Summary
Summary
		Medical Associates
Productivity	Jan-06	Feb-06	Mar-06	Apr-06	May-06	Jun-06	Jul-06	Aug-06	Sep-06	Oct-06	Nov-06	Dec-06	YTD	Current Month	YTD vs
														vs Prior Month	Prior YTD
Charges	$5,928,513	$5,542,632	$6,213,100	$6,226,033	$6,001,884	$6,432,518	$6,314,312	$5,984,080	$6,234,582	$5,626,111	$5,015,577		$64,519,343	q	p
Budgeted Chrgs	$5,155,000	$5,778,000	$5,790,000	$5,582,000	$5,982,000	$5,872,000	$5,565,000	$5,798,000	$5,232,000	$5,581,000	$5,514,000		$60,002,989
Work RVU	22,984	21,930	24,985	24,349	22,079	25,839	24,141	22,618	23,476	22,515	21,527		250,443	¾	p
MGMA Median	23,000	23,000	23,000	23,000	23,000	23,000	23,000	23,000	23,000	23,000	23,000
Total RVU	45,098	43,098	48,544	48,533	43,531	51,372	48,964	46,354	46,251	45,684	30,687		498,117
Contr Adjusts	$2,990,158	$3,108,224	$3,860,270	$3,125,213	$3,462,243	$3,733,584	$3,455,553	$3,839,432	$3,512,213	$3,641,375	$3,514,483		$38,242,749	¾	q
Discounts	$102,583	$110,348	$102,025	$42,514	$48,997	$49,613	$97,108	$131,434	$108,145	$73,390	$71,186		$937,341	¾	q
Write Off	$30,183	$25,898	$32,020	$38,764	$14,291	$17,088	$45,113	$57,003	$51,250	$34,029	$50,666		$396,305	p	q
Payments	$2,393,704	$2,061,506	$2,640,232	$2,368,796	$2,475,375	$2,629,065	$2,360,333	$2,767,153	$2,519,709	$2,508,629	$2,469,762		$27,194,264	¾	p
Refunds	$22,137	$47,925	$25,478	$21,095	$18,373	$27,366	$32,366	$62,157	$39,309	$28,414	$31,339		$355,959	q	q
Visits	16,129	15,124	17,050	16,460	13,978	16,978	17,475	16,567	15,124	16,998	10,439		172,322	q	p
Procedures	27,149	25,125	27,813	28,258	24,372	28,630	31,074	28,971	26,130	30,255	18,278		296,055	q	p
New Visits	4,088	3,509	2,911	2,729	2,746	4,994	4,489	4,611	3,761	4,649	2,436		148,932	q	q
Established Visits	9,931	9,445	11,529	11,151	9,252	10,474	10,616	10,056	9,753	10,529	6,563		1,290	q	q
Consultations	2,110	2,170	2,610	2,580	1,980	1,510	2,370	1,900	1,610	1,820	1,440		22,100	q	q
															p
															q
															¬
		Medical Associates
Payer Mix Charges	Jan-06	Feb-06	Mar-06	Apr-06	May-06	Jun-06	Jul-06	Aug-06	Sep-06	Oct-06	Nov-06	Dec-06	YTD	Current Month vs Prior Month	YTD vs Prior YTD
Blue Shield
Charges	$1,047,830	$782,786	$1,043,729	$1,224,595	$1,188,368	$1,236,049	$1,202,166	$1,161,667	$1,209,815	$1,142,928	$871,861		$12,111,794	q	p
% of Charge	17.7%	14.1%	16.8%	19.7%	19.8%	19.2%	19.0%	19.4%	19.4%	20.3%	21.7%		18.8%	¬	p
Commercial
Charges	$2,099,062	$1,971,742	$2,180,584	$2,210,492	$2,075,291	$2,030,124	$1,996,669	$2,068,132	$1,876,418	$1,726,321	$1,134,657		$21,369,490	q	p
