Findings

Brightpath Logistics — rule-based patterns from your analysis.

Back to dashboard
Filter: All Top overpaid CPT Top overpaying facility High-multiple outlier Facility variance Site-of-care carve-out Carve-out candidate
Type CPT Facility Avg % Medicare Lines Over-Benchmark Est. Savings Recommendation
Top overpaying facility — Calderwood Regional 310% 430 $10,353,000 $7,888,000 Prioritize Calderwood Regional for direct-contract / RBP discussion.
Site-of-care carve-out 27447 — 310% 230 $5,313,000 $5,945,500 Site-of-care carve-out: steer CPT 27447 to a free-standing ASC.
Site-of-care carve-out 27130 — 310% 200 $5,040,000 $5,640,000 Site-of-care carve-out: steer CPT 27130 to a free-standing ASC.
Top overpaying facility — Hollowell Imaging — Hospital 420% 1500 $4,992,000 $4,212,000 Prioritize Hollowell Imaging — Hospital for direct-contract / RBP discussion.
Top overpaid CPT 27447 — 285% 310 $5,489,000 $4,048,000 Review CPT 27447 pricing; $4,048,000 modeled savings at the target multiple.
High-multiple outlier 27447 — 310% 230 $5,313,000 $4,048,000 High-multiple outlier — investigate CPT 27447.
Facility variance 27447 — 310% 310 $5,489,000 $4,048,000 Site-of-care steerage: move volume from Calderwood Regional toward Caldova Surgical Center.
Carve-out candidate 27447 Calderwood Regional 310% 230 $5,313,000 $4,048,000 Direct-contract target: CPT 27447 @ Calderwood Regional.
Carve-out candidate 27130 Calderwood Regional 310% 200 $5,040,000 $3,840,000 Direct-contract target: CPT 27130 @ Calderwood Regional.
Facility variance 27130 — 310% 270 $5,208,000 $3,840,000 Site-of-care steerage: move volume from Calderwood Regional toward Caldova Surgical Center.
High-multiple outlier 27130 — 310% 200 $5,040,000 $3,840,000 High-multiple outlier — investigate CPT 27130.
Top overpaid CPT 27130 — 285% 270 $5,208,000 $3,840,000 Review CPT 27130 pricing; $3,840,000 modeled savings at the target multiple.
Top overpaid CPT 70553 — 349% 1000 $2,838,000 $2,268,000 Review CPT 70553 pricing; $2,268,000 modeled savings at the target multiple.
High-multiple outlier 70553 — 420% 700 $2,688,000 $2,268,000 High-multiple outlier — investigate CPT 70553.
Facility variance 70553 — 420% 1000 $2,838,000 $2,268,000 Site-of-care steerage: move volume from Hollowell Imaging — Hospital toward Hollowell Imaging Center.
Carve-out candidate 70553 Hollowell Imaging — Hospital 420% 700 $2,688,000 $2,268,000 Direct-contract target: CPT 70553 @ Hollowell Imaging — Hospital.
Carve-out candidate 74177 Hollowell Imaging — Hospital 420% 800 $2,304,000 $1,944,000 Direct-contract target: CPT 74177 @ Hollowell Imaging — Hospital.
Facility variance 74177 — 420% 1150 $2,435,250 $1,944,000 Site-of-care steerage: move volume from Hollowell Imaging — Hospital toward Hollowell Imaging Center.
High-multiple outlier 74177 — 420% 800 $2,304,000 $1,944,000 High-multiple outlier — investigate CPT 74177.
Top overpaid CPT 74177 — 348% 1150 $2,435,250 $1,944,000 Review CPT 74177 pricing; $1,944,000 modeled savings at the target multiple.
Top overpaid CPT 99214 — 125% 21000 $682,500 $0 Review CPT 99214 pricing; $0 modeled savings at the target multiple.
Top overpaid CPT 99213 — 120% 32000 $576,000 $0 Review CPT 99213 pricing; $0 modeled savings at the target multiple.
Top overpaying facility — Brightpath Network PCP 122% 53000 $1,258,500 $0 Prioritize Brightpath Network PCP for direct-contract / RBP discussion.
Top overpaying facility — Caldova Surgical Center 140% 150 $344,000 $0 Prioritize Caldova Surgical Center for direct-contract / RBP discussion.
Top overpaying facility — Hollowell Imaging Center 150% 650 $281,250 $0 Prioritize Hollowell Imaging Center for direct-contract / RBP discussion.