Comparative Billing Reports

CBR201614 Statistical Debriefing

CBR201614

The following is a description of the tables used in CBR201614, Chiropractic Manipulative Treatment of the Spine. There are links that will open the excel files that contain state and national statistics used in the analysis of rendering Part B providers for CBR201614. All of the analyses in this Comparative Billing Report (CBR) include only the Current Procedural Terminology (CPT®) codes 98940-98942. CBR201614 includes claims with dates of service January 1, 2015 to December 31, 2015. These analyses are based on the latest version of claims available from the Integrated Data Repository as of August 2, 2016. In the CBR201614 sample examples of each table can be found. 

 

Summary of Your Utilization of CPT® codes 98940-98942

Table 1 provides the statistics summary for the individual provider for each CPT® code analyzed in the CBR. The total allowed charges, allowed services and distinct beneficiary count are included for each CPT® code. Please note the totals may not be equal to the sum of the rows. The number of beneficiaries is an unduplicated count for each row and the total. It is likely that a beneficiary would have billings for more than one CPT® code, and he/she would be counted in the beneficiary count in each applicable row. This beneficiary would be counted only once in the total.

 

Average Allowed Services per Beneficiary

Table 2 provides an analysis of the average allowed services per beneficiary. This average is calculated as the total number of services divided by the total number of distinct beneficiaries. This calculation covers all of the CPT® codes included in this CBR. Each provider’s average is compared to his/her state and the nation using the t-test at the alpha value of 0.05.

To view the average services per beneficiary for all states and the nation, please select the following link: CBR201614 Average Allowed Services per Beneficiary.xls.

 

Percentage of Beneficiaries with Over 24 Visits in the Year

Table 3 provides an analysis of the percentage of beneficiaries with over 24 visits in the year. The percentage is calculated by taking the number of distinct beneficiaries with more than 24 visits in the year and dividing by the total number of distinct beneficiaries and then multiplying by 100. Each provider’s percentage is compared to his/her state and the nation using chi-square test at the alpha value of 0.05.

To view the percentage of beneficiaries with over 24 visits in the year for each state and the nation, please select the following link: CBR201614 Percentage of Beneficiaries with Over 24 Visits in the Year.xls.

 

Percentage of CMT Spinal Services Billed with CPT® Code 98942

Table 4 provides an analysis of the percentage of CMT spinal services billed with CPT® code 98942. The percentage is calculated by taking the number of allowed services billed for CPT® code 98942 and dividing by the total number of allowed services for all CMT spinal services, and then multiplying by 100. This calculation covers all of the CPT® codes included in this CBR. Each provider’s percentage is compared to his/her state and the nation using chi-square test at the alpha value of 0.05.

To view the percentage of CMT spinal services billed with CPT® code 98942 for each state and the nation, please select the following link: CBR201614 Percentage of Services Billed with Code 98942.xls.