1. Entity Sample University Period 2014 Q4
Risk Summary
This report identifies the potential risk for each provider in various categories, based upon our 1 – 100 scoring system.
The higher the score the greater the risk. Scores of 65 to 85 indicate a moderate risk and 85 to 100 indicate a high risk.
Risk Level High, Medium Specialty All
Specialty
Code Provider Name Provider Id E&M
Non-E&M
Utilization
by Count
Procedure
Utilization
by RVU
Modifier
Util
Total
Time
Visible
Risk
24 Provider 220 02.1537 100 100 100 90 96
04 Provider 29 04.1953 75 68 100 100 86 95
14 Provider 134 14.2339 100 100 100 76 95
16 Provider 510 16.2516 65 100 100 48 94 94
02 Provider 7 02.2377 97 55 89 100 61 94
16 Provider 168 16.2340 57 100 100 50 86 93
07 Provider 55 07.1714 88 100 100 56 92
24 Provider 221 02.175 37 100 100 32 87 92
16 Provider 156 16.1752 81 41 83 98 72 92
24 Provider 222 02.2182 75 53 100 62 87 92
07 Provider 53 07.1710 95 100 20 98 91
92 Provider 467 92.350 100 100 94 91
02 Provider 3 02.1970 98 46 81 85 50 91
07 Provider 54 07.1711 100 100 90 91
24 Provider 223 02.2362 91 100 40 86 90
13 Provider 506 14.2493 61 100 100 58 90
16 Provider 512 16.2541 100 100 41 62 89
92 Provider 466 92.2424 88 98 90 89
16 Provider 160 16.1958 100 94 40 70 89
18 Provider 194 18.2356 67 86 73 86 89
14 Provider 507 14.2512 100 75 64 70 89
24 Provider 219 02.1271 33 100 74 88 88
16 Provider 166 16.2259 48 100 82 44 57 88
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2. Specialty
Code Provider Name Provider Id E&M
Non-E&M
Utilization
by Count
Procedure
Utilization
by RVU
Modifier
Util
Total
Time
Visible
Risk
02 Provider 6 02.2292 92 30 80 14 87 88
02 Provider 8 02.2391 86 50 99 60 88
06 Provider 50 06.2464 80 39 65 47 94 88
28 Provider 229 02.721 86 76 56 78 87
02 Provider 14 02.873 94 97 63 87
14 Provider 128 14.2071 19 100 60 85 86
07 Provider 56 07.1827 10 100 7 100 85
10 Provider 72 11.2291 73 69 69 72 85
39 Provider 322 11.1474 87 47 74 69 85
06 Provider 49 06.2463 83 61 45 37 77 85
06 Provider 52 06.2467 75 24 58 49 86 85
24 Provider 224 02.2426 51 21 99 47 64 85
06 Provider 42 06.2192 99 64 68 84
04 Provider 33 04.2439 85 25 80 63 84
16 Provider 150 16.1263 73 58 62 76 84
29 Provider 234 11.1845 93 81 54 84
06 Provider 47 06.2460 98 23 88 84
04 Provider 36 04.875 100 34 81 83
77 Provider 447 02.865 80 63 85 83
29 Provider 240 11.968 88 36 69 61 83
77 Provider 443 02.1841 77 67 83 83
04 Provider 27 04.1178 66 73 55 66 83
29 Provider 231 11.066 81 98 31 83
16 Provider 509 16.2513 88 70 66 83
16 Provider 167 16.2270 82 28 52 82 83
39 Provider 321 11.1176 100 61 50 82
06 Provider 44 06.2264 20 100 59 48 82
16 Provider 176 16.2419 91 41 51 30 46 81
28 Provider 227 02.2187 90 64 26 51 81
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3. Specialty
Code Provider Name Provider Id E&M
Non-E&M
Utilization
by Count
Procedure
Utilization
by RVU
Modifier
Util
Total
Time
Visible
Risk
83 Provider 459 37.2255 97 59 47 81
97 Provider 468 06.1836 91 54 61 81
16 Provider 159 16.1829 7 90 79 80
16 Provider 157 16.1807 79 36 58 35 47 80
44 Provider 338 11.2213 88 63 50 80
16 Provider 511 16.2517 95 70 80
14 Provider 126 14.1904 21 90 27 68 79
04 Provider 34 04.2441 91 48 31 48 79
14 Provider 138 14.2428 3 100 60 79
06 Provider 41 06.2162 61 51 43 72 79
06 Provider 48 06.2462 91 27 64 78
97 Provider 477 08.2477 91 29 63 78
29 Provider 237 11.2268 88 49 54 78
30 Provider 249 30.1947 65 93 78
77 Provider 442 02.1354 11 54 66 73 78
07 Provider 482 07.2496 82 62 43 78
02 Provider 11 02.261 55 35 75 52 78
06 Provider 37 06.1649 95 59 78
21 Provider 204 06.1648 83 74 78
30 Provider 273 30.2343 64 91 78
21 Provider 205 06.2181 80 77 77