% of Charge	35.4%	35.6%	35.1%	35.5%	34.6%	31.6%	31.6%	34.6%	30.1%	30.7%	28.3%		33.1%	¬	¬
Medicaid
Charges	$509,648	$424,465	$445,023	$477,316	$414,397	$441,022	$540,910	$430,352	$515,836	$476,747	$304,220		$4,979,937	q	p
% of Charge	8.6%	7.7%	7.2%	7.7%	6.9%	6.9%	8.6%	7.2%	8.3%	8.5%	7.6%		7.7%	q	q
Medicare
Charges	$1,692,953	$1,694,820	$1,766,049	$1,722,755	$1,789,321	$1,948,751	$1,890,095	$1,694,010	$1,912,863	$1,642,846	$1,041,653		$18,796,115	q	p
% of Charge	28.6%	30.6%	28.4%	27.7%	29.8%	30.3%	29.9%	28.3%	30.7%	29.2%	25.9%		29.1%	q	¬
Self Pay
Charges	$243,136	$219,180	$268,853	$179,772	$216,437	$266,948	$254,510	$217,546	$221,743	$198,249	$254,210		$2,540,583	p	p
% of Charge	4.1%	4.0%	4.3%	2.9%	3.6%	4.1%	4.0%	3.6%	3.6%	3.5%	6.3%		3.9%	p	q
Managed Care/Other
Charges	$335,885	$449,639	$508,863	$411,103	$318,070	$509,624	$429,962	$412,372	$497,907	$439,021	$408,977		$4,721,423	¬	p
% of Charge	5.7%	8.1%	8.2%	6.6%	5.3%	7.9%	6.8%	6.9%	8.0%	7.8%	10.2%		7.3%	p	p
Payer Mix Payments	Jan-06	Feb-06	Mar-06	Apr-06	May-06	Jun-06	Jul-06	Aug-06	Sep-06	Oct-06	Nov-06	Dec-06	YTD	Current Month vs Prior Month	YTD vs Prior YTD
Blue Shield
Payments	$484,855	$433,756	$528,406	$594,555	$565,699	$604,381	$601,891	$566,861	$563,242	$524,725	$321,478		$5,789,850	¬	p
% of Payment	21.9%	20.4%	22.5%	23.6%	24.2%	26.2%	24.6%	25.0%	25.1%	27.1%	34.6%		24.5%	p	p
Commercial
Payments	$1,014,920	$962,229	$1,059,055	$1,138,309	$1,037,715	$924,389	$1,027,239	$975,925	$897,211	$719,756	$277,666		$10,034,412	¬	p
% of Payment	45.8%	45.3%	45.2%	45.2%	44.5%	40.0%	42.0%	43.1%	39.9%	37.2%	29.8%		42.4%	p	¬
Medicaid
Payments	$116,225	$95,346	$96,449	$104,446	$78,698	$79,067	$98,746	$75,272	$102,378	$80,539	$44,405		$971,572	¬	¬
% of Payment	5.2%	4.5%	4.1%	4.1%	3.4%	3.4%	4.0%	3.3%	4.6%	4.2%	4.8%		4.1%	p	q
Medicare
Payments	$520,824	$550,737	$582,626	$619,879	$593,696	$639,794	$659,679	$579,468	$640,226	$566,204	$267,585		$6,220,719	¬	p
% of Payment	23.5%	25.9%	24.9%	24.6%	25.4%	27.7%	27.0%	25.6%	28.5%	29.3%	28.8%		26.3%	p	p
Self Pay
Payments	$55,083	$40,129	$45,550	$43,622	$32,713	$35,487	$39,191	$48,860	$21,442	$20,694	$11,063		$393,834	¬	¬
% of Payment	2.5%	1.9%	1.9%	1.7%	1.4%	1.5%	1.6%	2.2%	1.0%	1.1%	1.2%		1.7%	p	q
Managed Care/Other
Payments	$11,200	$8,938	$9,781	$8,669	$8,243	$9,558	$8,742	$6,574	$6,394	$8,747	$5,232		$92,079	¬	p
% of Payment	0.5%	0.4%	0.4%	0.3%	0.4%	0.4%	0.4%	0.3%	0.3%	0.5%	0.6%		0.4%	p	q
		Medical Associates
Top Ten Procedures			Units		Unit Rank		Charges		Total RVU		Charges Per Total RVU
Procedure			Current Month	Prior Month	Current Month	Prior Month	Current Month	Prior Month	Current Month	Prior Month	Current Month	Prior Month
