Example Medical Center

Transcription

1 Example Medical Center City, State Month Date, Year Market-at-a-Glance Report This report has been prepared by GE Healthcare based upon research obtained through industry and public sources through Market Expert, a tool developed by Truven Health Analytics. GE Healthcare makes no representation or warranties, express or implied, as to the accuracy or completeness of either the material contained herein or any other written or oral statements or projections made by GE Healthcare. Imagination at work.

2 Table of contents 1. Report source: GE Healthcare leverages data from Truven Health Analytics to create reports based on customers market reach and needs. Truven Health Analytics has delivered this unbiased third party data, in addition to various analytical tools, benchmarks and services to the healthcare industry for over 30 years. 2. Market reach summary & observations 3. Market reach data*: Population Planning Inpatient Planning Outpatient Planning 4. Appendices: A1-2*: Detailed procedure level data in your market reach B: DRG & CPT reference file, methodologies, insurance categories & glossary *In some cases, inpatient planning and /or outpatient planning are not included. 2

3 Market Reach Summary Market Reach is defined as a group of zip codes around your location for which potential patients reside. Location: Example Medical Center City, State Zip code radius: Projections and estimates are based on the most current Truven Health Analytics data collection methodology. Data is available only if the volume is large enough to produce a reportable output. *In some cases, market reach data is unavailable. 3

4 Market reach observations In the next 5 years, population estimates are expected to increase by 2.8% All inpatient encounters projected to decrease -0.1% over the next 5 years, including technology growth All outpatient encounters projected to increase 9.8% over the next 5 years, including technology growth Emergent visits are expected to decrease 12.6% in the next 5 years Projections and estimates are based on the most current Truven Health Analytics data collection methodology. Observations are pulled directly from the data and include only the ZIP codes and service lines requested within this report. 4

5 Population Planning Projections and estimates are based on the most current Truven Health Analytics data collection methodology. Data is available only if the volume is large enough to produce a reportable output. In some cases, market reach data is unavailable. The following volumes are representative of the chosen ZIP codes listed on slide 3.

6 Demographic snapshot Statistic 5 year growth Total Population 34,773 35, % Total Male Population 17,160 17, % Total Female Population 17,613 18, % Females, Child Bearing Age (15-44) 5,808 6, % Total Households 13,491 13, % Average Household Income $99,567 $107, % Average Effective Buying Income $78,299 Median Household Income $80,280 $85, % Median Effective Buying Income $62,443 % Unemployment 2.38% Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 6

7 Population growth Age band & gender split 5 year Age Band Population Population growth Gender Population Population ,694 6, % Male 3,371 3, % Female 3,323 3, % 1,501 1, % Male % Female % 2,804 3, % Male 1,434 1, % Female 1,370 1, % 3,113 3, % Male 1,552 1, % Female 1,561 1, % 9,562 8, % Male 4,761 4, % Female 4,801 4, % 5,257 5, % Male 2,615 2, % Female 2,642 2, % 5,842 6, % Male 2,659 3, % Female 3,183 3, % Total 34,773 35, % 5 year growth Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 7

8 Population growth Top ZIP codes* 36,000 35,800 35, % 3.00% 2.50% 35, % 35,200 35, % year growth 34, % 34,600 34, % 34, % *If more than 10 ZIP codes are identified in your Market Reach, than only the top 10 are shown above; Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 8

9 Population volume Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 9

10 Insurance coverage 2016 Payer Mix (% of Total) Payer 5 year growth 6.0% 3.8% 5.2% Medicaid - Pre Reform 1,800 1,802 0% 16.2% Medicaid Expansion 0 0 Medicare 5,641 6,555 16% 1.0% 5.5% Medicare Dual Eligible % Private - Direct 1,901 1,959 3% Private - ESI 21,647 21,392-1% Private - Exchange 2,096 2,298 10% Uninsured 1,337 1,366 2% 62.3% Total 34,773 35, % Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 10

11 Insurance coverage Top ZIP codes* 2016 Payer Mix (Total lives) Medicaid - Pre Reform Medicaid Expansion Medicare Medicare Dual Eligible Private - Direct Private - ESI Private - Exchange Uninsured 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 *If more than 10 ZIP codes are identified in your Market Reach, than only the top 10 are shown above; Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 11

12 Inpatient Planning Projections and estimates are based on the most current Truven Health Analytics data collection methodology. Data is available only if the volume is large enough to produce a reportable output. In some cases, market reach data is unavailable and detailed procedure level data may not be listed in the appendix. Procedures performed on those who live in the service area, not procedures performed in service area. For inpatient, the detail is shown at the DRG code level and each service line is displayed for your market reach identified on slide 3.

