Table 5 Health care resource utilization and cost in the md population compared to the total member population
Utilization per 1000 (%) | Allowed Claim PMPM (%) | |||
|---|---|---|---|---|
MD | Total Member | MD | Total Member | |
Rx | 32,338 (31) | 10,198 (41) | $582 (15) | $102 (24) |
Physician | 20,500 (20) | 5033 (20) | $306 (8) | $41 (10) |
Home Health | 10,247 (10) | 226 (1) | $483 (12) | $5 (0) |
Therapy | 9655 (9) | 949 (4) | $138 (3) | $8 (2) |
DME | 6514 (6) | 302 (1) | $245 (6) | $5 (1) |
Laboratory | 7121 (7) | 2736 (11) | $119 (3) | $17 (4) |
Radiology | 4213 (4) | 1364 (5) | $91 (2) | $25 (6) |
MH/SA | 3146 (3) | 544 (2) | $60 (2) | $9 (0) |
Outpatient | 2902 (3) | 514 (2) | $183 (5) | $20 (5) |
Surgery | 2704 (3) | 867 (3) | $746 (19) | $108 (25) |
Preventative | 1957 (2) | 1305 (5) | $19 (0) | $13 (3) |
Other | 1042 (1) | 302 (1) | $18 (0) | $2 (0) |
ER | 963 (1) | 357 (1) | $85 (2) | $21 (5) |
Inpatient | 421 (0) | 31 (0) | $769 (19) | $31 (7) |
Ambulance | 305 (0) | 49 (0) | $35 (1) | $3 (1) |
Genetic Testing | 202 (0) | 4 (0) | $40 (1) | $0 (0) |
Muscle Biopsy | 37 (0) | 0 (0) | $3 (0) | $0 (0) |
Colonoscopy | 28 (0) | 53 (0) | $1 (0) | $3 (1) |
Maternity | 21 (0) | 54 (0) | $4 (0) | $15 (4) |
Rehabilitation | 9 (0) | 1 (0) | $30 (1) | $1 (0) |
Total | 10,4324 (100) | 24,889 (100) | $3958 (100) | 427 (100) |