99213 Out Patient Visit, Return			2,764	4,897	1	1	$217,683	$370,140	3,811	6,783	$57.12	$54.57
99214 Outpatient Visit,  Return			1,343	2,045	2	2	$193,119	$286,796	2,875	4,405	$67.16	$65.11
99212 Outpatient  Visit, Return			556	1,048	3	3	$38,550	$68,058	513	1,011	$75.10	$67.34
99232 Daily Hospital Care;Moderate Complexity			546	940	4	4	$69,198	$111,131	803	1,382	$86.22	$80.42
99233 Daily Hospital Care;High Complexity			467	537	5	6	$88,038	$100,188	975	1,122	$90.30	$89.27
93307 Echocardiography Complete W Image Documentation 2D			378	436	6	7	$121,044	$141,612	708	908	$170.95	$156.02
90471 Immunization Admin, One Vaccine; Single Or Combo Vaccine			293	912	7	5	$2,356	$7,296	64	201	$36.55	$36.36
93320 Doppler Echocardography			277	335	8	10	$49,484	$61,054	162	216	$304.59	$282.84
90780 Infusion Therapy First Hour			206	303	9	12	$33,166	$48,671	492	724	$67.36	$67.21
99244 Outpt Consult, Moderate Complexity			206	281	9	14	$49,978	$68,302	914	1,247	$54.67	$54.78
Top Ten Procedures			7,036	11,734			$862,616	$1,263,248	11,317	17,999	$101.00	$95.39
% of Total			23.4%	24.1%			21.5%	22.4%	36.9%	39.4%
All Procedures			30,060	48,711			$4,016,898	$5,627,795	30,698	45,699	$130.85	$123.15
Top Ten Diagnosis			Units		Unit Rank		Charges		Total RVU		Charges Per Total RVU
Diagnosis			Current Month	Prior Month	Current Month	Prior Month	Current Month	Prior Month	Current Month	Prior Month	Current Month	Prior Month
174.9 Breast (Female) Cancer, Nos			4,970	8,250	1	1	$345,176	$548,530	1,355	1,915	$254.83	$286.50
203.00 Multiple Myeloma Wo Remission			1,765	2,228	2	2	$71,067	$151,931	212	530	$334.94	$286.41
285.9 Anemia			1,312	2,161	3	3	$40,653	$59,610	105	135	$386.22	$440.38
202.80 Lymphoma Nec Unspec Site			1,005	1,220	4	6	$77,269	$128,876	432	559	$178.93	$230.54
154.0 Mal Neo Rectosigmoid Jct			905	677	5	12	$49,211	$40,377	124	166	$395.36	$243.73
555.9 Crohn'S Disease Nos.			721	868	6	9	$81,335	$91,717	235	281	$346.33	$326.63
V58.1 Maintenance Chemotherapy			597	1,084	7	7	$65,981	$88,797	133	167	$496.14	$531.88
250.00 Diabetes Mellitus, Type Ii Or Unspec			543	1,041	8	8	$43,093	$75,438	604	1,013	$71.39	$74.46
186.9 Malig Neo Testis Nec			535	787	10	10	$36,469	$57,770	214	387	$170.30	$149.39
185 Malign Neopl Prostate			464	237	10	41	$55,041	$87,758	96	199	$572.57	$441.35
Top Ten Diagnosis			12,817	18,553			$865,295	$1,330,804	3,510	5,352	$320.70	$301.13
% of Total			42.6%	38.1%			21.5%	23.6%	11.4%	11.7%
All Diagnoses			30,060	48,711			$4,016,898	$5,627,795	30,698	45,699	$130.85	$123.15