13 Inpatient discharges 5 year projected growth Inpatient Discharges 5 year projected growth Adjusted & Trended Year Cardiology Gastro Hematology Neurology Neurosurgery OB/Delivery OB/Gynecology OB/Neonatology OB/Normal Newborns OB/Other 5 year growth: -5.45% 3.91% 3.09% 7.45% 1.59% 4.23% % -5.99% -5.79% -1.33% Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 13

14 Inpatient discharges 5 year projected growth 450 Inpatient Discharges 5 year projected growth Adjusted & Trended Year Oncology Medical Orthopedics Rheumatology Surgery/ General Surgery/ Open Heart Surgery/ Thoracic Surgery/ Vascular Urology 5 year growth: -0.77% 4.53% 7.10% -1.86% 4.31% -1.35% -0.30% % Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 14

15 Inpatient discharges Age band split 2016 IP Discharges (% of Total) Age band split Adjusted & Trended 100% 90% 80% 40% 28% 70% 60% 50% 40% 30% 75% 58% 18% 53% 14% 6% 64% 13% 22% 13% 79% 15% 26% 100% 100% 75% Age Band <18 20% 10% 0% 15% 9% 6% 13% 6% 6% 26% 6% 9% 6% 6% 15% 4% 6% 4% 7% 11% 8% 1% 3% 1% Cardiology Gastro Hematology Neurology Neurosurgery OB/Delivery OB/Gynecology OB/Neonatology OB/Normal Newborns 1% OB/Other Discharges: Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 15

16 Inpatient discharges Age band split 2016 IP Discharges (% of Total) Age band split Adjusted & Trended 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 46% 52% 50% 54% 59% 66% 75% 80% 22% 23% 26% 24% 25% 13% 21% 10% 12% 9% 11% 4% 9% 9% 15% 5% 5% 4% 7% 7% 3% 4% 6% 4% 7% 2% 2% 1% 2% 3% 4% 2% 2% 4% 4% 5% 2% 3% Oncology Medical Orthopedics Rheumatology Surgery/ General Surgery/ Open Heart Surgery/ Thoracic Surgery/ Vascular Urology Age Band <18 Discharges: Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 16

17 Inpatient discharges Payer mix split 2016 IP Discharges (% of Total) Age band split Adjusted & Trended 100% 1% 2% 2% 2% 1% 2% 1% 1% 1% 2% 4% 3% 3% 2% 6% 6% 3% 4% 5% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 20% 2% 5% 69% 3% 6% 2% 4% 28% 31% 3% 6% 55% 50% 7% 25% 2% 6% 60% 43% 4% 4% 39% 4% 4% Cardiology Gastro Hematology Neurology Neurosurgery OB/Delivery OB/Gynecology OB/Neonatology OB/Normal Newborns 68% 5% 19% 53% 5% 3% 27% 4% 69% 4% 21% 71% 4% 18% 59% 4% 1% 2% 26% OB/Other Payer Uninsured Private - Exchange Private - ESI Private - Direct Medicare Dual Eligible Medicare Medicaid Expansion Medicaid - Pre Reform Discharges: Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 17

18 Inpatient discharges Payer mix split 2016 IP Discharges (% of Total) Age band split Adjusted & Trended 100% 90% 80% 70% 60% 50% 40% 30% 20% 1% 3% 2% 1% 1% 2% 4% 2% 1% 3% 1% 1% 1% 3% 18% 16% 36% 29% 33% 2% 2% 33% 6% 6% 38% 37% 3% 4% 2% 4% 4% 3% 5% 4% 4% 4% 4% 4% 69% 74% 49% 56% 61% 52% 45% 48% Payer Uninsured Private - Exchange Private - ESI Private - Direct Medicare Dual Eligible Medicare Medicaid Expansion Medicaid - Pre Reform 10% 0% 4% 1% 3% 4% 2% 3% 1% 3% Oncology Medical Orthopedics Rheumatology Surgery/ General Surgery/ Open Heart Surgery/ Thoracic Surgery/ Vascular Urology Discharges: Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 18

