| 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 |
3.6% |
$44,126,010 |
1.1% |
1.4% - 5.7% |
17.7% |
0.0% |
| Internal Medicine |
8.4% |
$37,886,986 |
1.5% |
5.5% - 11.3% |
18.7% |
0.0% |
| Family Practice |
7.1% |
$18,928,722 |
1.8% |
3.7% - 10.5% |
21.8% |
0.0% |
| Cardiology |
3.1% |
$14,418,577 |
1.3% |
0.5% - 5.7% |
12.1% |
0.0% |
| Pulmonary Disease |
11.1% |
$11,060,830 |
4.7% |
1.8% - 20.4% |
11.0% |
0.0% |
| Neurology |
13.4% |
$10,433,505 |
5.6% |
2.5% - 24.3% |
37.5% |
0.0% |
| General Surgery |
7.9% |
$8,054,942 |
3.5% |
1.0% - 14.8% |
36.8% |
0.0% |
| Orthopedic Surgery |
4.4% |
$7,629,502 |
2.7% |
( 1.0%) - 9.7% |
9.1% |
0.0% |
| Urology |
3.9% |
$4,599,549 |
2.9% |
( 1.7%) - 9.6% |
12.1% |
0.0% |
| Podiatry |
8.3% |
$4,464,130 |
3.2% |
2.0% - 14.7% |
25.6% |
0.0% |
| Emergency Medicine |
3.6% |
$4,313,009 |
1.8% |
0.1% - 7.1% |
4.3% |
0.0% |
| Gastroenterology |
4.7% |
$4,211,116 |
2.5% |
( 0.2%) - 9.7% |
29.2% |
0.0% |
| Nephrology |
3.4% |
$3,036,448 |
2.4% |
( 1.3%) - 8.1% |
21.3% |
0.0% |
| Ophthalmology |
0.9% |
$2,246,893 |
0.5% |
( 0.1%) - 1.9% |
2.6% |
0.0% |
| Clinical Laboratory (Billing Independently) |
0.7% |
$915,752 |
0.6% |
( 0.6%) - 1.9% |
6.4% |
0.0% |
| Dermatology |
0.3% |
$278,140 |
0.3% |
( 0.3%) - 0.8% |
0.4% |
0.0% |
| Diagnostic Radiology |
0.1% |
$210,475 |
0.1% |
( 0.1%) - 0.3% |
9.9% |
0.0% |
| All Provider Types |
4.4% |
$180,088,478 |
0.5% |
3.4% - 5.4% |
17.3% |
0.0% |
| Hematology/Oncology |
3.3% |
$3,273,890 |
1.9% |
( 0.4%) - 7.0% |
43.5% |
0.0% |
|
|