| Carrier Provider Type |
Paid Claims Error Rate |
Provider Compliance Error Rate |
No Resolution Rate |
| Paid Error Rate |
Projected Improper Payments |
Standard Error |
95% Confidence Interval |
/
|
/
|
/
|
/
|
/
|
/
|
/
|
| All Provider Types With Less Than 30 Claims |
3.4% |
$45,120,838 |
0.7% |
2.0% - 4.7% |
11.5% |
0.0% |
| Family Practice |
8.7% |
$28,907,341 |
3.7% |
1.5% - 15.9% |
15.5% |
0.0% |
| Internal Medicine |
7.8% |
$28,758,999 |
2.3% |
3.3% - 12.3% |
18.7% |
0.0% |
| Cardiology |
5.1% |
$16,320,153 |
1.6% |
2.0% - 8.3% |
15.4% |
0.0% |
| Psychiatry |
17.0% |
$8,554,347 |
8.2% |
0.9% - 33.1% |
26.6% |
0.0% |
| Diagnostic Radiology |
2.9% |
$7,108,187 |
1.8% |
( 0.7%) - 6.5% |
10.5% |
0.0% |
| General Surgery |
5.1% |
$5,243,686 |
2.5% |
0.2% - 10.1% |
11.5% |
0.0% |
| General Practice |
8.2% |
$4,479,755 |
3.9% |
0.5% - 15.9% |
13.1% |
0.0% |
| Hematology/Oncology |
1.6% |
$4,368,086 |
1.1% |
( 0.6%) - 3.9% |
3.6% |
0.0% |
| Emergency Medicine |
4.8% |
$3,620,220 |
2.7% |
( 0.6%) - 10.1% |
9.0% |
0.0% |
| Chiropractic |
8.3% |
$3,490,375 |
4.3% |
( 0.1%) - 16.8% |
23.3% |
0.0% |
| Urology |
1.6% |
$3,043,719 |
1.1% |
( 0.5%) - 3.6% |
3.6% |
0.0% |
| Pulmonary Disease |
4.6% |
$2,987,288 |
2.4% |
( 0.0%) - 9.3% |
10.7% |
0.0% |
| Orthopedic Surgery |
1.1% |
$2,904,810 |
0.6% |
( 0.1%) - 2.4% |
6.8% |
0.0% |
| Ambulance Service Supplier (e.g., private ambulance companies, funeral homes) |
0.5% |
$1,047,127 |
0.4% |
( 0.2%) - 1.1% |
24.0% |
0.0% |
| Clinical Laboratory (Billing Independently) |
0.8% |
$854,237 |
0.8% |
( 0.8%) - 2.3% |
5.9% |
0.0% |
| Podiatry |
0.8% |
$421,094 |
0.7% |
( 0.6%) - 2.2% |
22.3% |
0.0% |
| Nurse Practitioner |
0.7% |
$199,944 |
0.7% |
( 0.7%) - 2.1% |
21.4% |
0.0% |
| Ophthalmology |
0.0% |
$0 |
0.0% |
0.0% - 0.0% |
10.8% |
0.0% |
| All Provider Types |
3.9% |
$167,430,205 |
0.5% |
2.9% - 4.8% |
12.6% |
0.0% |
|
|