19 Inpatient days 5 year projected growth 1,400 Inpatient Days Growth 5 year projected growth Adjusted & Trended 1,200 1,158 1,115 1, Year Cardiology Gastro Hematology Neurology Neurosurgery OB/Delivery OB/Gynecology OB/Neonatology OB/Normal Newborns OB/Other 5 year growth: -3.70% 2.62% -0.20% 8.46% 1.13% 2.10% % -3.46% -5.79% -2.18% Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 19

20 Inpatient days 5 year projected growth 1,400 1,208 1,279 1,300 Inpatient Days Growth 5 year projected growth Adjusted & Trended 1,200 1,168 1, Year Oncology Medical Orthopedics Rheumatology Surgery/ General Surgery/ Open Heart Surgery/ Thoracic Surgery/ Vascular Urology 5 year growth: 0.81% -3.31% 2.32% 1.63% 4.41% 1.53% -0.12% -4.92% Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 20

21 Average length of stay Market comparison LOS = (Days/Discharges) Average Length of Stay Market comparison (Days/Discharges) Market Market Reach National Regional Cardiology Gastro Hematology Neurology Neurosurgery OB/Delivery OB/Gynecology OB/Neonatology OB/Normal Newborns OB/Other Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 21

22 Average length of stay Market comparison LOS = (Days/Discharges) Average Length of Stay Market comparison (Days/Discharges) Market Market Reach National Regional Oncology Medical Orthopedics Rheumatology Surgery/ General Surgery/ Open Heart Surgery/ Thoracic Surgery/ Vascular Urology Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 22

23 9.0 Bed demand Occupancy rate comparison LOS = (Days/Discharges) Average Length of Stay Market comparison (Days/Discharges) Occupancy 40% 60% 80% Cardiology Gastro Hematology Neurology Neurosurgery OB/Delivery OB/Gynecology OB/NeonatologyOB/Normal Newborns OB/Other Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 23

24 Bed demand Occupancy rate comparison 10.0 LOS = (Days/Discharges) Average Length of Stay Market comparison (Days/Discharges) Occupancy 40% 60% 80% Oncology Medical Orthopedics Rheumatology Surgery/ General Surgery/ Open Heart Surgery/ Thoracic Surgery/ Vascular Urology Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 24

25 Outpatient Planning Projections and estimates are based on the most current Truven Health Analytics data collection methodology. Data is available only if the volume is large enough to produce a reportable output. In some cases, market reach data is unavailable and detailed procedure level data may not be listed in the appendix. Procedures performed on those who live in the service area, not procedures performed in service area. For outpatient, the detail is shown at the CPT procedure group level and each service line is displayed for your market reach identified on slide 3.

26 Outpatient procedures 5 year projected growth Outpatient Procedures 5 year projected growth Adjusted & Trended 60,000 50,000 42,230 48,362 40,000 30,000 Year ,000 12,758 14,337 10, ,768 3, ,719 6,841 6,912 7, , Anesthesia Bone Dens Breast Health Cardiac/ ECG Cardiac/ Holter 1,091 Cardiac/ Stress 5,661 CT 6,241 Emergency Mgmt 2,670 1,794 2,993 2,224 IR/ Cath Lab IR/ EP Medical Oncology 2,646 2,558 1,028 2,711 2,835 1,107 MR Neuro Nuc Med/ SPECT 5 year growth: 9.13% 6.21% 2.88% 9.76% 8.21% 7.89% 10.25% 12.38% 12.09% 23.98% 14.52% 2.44% 10.80% 7.72% Projections and estimates are based on the most current Truven Health Analytics data collection methodology.

27 Outpatient procedures 5 year projected growth Outpatient Procedures 5 year projected growth Adjusted & Trended 25,000 19,973 21,192 20,000 15,000 Year ,000 5, ,540 2, ,432 3,687 4,173 4,659 Pain Mgmt PET PET/CT Pulmonary Radiation Oncology 5,680 5,222 5,525 6,134 Surgery/ Gen Surgery/ Ortho Surgery/ Vascular 7,535 7,666 3,381 3,604 3,341 3,757 3,891 3,540 2,206 2,409 U/S CV U/S GI U/S OB/GYN U/S PoC Urology X-Ray 2021 Procedures: 8.74% -6.85% 7.42% 11.65% 5.80% 8.00% 11.42% 11.11% 7.95% 5.94% 1.74% 9.21% 6.10% Projections and estimates are based on the most current Truven Health Analytics data collection methodology.

