Sample Reports Appendix A

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1 Sample Reports Appendix A BCI/DSS Personal Health Record (PHR) Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Address: 1 Flowing Springs Rd Age: 39 Primary Care ID: City: Charles Town Gender: F Primary Care Name: Johnson, Robert L. State: WV Member Months: 12 Address: 12 Washington Rd Zip code: City: Charles Town Telephone: (304) State: WV Telephone Cell: Zip code: Address: Telephone: (304) Category: MLTN Product: FFS Policy Type: Emergency Contact Name: Telephone Home: Telephone Work: Telephone Cell: Relationship: WV_DW_DSS-100_3

2 PHR Administrative Tab Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X IP OP OP Surgery Rx Lab Rad Ther $25,594 $18,243 $68 $9,469 $554 $474 $40 Date of Service Place of Service Description Units Primary Diagnosis Secondary Diagnosis Total Network Provider Name 09-Apr-2006 Emergency Room Emergency Dept Visit 1 Migrne Unsp w/o Ntrc Mgrn $23 Y Powell, Ralph 09-Apr-2006 Emergency Room Emergency Dept Visit 1 Migrne Unsp w/o Ntrc Mgrn $137 Y Powell, Ralph 09-Apr-2006 OP Hospital Hydroxyzine Hcl Injection 1 Migrne Unsp w/o Ntrc Mgrn $17 Y Powell, Ralph 09-Apr-2006 OP Hospital Meperidine/Promethazine Inj 1 Migrne Unsp w/o Ntrc Mgrn $6 Y Powell, Ralph 09-Apr-2006 Pharmacy Albuterol 17 $13 Y Johnson, Robert L 09-Apr-2006 Pharmacy Zofran 50 $1,119 Y Johnson, Robert L 03-Apr-2006 Emergency Room Emergency Dept Visit 1 Migrne Unsp w/o Ntrc Mgrn $19 Y Powell, Ralph 03-Apr-2006 Emergency Room Emergency Dept Visit 1 Migrne Unsp w/o Ntrc Mgrn $137 Y Powell, Ralph 03-Apr-2006 OP Hospital Hydroxyzine Hcl Injection 1 Migrne Unsp w/o Ntrc Mgrn $17 Y Powell, Ralph 03-Apr-2006 OP Hospital Meperidine/Promethazine Inj 1 Migrne Unsp w/o Ntrc Mgrn $6 Y Powell, Ralph 01-Apr-2006 Pharmacy Catapres-Tts 3 4 $165 Y Johnson, Robert L 30-Mar-2006 Office Office/OP Visit, Est 1 DM 2 w/o Cmp Nt St Uncntr $23 Y Johnson, Robert L 30-Mar-2006 Pharmacy Hydrocodone-Acetaminophen 25 $9 Y Johnson, Robert L WV_DW_DSS-101_4

3 PHR Claims Detail Tab Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Provider ID Provider Name PCP Specialty Network Date of Service Place of Service Primary Diagnosis Secondary Diagnosis Primary Procedure Secondary Procedure P Powell, Ralph J No Y 01-Feb-2006 IP Hospital DM 1 Neuro Nt St Uncntrld Gastroparesis Johnson, Robert R Yes Gen Practice Y 01-Feb-2006 IP Hospital Nausea with vomiting DM 1 w/o Cmp Nt St Uncntrld Initial Hospital Care Powell, Ralph No Y 01-Feb-2006 Emergency Room Nausea with vomiting Abdominal Pain Epigastric Powell, Ralph No Y 01-Feb-2006 Emergency Room Nausea with vomiting Abdominal Pain Epigastric Als1-Emergency Powell, Ralph J No Y 02-Feb-2006 IP Hospital Abdominal Pain Oth Spcf St CT Abdomen w Dye Powell, Ralph J No Y 02-Feb-2006 IP Hospital Abdominal Pain Oth Spcf St CT Pelvis w Dye Johnson, Robert R Yes Gen Practice Y 02-Feb-2006 IP Hospital Nausea with vomiting DM 1 w/o Cmp Nt St Uncntrld Subsequent Hospital Care Johnson, Robert R Yes Gen Practice Y 03-Feb-2006 IP Hospital Nausea with vomiting DM 1 w/o Cmp Nt St Uncntrld Subsequent Hospital Care Johnson, Robert R Yes Gen Practice Y 16-Feb-2006 Office DM 1 Neuro Uncntrld Gastroparesis Office/OP Visit, Est Johnson, Robert R Yes Gen Practice Y 21-Feb-2006 Office Acute Sinusitis Nos Office/OP Visit, Est Powell, Ralph No Y 01-Mar-2006 OP Hospital Headache Meperidine/Promethazine Inj Powell, Ralph No Y 01-Mar-2006 Emergency Room Headache Powell, Ralph No Y 01-Mar-2006 OP Hospital Headache Hydroxyzine Hcl Inj Powell, Ralph No Y 01-Mar-2006 Emergency Room Headache Emergency Dept Visit WV_DW_DSS-102_4

