| 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 |
4.4% |
$36,471,136 |
1.0% |
2.4% - 6.4% |
13.9% |
0.0% |
| Internal Medicine |
6.1% |
$27,662,080 |
1.4% |
3.3% - 8.8% |
17.4% |
0.0% |
| Cardiology |
5.4% |
$14,424,576 |
2.3% |
1.0% - 9.8% |
8.7% |
0.0% |
| Family Practice |
6.7% |
$10,012,237 |
1.8% |
3.1% - 10.3% |
19.5% |
0.0% |
| Ophthalmology |
5.1% |
$9,634,310 |
2.5% |
0.2% - 10.0% |
23.1% |
0.0% |
| Hematology/Oncology |
4.7% |
$8,542,080 |
3.5% |
( 2.2%) - 11.6% |
14.4% |
0.0% |
| Orthopedic Surgery |
4.3% |
$7,196,953 |
1.9% |
0.5% - 8.1% |
8.2% |
0.0% |
| Urology |
4.2% |
$4,576,330 |
2.6% |
( 1.0%) - 9.3% |
6.4% |
0.0% |
| Nephrology |
3.6% |
$3,238,761 |
1.7% |
0.4% - 6.9% |
17.4% |
0.0% |
| Pulmonary Disease |
8.7% |
$2,734,972 |
5.5% |
( 2.1%) - 19.6% |
19.6% |
0.0% |
| General Surgery |
2.0% |
$2,099,768 |
1.4% |
( 0.8%) - 4.7% |
16.8% |
0.0% |
| Emergency Medicine |
2.9% |
$2,079,184 |
1.6% |
( 0.2%) - 6.0% |
18.2% |
0.0% |
| Podiatry |
4.1% |
$1,887,585 |
1.9% |
0.3% - 7.9% |
25.0% |
0.0% |
| Nurse Practitioner |
2.5% |
$1,672,686 |
2.1% |
( 1.6%) - 6.5% |
3.8% |
0.0% |
| Dermatology |
1.3% |
$772,827 |
1.0% |
( 0.6%) - 3.2% |
15.2% |
0.0% |
| Physical Therapist in Private Practice |
1.5% |
$767,560 |
1.1% |
( 0.6%) - 3.6% |
16.0% |
0.0% |
| Diagnostic Radiology |
0.1% |
$379,780 |
0.1% |
( 0.1%) - 0.4% |
10.6% |
0.0% |
| Clinical Laboratory (Billing Independently) |
0.0% |
$27,559 |
0.0% |
( 0.0%) - 0.1% |
4.2% |
0.0% |
| All Provider Types |
3.9% |
$134,257,765 |
0.5% |
3.0% - 4.9% |
14.1% |
0.0% |
| Ambulance Service Supplier (e.g., private ambulance companies, funeral homes) |
0.0% |
$77,381 |
0.0% |
( 0.0%) - 0.1% |
12.0% |
0.0% |
|
|