28 Outpatient procedures Age band split 2016 Procedures OP Procedures (% of Total) Age band split Adjusted & Trended 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 37% 24% 19% 19% 53% 32% 12% 29% 28% 28% 47% 22% 15% 28% 15% 7% 12% 5% 3% 1% 1% 3% 41% 20% 15% 15% Anesthesia Bone Dens Breast Health Cardiac/ ECG Cardiac/ Holter 9% 6% 47% 26% 17% 17% 2% 1% Cardiac/ Stress 41% 22% 16% 16% 9% 4% CT 16% 11% 12% 12% 22% 26% Emergency Mgmt 53% 24% 12% 12% 66% 22% 9% 35% 28% 18% 18% 3% 9% 7% 3% 1% 3% IR/ Cath Lab IR/ EP Medical Oncology 30% 22% 20% 20% 9% 7% 17% 13% 12% 12% 5% 47% 46% 26% 16% 16% 4% 2% MR Neuro Nuc Med/ SPECT Age Band <18 Procedures: 2, ,719 6, ,011 5,661 12,758 2,670 1,794 42,230 2,646 2,558 1,028 Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 28

29 Outpatient procedures Age band split 2016 Procedures OP Procedures (% of Total) Age band split Adjusted & Trended 100% 2% 4% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 42% 24% 19% 55% 25% 38% 19% 14% 8% 52% 28% 6% 13% 15% 10% 15% 5% 4% 5% 1% 1% 2% 1% Pain Mgmt PET PET/CT Pulmonary Radiation Oncology 29% 35% 28% 26% 23% 18% 10% 8% 6% 7% 7% 4% Surgery/ Gen Surgery/ Ortho 51% 26% 14% 6% 1% 3% Surgery/ Vascular 9% 30% 28% 36% 45% 51% 29% 20% 25% 20% 21% 18% 20% 22% 15% 14% 55% 13% 12% 9% 13% 8% 8% 12% 7% 6% 9% 4% 11% 6% 7% 1% 4% 6% U/S CV U/S GI U/S OB/GYN U/S PoC Urology X-Ray Age Band <18 Procedures: 2, ,432 4,173 5,222 5, ,381 3,604 3,341 7,535 2,206 19,973 Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 29

30 Outpatient procedures Payer mix split 2016 Adjusted Procedures OP Procedures (% of Total) Payer mix split Adjusted & Trended 100% 90% 4% 2% 2% 1% 5% 2% 4% 1% 4% 1% 4% 1% 4% 2% 3% 3% 1% 2% 1% 5% 4% 2% 5% 2% 4% 1% 4% 1% 80% 70% 60% 50% 40% 30% 20% 46% 5% 3% 36% 37% 5% 2% 50% 54% 6% 1% 28% 39% 4% 3% 46% 44% 5% 2% 40% 40% 5% 2% 45% 44% 5% 3% 39% 58% 5% 4% 17% 34% 4% 3% 52% 29% 3% 1% 62% 45% 5% 5% 36% 51% 5% 2% 30% 61% 5% 2% 18% 40% 5% 2% 44% Payer Uninsured Private - Exchange Private - ESI Private - Direct Medicare Dual Eligible Medicare Medicaid Expansion Medicaid - Pre Reform 10% 0% 5% 2% 4% 3% 4% 3% 4% Anesthesia Bone Dens Breast Health Cardiac/ ECG Cardiac/ Holter Cardiac/ Stress CT 9% Emergency Mgmt 3% 2% 4% 5% IR/ Cath Lab IR/ EP Medical Oncology 9% 3% MR Neuro Nuc Med/ SPECT Procedures: 2, ,719 6, ,011 5,661 12,758 2,670 1,794 42,230 2,646 2,558 1,028 Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 30