4 PHR Provider Services Tab Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X NDC Number Description Fill Date Brand Name (Y/N) Quantity Fills Provider Name Pharmacy Name Hydrocodone-Acetaminophen 30-May-2006 Y 25 4 Johnson, Robert L $ Precision Xtra 30-May-2006 Y $1, Catapres-Tts 3 26-May-2006 Y 4 3 Johnson, Robert L $ Precision 26-May-2006 Y 8 5 $ Albuterol 26-May-2006 N Johnson, Robert L $ Humalog 26-May-2006 Y $ Zofran 22-May-2006 Y 50 3 Johnson, Robert L $3, Nifedipine Er 22-May-2006 Y 30 7 Johnson, Robert L $ Prilosec Otc 22-May-2006 Y Johnson, Robert L $ Metoclopramide Hcl 22-May-2006 N Johnson, Robert L $ Lisinopril 19-May-2006 N 60 8 Johnson, Robert L $ Propoxyphene Napsylate w/apap 19-May-2006 Y $ Ciprofloxacin Hcl 16-May-2006 N 16 1 $ Amoxicillin 15-May-2006 Y 30 6 $59 WV_DW_DSS-103_4

5 PHR Pharmacy Detail Tab Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Disease Category Counts Cardiovascular System Hypertension 2 Hypertension NOS/NEC 2 Chest Pain 2 Diagnostic Testing CT Scan General 1 Complex Planar Nuclear Medicine 1 CT Abdominal 1 Mammography 1 Diagnostic Ultrasound Except Vascular 1 Clinical Diagnostic Laboratory Services 21 Glycated Hemoglobin Test 2 Fecal Occult Blood Test 2 Plain Film 7 WV_DW_DSS-104_3

6 PHR Diagnosis and Procedure Detail Tab Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Total Inpatient : $53,305 Admit Date Discharge Date Attending MD Consults Complication-1 Complication-2 Complication-3 LOS Total 28-Jan Feb-2006 Johnson, Robert R 0 6 $12,498 Primary Diagnosis Secondary Diagnosis Primary Procedure Secondary Procedure MS-DRG DW 2 w/o Cmp Uncntrld Electrolyt/Fluid Dis Nec Initial Hospital Care Subsequent Hospital Care WV_DW_DSS-105_4 PHR Inpatient Admissions Tab Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Lab Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Test Type Date of Service Result Range HGB A1c 17-Aug HBG 17-Aug-2006 L7.0* HTC 17-Aug-2006 L Radiology Test Type Date of Service Result Range Diagnostic Procedures Test Type Date of Service Result Range Key L = Abnormal Low, H = Abnormal High, WNL = Within Normal Limits, * = Critical Value WV_DW_DSS-106_3

7 PHR Diagnostic Testing Results Tab Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Analysis Period CRG-SS CRG Description DB Total Proj IP Adm Gaps In Care Product June 2005 to May Diabetes and Asthma $53,305 $42, FFS June 2004 to May Diabetes and Asthma $32,521 $36, FFS WV_DW_DSS-107_4

8 PHR Health Status History Tab Member ID: Disease Burden: Name: Smith, Jane R Disease(s): Diabetes and Asthma DOB: 04-Oct-1972 CRG S/S: 6-5 Sex: F : $53,305 Projected : $42,382 Admin Claims Providers Pharmacy Diagnoses and Procedures Admits Diagnostic Testing HS History Summary X Gaps In Care Asthma Pharmacotherapy Influenza Vaccine Pneumonia Vaccine Inpatient Parameters AP Value Admits 4 Days 18 Actual/Expected LOS 0 Outpatient Parameters AP Value ER Visits 29 OP Hospital Visits 0 Office Visits 12 Lab Tests 53 Radiology 13 Therapy 1 Consults 10 Quality Parameters AP Value Preventable Admits 0 Gaps In Care 3 Re-admits < 30 days 0 Disease Progression 0 Disease Complication 0 Financial Parameters AP Value Total $53,305 Inpatient $25,594 Outpatient $18,243 Hospital Outpatient $5,232 Lab $554 Radiology $474 Therapy $40 Office $271 Pharmacy $9,469 Out of Network $0 Pharmacy Parameters AP Value Total Scripts 62 Brand Scripts 41 Projected/Actual Parameters AP Value Projected $3,532 Actual $4,442 Projected / Actual Ratio 0.8 WV_DW_DSS-108_3

