Sinusitis Chronic
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Which group is risky?

Prevalence for Sinusitis Chronic
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Which group cost more?

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

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