31 Outpatient procedures Payer mix split 2016 Adjusted Procedures OP Procedures (% of Total) Payer mix split Adjusted & Trended 100% 90% 1% 1% 4% 3% 1% 1% 4% 3% 2% 1% 1% 1% 5% 5% 3% 2% 2% 1% 1% 1% 4% 5% 7% 6% 3% 4% 80% 70% 60% 50% 40% 30% 20% 10% 0% 40% 4% 3% 43% 35% 4% 2% 53% 3% 2% 44% 4% 4% 38% 39% 5% 2% 48% Pain Mgmt PET PET/CT Pulmonary Radiation Oncology 53% 6% 2% 28% 49% 5% 2% 34% 34% 50% 43% 5% 2% 4% 4% 3% 4% 6% Surgery/ Gen Surgery/ Ortho 4% 5% Surgery/ Vascular 41% 4% 2% 51% 5% 2% 29% 71% 5% 2% 12% 55% 6% 1% 27% 38% 4% 2% 48% 48% 5% 3% 35% 4% 3% 4% U/S CV U/S GI U/S OB/GYN U/S PoC Urology X-Ray Payer Uninsured Private - Exchange Private - ESI Private - Direct Medicare Dual Eligible Medicare Medicaid Expansion Medicaid - Pre Reform Procedures: 2, ,432 4,173 5,222 5, ,381 3,604 3,341 7,535 2,206 19,973 Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 31

32 Ambulatory surgery procedures 5 year projected growth 5 year growth Service Line Categories Procedures Procedures Surgery/ Gen 1,094 1, % Pain Mgmt 1,038 1, % Surgery/ Ortho % Urology % X-Ray % U/S GI % Surgery/ Vascular % Neuro % U/S OB/GYN % IR/ Cath Lab % Emergency Mgmt % Breast Health % Anesthesia % Pulmonary % Nuc Med/ SPECT % MR % CT 0 0 U/S CV 0 0 U/S PoC 0 0 In scope: Surgeries (hospital-based and freestanding procedures) involving general anesthesia, cardiac catheterization and colonoscopy procedures Out of scope: minor procedures and ancillary treatments performed in doctor office Projections and estimates are based on the most current Truven Health Analytics data collection methodology. Service lines shown are based on the outpatient service lines requested in this report. 32

33 Emergency department visits Payer mix split 2016 Adjusted Procedures Emergency Dep. Procedures Payer mix split Adjusted & Trended 3,080 2,803 1,236 Visit Type Urgent Emergent Medicaid - Pre Reform Medicaid Expansion Medicare Medicare Dual Eligible Private - Direct Private - ESI Private - Exchange Uninsured Total Visits: , , Visits are based on the outpatient service lines requested in this report. Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 33

34 Emergency department procedures Service line split 9.7% 20,328 adj emergency department procedures 7.6% 6.1% 13.4% 2.7% 0.6%0.5% 0.4% 1.4% 0.8% 0.3% 55.3% Emergency Mgmt X-Ray Medical Oncology Cardiac/ ECG CT Pulmonary Surgery/ Ortho U/S CV Urology Surgery/ Gen U/S GI Anesthesia MR Nuc Med/ SPECT U/S OB/GYN IR/ Cath Lab Radiation Oncology Cardiac/ Holter Pain Mgmt Surgery/ Vascular Neuro IR/ EP Cardiac/ Stress Breast Health U/S PoC PET PET/CT Procedures are based on the outpatient service lines requested in this report. Projections and estimates are based on the most current Truven Health Analytics data collection methodology. 34

35 Potential next steps Capital & technology planning Budget proposals & business cases Market & share evaluations Business development Asset management Strategic Assessments Ask your GE Healthcare representative for more information to support enterprise solutions with GE Partners and Healthcare Financial Services 35

36 Appendix A1: All detailed procedure level data in your market reach Inpatient Planning Projections and estimates are based on the most current Truven Health Analytics data collection methodology. Data is available only if the volume is large enough to produce a reportable output. In some cases, market reach data is unavailable and detailed procedure level data may not be listed in the appendix. Procedures performed on those who live in the service area, not procedures performed in service area. For inpatient, the detail is shown at the DRG code level. The top 15 DRG code descriptions for each service line is displayed for your market reach. The top 15 is determined by 5 year adj & trended discharges.