9 Product Age Sex CRG S/S Disease Burden MM Projected IP-Total OP-Total OP-Surg OP-Lab OP-Rad OP-Ther Rx PHR Member Experience Summary Tab Member ID Name Smith, Jane N FFS 15 F $405,168 $0 $163,170 $100,983 $0 $3,417 $426 $126 $141, Smith, Jane M FFS 1 F $404,099 $29,949 $122,058 $282,041 $0 $75 $0 $0 $ Smith, George L FFS 19 M $364,781 $123,499 $0 $530 $0 $61 $118 $32 $364, Smith, Jane R FFS 1 F $356,486 $34,591 $352,415 $1,910 $0 $25 $842 $0 $2, Smith, George V FFS 24 M $356,312 $65,207 $0 $5,992 $0 $0 $2 $0 $350, Smith, George D FFS 18 M $329,261 $43,437 $0 $2,484 $0 $61 $41 $57 $326, Smith, George W MCO 1 39 M $321,227 $21,081 $0 $3,060 $0 $276 $1,767 $0 $318, Smith, George D MCO 1 46 M $272,334 $87,293 $0 $440 $0 $350 $0 $0 $271, Smith, Jane J FFS 3 F $253,600 $197,734 $113,616 $119,963 $359 $100 $153 $350 $20, Smith, George E FFS 46 M $248,987 $197,734 $244,764 $4,223 $132 $11 $261 $0 $ Smith, George A MCO 1 1 M $247,292 $10,467 $246,602 $595 $0 $0 $0 $0 $ Smith, George P MCO 1 17 M $244,367 $32,438 $0 $237,126 $0 $0 $0 $0 $7, Smith, George P FFS 22 M $240,332 $94,855 $166,505 $58,347 $0 $797 $1,723 $0 $15, Smith, Jane L FFS 41 F $239,519 $39,122 $227,595 $11,246 $0 $1,497 $972 $0 $ Smith, Jane MCO 2 19 F $238,431 $94,855 $188,360 $48,685 $0 $125 $1,099 $0 $1, Smith, George D MCO 2 29 M $232,680 $81,390 $7,032 $213,998 $0 $193 $1,384 $0 $11,650

10 Population Health Status Health Status Mem % Mem Avg MM Proj Proj Avg DB Total Population 331, $531 $3,966 $682 $8, Healthy 185, $49 $322 $54 $ Significant Acute 10, $236 $1,723 $196 $2, Single Minor Chronic 18, $203 $1,479 $216 $2, Multiple Minor Chronic 5, $341 $2,621 $432 $5, Single Significant Chronic 43, $518 $4,178 $734 $8, Two Significant Chronic 43, $1,277 $12,111 $2,138 $25, Multiple Significant Chronic 17, $2,024 $19,623 $3,452 $41, Complex Malignancies 3, $2,178 $17,744 $2,098 $25, Catastrophic 3, $2,703 $24,808 $4,436 $53, Population Health Status with Status Detail Health Status Mem % Mem Avg MM Proj Proj Avg DB Total Population 331, $531 $3,966 $682 $8, Healthy 185, $49 $322 $54 $ Significant Acute 10, $236 $1,723 $196 $2, Single Minor Chronic 18, $203 $1,479 $216 $2, Multiple Minor Chronic 5, $341 $2,621 $432 $5, Single Significant Chronic 43, $518 $4,178 $734 $8, Severity Level 1 29, $377 $2,971 $519 $6, Severity Level 2 8, $572 $4,767 $882 $10, Severity Level 3 3, $985 $8,625 $1,579 $18, Severity Level $1,366 $11,861 $1,897 $22, Severity Level $1,107 $8,557 $1,410 $16, Severity Level $2,082 $18,235 $2,561 $30,