13 Provider 114 13.3077 39 17 57 83 77
39 Provider 323 11.1892 90 3 39 43 76
29 Provider 232 11.095 85 42 24 44 76
16 Provider 173 16.2364 92 54 76
04 Provider 26 04.1158 52 9 67 6 64 76
16 Provider 158 16.1828 54 8 49 77 76
46 Provider 353 37.2207 61 38 56 54 76
39 Provider 498 11.9067 88 58 76
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4. Specialty
Code Provider Name Provider Id E&M
Non-E&M
Utilization
by Count
Procedure
Utilization
by RVU
Modifier
Util
Total
Time
Visible
Risk
91 Provider 465 02.519 85 63 76
14 Provider 137 14.2427 2 79 36 57 75
02 Provider 4 02.2091 95 41 6 75
77 Provider 444 02.2298 69 36 68 75
37 Provider 311 37.8116 87 12 30 46 75
37 Provider 313 37.867 57 6 86 75
37 Provider 312 37.8639 82 34 51 75
22 Provider 207 07.2416 49 60 68 75
10 Provider 67 11.136 38 29 55 72 75
44 Provider 335 11.1637 88 22 47 75
29 Provider 241 37.683 60 82 75
18 Provider 186 18.109 10 43 48 53 56 74
97 Provider 472 08.2457 82 19 55 74
07 Provider 57 07.2271 81 61 74
14 Provider 125 14.1656 59 57 57 74
98 Provider 479 16.605 14 70 49 48 74
06 Provider 39 06.1816 77 40 46 74
22 Provider 216 07.2478 34 60 70 74
06 Provider 43 06.2236 48 48 70 73
02 Provider 551 02.2502 94 19 73
83 Provider 460 37.2389 90 32 73
37 Provider 309 37.609 83 34 30 72
28 Provider 228 02.2355 61 53 23 43 72
39 Provider 324 11.471 80 20 46 72
81 Provider 456 37.2196 32 89 72
37 Provider 315 37.8958 75 12 33 44 72
97 Provider 469 07.1713 65 67 72
11 Provider 77 11.1622 66 65 72
37 Provider 294 37.1673 91 19 72
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5. Specialty
Code Provider Name Provider Id E&M
Non-E&M
Utilization
by Count
Procedure
Utilization
by RVU
Modifier
Util
Total
Time
Visible
Risk
44 Provider 347 37.1777 37 56 64 72
14 Provider 129 14.2072 72 54 18 71
97 Provider 474 20.1757 55 49 54 71
16 Provider 508 16.2510 73 54 71
16 Provider 182 16.648 81 30 19 12 71
08 Provider 63 08.2411 86 23 70
38 Provider 318 11.2240 82 32 70
40 Provider 516 20.5139 87 13 70
14 Provider 139 14.2434 62 39 0 49 70
34 Provider 282 34.1968 62 14 59 69
34 Provider 284 34.2138 0 39 51 58 69
30 Provider 246 30.1944 42 74 69
44 Provider 340 11.2429 85 69
16 Provider 175 16.2413 68 4 51 69
34 Provider 286 34.2430 50 45 51 69
16 Provider 165 16.2199 72 43 68
14 Provider 136 14.2396 72 5 43 68
50 Provider 363 99.2405 83 68
50 Provider 386 37.1723 83 68
16 Provider 155 16.162 83 8 68
13 Provider 109 13.2269 83 68
44 Provider 344 11.864 82 0 68
44 Provider 337 11.1846 82 68
08 Provider 64 08.302 71 8 41 68
26 Provider 538 26.2153 82 68
34 Provider 281 34.1967 22 79 68
37 Provider 302 37.2210 78 25 68
10 Provider 73 11.8 41 50 49 67
02 Provider 553 02.2522 71 38 67
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6. Specialty
Code Provider Name Provider Id E&M
Non-E&M
Utilization
by Count
Procedure
Utilization
by RVU
Modifier
Util
Total
Time
Visible
Risk
02 Provider 5 02.2290 75 29 67
08 Provider 61 08.1296 70 7 37 67
37 Provider 288 37.080 77 19 67
26 Provider 527 37.2500 80 67
72 Provider 441 71.5173 76 25 67
37 Provider 289 37.1019 75 26 67
06 Provider 479 06.2514 74 29 67
37 Provider 305 37.2344 75 25 67
37 Provider 310 37.8103 51 21 26 50 66
18 Provider 190 18.2111 46 63 66
37 Provider 295 37.1773 78 66
16 Provider 162 16.2020 64 45 66
08 Provider 65 08.339 77 15 66
04 Provider 517 04.2506 71 31 66
46 Provider 352 37.2188 53 24 51 66
20 Provider 515 20.2515 75 18 66
81 Provider 453 37.2107 77 66
11 Provider 501 11.9162 77 66
81 Provider 454 37.2186 26 72 66
14 Provider 122 14.1350 36 32 29 52 65
37 Provider 293 37.1531 75 11 65
44 Provider 333 11.1386 76 65
11 Provider 75 11.1336 61 44 65
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