37 5 year projected Cardiology growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended HEART FAILURE & SHOCK W MCC % % HEART FAILURE & SHOCK W CC % % CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC % % PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MC % % CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC % % CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O % % CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC % % SYNCOPE & COLLAPSE % % PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC O % % ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MC % % CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MC % % HEART FAILURE & SHOCK W/O CC/MCC % % MAJOR CARDIOVASC PROCEDURES W/O MCC % % PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W % % PERIPHERAL VASCULAR DISORDERS W CC % % Top DRG codes - total % % 37

38 5 year projected Gastro growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O % % G.I. HEMORRHAGE W CC % % G.I. OBSTRUCTION W CC % % G.I. HEMORRHAGE W MCC % % G.I. OBSTRUCTION W/O CC/MCC % % ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MC % % OTHER DIGESTIVE SYSTEM DIAGNOSES W CC % % MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFE % % DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC % % DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/M % % DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC % % G.I. HEMORRHAGE W/O CC/MCC % % CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC % % INFLAMMATORY BOWEL DISEASE W CC % % MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFE % % Top DRG codes - total % % 38

39 5 year projected Hematology growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended RED BLOOD CELL DISORDERS W/O MCC % % MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & C % % RED BLOOD CELL DISORDERS W MCC % % MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & C % % COAGULATION DISORDERS % % MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & C % % RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/M % % RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC % % RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC % % Top DRG codes - total % % 39

40 5 year projected Neurology growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W % % INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W % % SEIZURES W/O MCC % % INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W % % TRANSIENT ISCHEMIA % % DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC % % HEADACHES W/O MCC % % OTHER DISORDERS OF NERVOUS SYSTEM W CC % % SEIZURES W MCC % % CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC % % TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC % % TRAUMATIC STUPOR & COMA, COMA <1 HR W CC % % NONSPECIFIC CEREBROVASCULAR DISORDERS W CC % % OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC % % OTHER DISORDERS OF NERVOUS SYSTEM W MCC % % Top DRG codes - total % % 40

41 5 year projected Neurosurgery growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDUR % % CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDUR % % CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDUR % % CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W M % % SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATOR % % SPINAL PROCEDURES W/O CC/MCC % % PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR % % PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC % % CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O % % INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHA % % PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC % % SPINAL PROCEDURES W MCC % % VENTRICULAR SHUNT PROCEDURES W/O CC/MCC % % VENTRICULAR SHUNT PROCEDURES W MCC % % INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHA % % Top DRG codes - total % % 41

42 5 year projected OB/Delivery growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES % % CESAREAN SECTION W/O CC/MCC % % VAGINAL DELIVERY W COMPLICATING DIAGNOSES % % CESAREAN SECTION W CC/MCC % % VAGINAL DELIVERY W STERILIZATION &/OR D&C % % VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C % % Top DRG codes - total % % 42

43 5 year projected OB/Gynecology growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/M % % UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MC % % UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIG % % UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALI % % UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALI % % PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECT % % VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC % % INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC % % MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISO % % UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIG % % D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION % % UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALI % % MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISO % % INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC % % VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC % % Top DRG codes - total % % 43

44 5 year projected OB/Neonatology growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended NEONATE W OTHER SIGNIFICANT PROBLEMS % % FULL TERM NEONATE W MAJOR PROBLEMS % % PREMATURITY W/O MAJOR PROBLEMS % % EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDRO % % NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CAR % % PREMATURITY W MAJOR PROBLEMS % % Top DRG codes - total % % 44

45 5 year projected OB/Normal Newborns growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended NORMAL NEWBORN % % Top DRG codes - total % % 45

46 5 year projected OB/Other growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIO % % POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PRO % % THREATENED ABORTION % % OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICA % % ABORTION W/O D&C % % POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCE % % ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTO % % ECTOPIC PREGNANCY % % FALSE LABOR % % Top DRG codes - total % % 46

47 5 year projected Oncology Medical growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIA % % RESPIRATORY NEOPLASMS W MCC % % PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TIS % % NERVOUS SYSTEM NEOPLASMS W MCC % % MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W % % RESPIRATORY NEOPLASMS W CC % % DIGESTIVE MALIGNANCY W CC % % NERVOUS SYSTEM NEOPLASMS W/O MCC % % LYMPHOMA & NON-ACUTE LEUKEMIA W MCC % % LYMPHOMA & NON-ACUTE LEUKEMIA W CC % % CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC % % CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CH % % DIGESTIVE MALIGNANCY W MCC % % MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC % % CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEM % % Top DRG codes - total % % 47