11 Health Status Mem % Mem Avg MM Proj Proj Avg DB 6 - Two Significant Chronic 43, $1,277 $12,111 $2,138 $25, Multiple Significant Chronic 17, $2,024 $19,623 $3,452 $41, Complex Malignancies 3, $2,178 $17,744 $2,098 $25, Catastrophic 3, $2,703 $24,808 $4,436 $53, Population Health Status with Drilldown into Status to view Dominant Diseases Health Status Mem % Mem Avg MM Proj Proj Avg DB Total Population 331, $531 $3,966 $682 $8, Two Significant Chronic 43, $1,277 $12,111 $2,138 $25, Severity Level 2 11, $1,263 $12,135 $2,088 $25, Diseases Schizophrenia and Mod Chronic 2, $1,572 $15,282 $2,473 $29, Psych w/o Schiz and Mod Chron $879 $8,147 $1,303 $15, Schizophrenia and Dom Chronic $2,533 $25,362 $3,978 $47, COPD and Other Mod Chronic $673 $6,554 $1,065 $12, COPD and Other Dom Chronic $1,063 $10,440 $1,797 $21, Diabetes and Other Mod Chronic $778 $7,262 $1,263 $15, Dom Chron and 1+ Mod Chron $1,410 $14,140 $2,619 $31, Dementia and Dom Chron $2,548 $25,305 $4,017 $48, Diabetes and Oth Dom Chronic $1,113 $9,660 $1,730 $20, Diabetes and Advanced CAD $667 $6,152 $1,593 $19, Schizophrenia and Chronic Level $1,153 $10,976 $2,650 $31, Diabetes and Hypertension $508 $5,190 $1,494 $17, COPD and Advanced CAD $729 $7,334 $1,284 $15,

12 Population Health Status with Drilldown to Member List Level Health Status Mem % Mem Avg MM Proj Proj Avg DB 6 Two Significant Chronic 43, $1,277 $12,111 $2,138 $25, Disease Severity Level 2 11, $1,263 $12,135 $2,088 $25, Diabetes and Hypertension $508 $5,190 $1,494 $17, Member ID Name Age Sex MM CRG S/S DB Proj Smith, George L 44 M $115 $1, Smith, Jane 43 F $419 $1, Smith, Jane C 56 F $5,470 $1, Smith, George 51 M $103 $1, Smith, George 78 M $47 $1, Smith, Jane M 87 F $515 $2, Smith, Jane R 78 F $379 $ Smith, George A 17 M $1,808 $1, Smith, George H 47 M $2,458 $1, Smith, Jane 82 F $66 $2, Smith, Jane 77 F $149 $1, Smith, Jane S 62 F $837 $1, Smith, Jane A 67 F $1,155 $1, Smith, George R 58 M $3,535 $1, Smith, Jane K 42 F $449 $1, Smith, Jane G 84 F $205 $2, Smith, Jane K 41 F $748 $1, Smith, George 49 M $383 $1,596

13 Product Age Sex CRG S/S Disease Burden MM Projected IP-Total OP-Total OP-Surg OP-Lab OP-Rad OP-Ther Rx Member Financial Analysis Member ID Name Smith, Jane N FFS 15 F $405,168 $0 $163,170 $100,983 $0 $3,417 $426 $126 $141, Smith, Jane M FFS 1 F $404,099 $29,949 $122,058 $282,041 $0 $75 $0 $0 $ Smith, George L FFS 19 M $364,781 $123,499 $0 $530 $0 $61 $118 $32 $364, Smith, Jane R FFS 1 F $356,486 $34,591 $352,415 $1,910 $0 $25 $842 $0 $2, Smith, George V Smith, George D Smith, George W Smith, George D FFS 24 M $356,312 $65,207 $0 $5,992 $0 $0 $2 $0 $350,320 FFS 18 M $329,261 $43,437 $0 $2,484 $0 $61 $41 $57 $326,777 MCO 1 39 M $321,227 $21,081 $0 $3,060 $0 $276 $1,767 $0 $318,167 MCO 1 46 M $272,334 $87,293 $0 $440 $0 $350 $0 $0 $271, Smith, Jane J FFS 3 F $253,600 $197,734 $113,616 $119,963 $359 $100 $153 $350 $20, Smith, George E Smith, George A Smith, George P Smith, George P FFS 46 M $248,987 $197,734 $244,764 $4,223 $132 $11 $261 $0 $0 MCO 1 1 M $247,292 $10,467 $246,602 $595 $0 $0 $0 $0 $95 MCO 1 17 M $244,367 $32,438 $0 $237,126 $0 $0 $0 $0 $7,241 FFS 22 M $240,332 $94,855 $166,505 $58,347 $0 $797 $1,723 $0 $15,480

