Exhibit 4. Number of Patients and Extent of Payments for Patients Classified by Each System Using All HEDIS Cases.
| Diabetes Identified by | N | DiseaseAssignment by | Mean 4-yearIncluded Payments | Mean 4-yearTotal Payments |
|---|---|---|---|---|
| ETG and Prometheus | 1145 | ETG | $ 12,273 (17.8%) | $ 60,056 |
| $ 41,487 (60.2%)* | ||||
| Prometheus | $ 23,951 (34.8%)# | $ 60,056 | ||
| $ 9,662 (30.3%)* | ||||
| Prometheus Only | 50 | Prometheus | $ 7,181 (22.5%)# | $ 26,194 |
| ETG Only | 302 | ETG | $ 14,465 (12.0%) | $ 109,066 |
| Neither ETG or Prometheus | 83 | Neither | (0.0%) | $ 39,655 |
| CAD Identified by | ||||
| ETG and Prometheus | 798 | ETG | $ 19,537 (31.1%) | $ 62,775 |
| Prometheus | $ 29,060 (46.3%) | $ 62,775 | ||
| Prometheus Only | 150 | Prometheus | $ 13,113 (31.8%) | $ 41,249 |
| ETG Only | 185 | ETG | $ 45,177 (32.0%) | $141,376 |
| Neither ETG or Prometheus | 511 | Neither | (0.0%) | $ 49,922 |
NOTES: Including Inpatient services
Excluding Inpatient services
SOURCE: Author’s analysis.