48 5 year projected Orthopedics growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWE % % SPINAL FUSION EXCEPT CERVICAL W/O MCC % % MEDICAL BACK PROBLEMS W/O MCC % % HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC % % BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER E % % REVISION OF HIP OR KNEE REPLACEMENT W CC % % LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W % % MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWE % % LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W % % REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC % % MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER % % CERVICAL SPINAL FUSION W/O CC/MCC % % HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/M % % HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC % % FRACTURES OF HIP & PELVIS W/O MCC % % Top DRG codes - total % % 48

49 5 year projected Rheumatology growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CON % % BONE DISEASES & ARTHROPATHIES W/O MCC % % SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CON % % BONE DISEASES & ARTHROPATHIES W MCC % % SEPTIC ARTHRITIS W/O CC/MCC % % SEPTIC ARTHRITIS W CC % % SEPTIC ARTHRITIS W MCC % % Top DRG codes - total % % 49

50 5 year projected Surgery/ General growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended MAJOR SMALL & LARGE BOWEL PROCEDURES W CC % % INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W M % % MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC % % MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC % % O.R. PROCEDURES FOR OBESITY W/O CC/MCC % % LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MC % % LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC % % LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC % % EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIA % % EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIA % % INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W C % % PERITONEAL ADHESIOLYSIS W CC % % STOMACH, ESOPHAGEAL & DUODENAL PROC W CC % % PERITONEAL ADHESIOLYSIS W/O CC/MCC % % APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC % % Top DRG codes - total % % 50

51 5 year projected Surgery/ Open Heart growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O C % % CORONARY BYPASS W/O CARDIAC CATH W/O MCC % % CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O C % % CORONARY BYPASS W CARDIAC CATH W/O MCC % % CORONARY BYPASS W CARDIAC CATH W MCC % % CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CAR % % CORONARY BYPASS W/O CARDIAC CATH W MCC % % CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O C % % OTHER CARDIOTHORACIC PROCEDURES W CC % % OTHER CARDIOTHORACIC PROCEDURES W MCC % % CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CAR % % OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC % % CORONARY BYPASS W PTCA W MCC % % CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CAR % % CORONARY BYPASS W PTCA W/O MCC % % Top DRG codes - total % % 51

52 5 year projected Surgery/ Thoracic growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended MAJOR CHEST PROCEDURES W CC % % MAJOR CHEST PROCEDURES W/O CC/MCC % % OTHER RESP SYSTEM O.R. PROCEDURES W MCC % % TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W % % ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH % % MAJOR CHEST PROCEDURES W MCC % % OTHER RESP SYSTEM O.R. PROCEDURES W CC % % HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM % % OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC % % HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM % % TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O % % TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W M % % TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W C % % LUNG TRANSPLANT % % Top DRG codes - total % % 52

53 5 year projected Surgery/ Vascular growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended OTHER VASCULAR PROCEDURES W CC % % EXTRACRANIAL PROCEDURES W/O CC/MCC % % OTHER VASCULAR PROCEDURES W MCC % % OTHER VASCULAR PROCEDURES W/O CC/MCC % % EXTRACRANIAL PROCEDURES W CC % % AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & % % OTHER CIRCULATORY SYSTEM O.R. PROCEDURES % % UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORD % % CAROTID ARTERY STENT PROCEDURE W/O CC/MCC % % AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & % % EXTRACRANIAL PROCEDURES W MCC % % CAROTID ARTERY STENT PROCEDURE W CC % % UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORD % % AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & % % VEIN LIGATION & STRIPPING % % Top DRG codes - total % % 53

54 5 year projected Urology growth Inpatient discharges & days Discharges Days Service Line DRG Code Description Adjusted Adj & trended Adjusted Adj & trended TRANSURETHRAL PROCEDURES W CC % % MAJOR MALE PELVIC PROCEDURES W/O CC/MCC % % URINARY STONES W/O ESW LITHOTRIPSY W/O MCC % % KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC % % KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O % % KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC % % KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/M % % KIDNEY TRANSPLANT % % OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC % % MAJOR MALE PELVIC PROCEDURES W CC/MCC % % MAJOR BLADDER PROCEDURES W/O CC/MCC % % INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O % % TRANSURETHRAL PROCEDURES W/O CC/MCC % % TRANSURETHRAL PROCEDURES W MCC % % KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MC % % Top DRG codes - total % % 54