14 Product Age Sex CRG S/S Disease Burden MM Projected IP-Total OP-Total OP-Surg OP-Lab OP-Rad OP-Ther Rx Member ID Name Smith, Jane L FFS 41 F $239,519 $39,122 $227,595 $11,246 $0 $1,497 $972 $0 $ Smith, Jane MCO 2 19 F $238,431 $94,855 $188,360 $48,685 $0 $125 $1,099 $0 $1, Smith, George D MCO 2 29 M $232,680 $81,390 $7,032 $213,998 $0 $193 $1,384 $0 $11,650

15 Product Age Sex CRG S/S DB MM Proj IP Adm IP Days ER Visits Office Visits OP-Lab Units OP-Rad Units OP-Ther Units Member Pharmacy Analysis Member ID Name Product Age Sex CRG S/S DB MM Rx Rx Scripts Generic % Brand Name % Smith, George FFS 40 M $2, Smith, Jane M FFS 40 F $350, Smith, Jane M FFS 41 F $326, Smith, Jane L FFS 55 F $318, Smith, Jane A FFS 36 F $271, Smith, Jane A MCO 1 26 F $20, Smith, Jane P FFS 55 F $ Smith, Jane FFS 66 F $ Smith, George MCO 1 65 M $7, Smith, Jane MCO 1 42 F $15, Smith, Jane S FFS 31 F $ Smith, George M FFS 54 M $1, Smith, Jane L MCO 2 47 F $11, Smith, Jane MCO 2 64 F $11, Smith, Jane MCO 2 52 F $14, Smith, Jane FFS 57 F $34, Member Service Utilization Analysis Member ID Name Smith, George L FFS 62 M $41,056 $49, Smith, Jane FFS 55 F $62,781 $ Smith, George L FFS 48 M $64,952 $52, Smith, George C FFS 68 M $20,193 $81, Smith, Jane J FFS 48 F $160,815 $65, Smith, Jane MCO 2 63 F $15,467 $49, Smith, Jane FFS 47 F $23,892 $56, Smith, Jane R MCO 2 68 F $15,547 $42, Smith, Jane S MCO 1 4 F $750 $

16 Product Age Sex CRG S/S DB MM Proj IP Adm IP Days ER Visits Office Visits OP-Lab Units OP-Rad Units OP-Ther Units Member ID Name Smith, George T FFS 64 M $25,824 $62, Smith, George MCO 1 79 M $13,705 $197, Smith, George W MCO 1 65 M $208,775 $59, Smith, Jane FFS 61 F $64,603 $54, Smith, George W MCO 2 47 M $106,335 $58, Smith, George FFS 62 M $6,326 $62, Smith, Jane S MCO 2 60 F $35,568 $58, Member Quality Analysis Member ID Name Product Age Sex CRG S/S DB Δ DB MM Proj Gaps in Care Prev Admits Re Admits Smith, George L FFS 62 M $41,056 $49, Smith, Jane FFS 55 F $62,781 $ Smith, George L FFS 48 M $64,952 $52, Smith, George C FFS 68 M $20,193 $81, Smith, Jane J FFS 48 F $160,815 $65, Smith, Jane MCO 2 63 F $15,467 $49, Smith, Jane FFS 47 F $23,892 $56, Smith, Jane R MCO 2 68 F $15,547 $42, Smith, Jane S MCO 1 4 F $750 $ Smith, George T FFS 64 M $25,824 $62, Smith, George MCO 1 79 M $13,705 $197, Smith, George W MCO 1 65 M $208,775 $59, Smith, Jane FFS 61 F $64,603 $54, Smith, George W MCO 2 47 M $106,335 $58, Smith, George FFS 62 M $6,326 $62, Smith, Jane S MCO 2 60 F $35,568 $58,

17 Provider Quality Analysis with Benchmark to Aggregate Total Providers Mem Avg DB P/A Ratio Gaps in Care Prev Admits (P1kMPY) Re- Admits (P1kMPY) Provider ID Provider Name Mem Avg DB P/A Ratio Gaps in Care Prev Admits (P1kMPY) Re- Admits (P1kMPY) Johnson, Robert D Hancock, Joan K Johnson, Robert L Hancock, Joan P Hancock, Joan J Hancock, Joan L Hancock, Joan R Harris, Rosemary A Hancock, Joan R Johnson, Robert C Hancock, Joan L Johnson, Robert P Harris, Rosemary S Johnson, Robert H Johnson, Robert J Hancock, Joan L Johnson, Robert M Johnson, Robert M Hancock, Joan T Johnson, Robert A Johnson, Robert R

18 Provider Financial Analysis with Benchmark to Aggregate Total Providers Panel Avg DB Total IP OP - Total OP - RX OP - Lab OP - Rad OP - Ther $2,314 $0 $1,761 $553 $22 $93 $45 Provider ID Provider Name Panel Avg DB Total IP OP - Total OP - RX OP - Lab OP - Rad Johnson, Robert D $209 $0 $0 $209 $0 $0 $ Hancock, Joan K $172 $0 $154 $17 $4 $36 $ Johnson, Robert L $0 $0 $0 $0 $0 $0 $0 OP - Ther Harris, Rosemary A $17,320 $0 $16,612 $708 $20 $0 $ Hancock, Joan P $4,127 $0 $158 $3,969 $0 $130 $ Hancock, Joan L $22,571 $0 $17,522 $5,049 $67 $1,244 $ Hancock, Joan R $662 $0 $620 $42 $10 $495 $ Hancock, Joan J $14,767 $0 $14,569 $198 $113 $1,392 $ Hancock, Joan R $99 $0 $99 $0 $74 $0 $ Johnson, Robert P $2,991 $0 $1,473 $1,519 $0 $118 $ Hancock, Joan L $2,009 $0 $1,319 $690 $18 $119 $ Johnson, Robert J $3,523 $0 $597 $2,927 $30 $114 $ Johnson, Robert M $898 $0 $285 $614 $0 $0 $ Hancock, Joan L $436 $0 $417 $19 $7 $208 $ Harris, Rosemary S $5,102 $0 $4,979 $123 $133 $82 $ Johnson, Robert H $2,745 $0 $1,854 $891 $54 $846 $ Johnson, Robert C $31 $0 $31 $0 $10 $0 $ Johnson, Robert A $8,508 $0 $6,776 $1,732 $39 $0 $ Johnson, Robert R $0 $0 $0 $0 $0 $0 $ Hancock, Joan H $1,656 $0 $1,548 $108 $14 $0 $ Johnson, Robert E $3,231 $0 $540 $2,691 $41 $0 $ Johnson, Robert A $3 $0 $0 $3 $0 $0 $0

19 Provider Service Utilization Analysis with Benchmark to Aggregate Total Providers Panel Avg DB Avg PI Risk Score IP Admits P1kMPY IP Avg LOS ER Visits Office Visits Referrals Lab Tests Rad Units Ther Units Provider ID Provider Name Panel Avg DB PI Risk Score IP Admits P1kMPY IP Avg LOS ER Visits Office Visits Referrals Lab Tests Rad Units Ther Units Hancock, Joan K Harris, Rosemary A Hancock, Joan P Hancock, Joan J Johnson, Robert D Hancock, Joan L Hancock, Joan R Johnson, Robert L Hancock, Joan R Johnson, Robert J Hancock, Joan L Johnson, Robert C Hancock, Joan L Harris, Rosemary S Johnson, Robert H Johnson, Robert P Johnson, Robert M Hancock, Joan H

20 Total Providers Panel Avg DB Avg PI Risk Score IP Admits P1kMPY IP Avg LOS ER Visits Office Visits Referrals Lab Tests Rad Units Ther Units Provider ID Provider Name Panel Avg DB PI Risk Score IP Admits P1kMPY IP Avg LOS ER Visits Office Visits Referrals Lab Tests Rad Units Ther Units Johnson, Robert K Harris, Rosemary J Johnson, Robert E Johnson, Robert M

21 Provider Pharmacy Analysis with Benchmark to Aggregate Total Providers Panel Avg DB Rx Scripts Generic % Brand Name % Rx $553 Provider ID Provider Name Panel Avg DB Rx Scripts Generic % Brand Name % Rx Hancock, Joan L $5, Hancock, Joan K $ Hancock, Joan J $ Hancock, Joan P $3, Johnson, Robert L $ Johnson, Robert D $ Hancock, Joan R $ Harris, Rosemary A $ Johnson, Robert H $ Hancock, Joan L $ Johnson, Robert M $ Hancock, Joan L $ Hancock, Joan R $ Johnson, Robert J $2, Johnson, Robert P $1, Johnson, Robert C $ Harris, Rosemary S $ Johnson, Robert E $2, Johnson, Robert K $2, Harris, Rosemary J $ Johnson, Robert A $ Johnson, Robert R $0

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