55 Appendix A2: All detailed procedure level data in your market reach Outpatient Planning Projections and estimates are based on the most current Truven Health Analytics data collection methodology. Data is available only if the volume is large enough to produce a reportable output. In some cases, market reach data is unavailable and detailed procedure level data may not be listed in the appendix. Procedures performed on those who live in the service area, not procedures performed in service area. For outpatient, the detail is shown at the CPT procedure group level. The top 15 procedure codes for each service line is displayed for your market reach. The top 15 is determined by 5 year adj procedures.

56 5 year projected Anesthesia growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Injectables - Anesthetics 2,727 2, % Catheterization, artery % Catheterization, venous, non-tunnel % Top procedure groups - total 2,768 3, % 56

57 5 year projected Bone Dens growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended DEXA scan % Ultrasound, bone-density % Top procedure groups - total % 57

58 5 year projected Breast Health growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Mammography 5,903 6, % Ultrasound, breast % MRI - breast % X-ray - breast % Top procedure groups - total 6,719 6, % 58

59 5 year projected Cardiac/ ECG growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended EKG 6,807 7, % EKG, routine screening % Top procedure groups - total 6,841 7, % 59

60 5 year projected Cardiac/ Holter growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Holter monitor % Ambulatory blood pressure monitoring % Top procedure groups - total % 60

61 5 year projected Cardiac/ Stress growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Cardiovascular stress test 1,011 1, % Top procedure groups - total 1,011 1, % 61

62 5 year projected CT growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended CT - abdomen 2,046 2, % CT - head/brain/neck 1,500 1, % CT - chest/thorax 1,088 1, % CT - guidance % CT - spine & pelvis % CT - lower extremities % CT - upper extremities % CT - heart % CT - other % CT - colonography % CT - bone density % Top procedure groups - total 5,661 6, % 62

63 5 year projected Emergency Mgmt growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Emergency department visit, emergent 5,369 6, % Emergency department visit, urgent 5,176 5, % Services after office hours 1,580 1, % Repair wound, superficial % Treatment of dislocation % Tracheotomy % Treatment of fracture % CPR % Top procedure groups - total 12,758 14, % 63

64 5 year projected IR/ Cath Lab growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Other medic ther, cardiovasc 1,311 1, % Pacemaker analysis % Cardiac catheterization, left % Catheterization, intraarterial % Intracoronary stent, placement % Angiography % Angioplasty, venous, radiologic supervisi % Other invas major, cardiovasc % Cardiac catheterization, combined % Needle/intracath into av shunt % Transcatheter placement of stent % Pacemaker revision/replacement % Cholangiography, surgical % Catheter placement % Insertion/revision AICD % Top procedure groups - total 2,493 2, % 64

65 5 year projected IR/ EP growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Cardiac rehab, md services 1,573 1, % Analysis of pacing cardioverter-defibri % Electrophysiologic studies % Elective cardioversion % Cardiac ablation % Top procedure groups - total 1,794 2, % 65

66 5 year projected Medical Oncology growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Injectables - Steroid/endocrine 11,708 14, % Injectables - Electrolyte/Nutritional 9,155 10, % Injectables - EPO 4,256 4, % Injectables - GastrointestinalTherapy 3,583 4, % Chemotherapy drug 3,157 3, % Injectables - Anticoagulant 2,578 2, % Infusion therapies/injections 2,295 2, % Chemotherapy, infusion, initial 1,589 1, % Injectables - Other 1,471 1, % Injectables - RespiratoryTherapy % Injectables - Hematological % Chemotherapy, injection % Chemotherapy, pump refill % Transfusion % Injectables - Immunizing % Top procedure groups - total 42,072 48, % 66

67 5 year projected MR growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended MRI - brain % MRI - spine, lumbar % MRI - lower extremities % MRI - upper extremities % MRI - spine, cervical % MRI - orbit, face, neck % MRI - spine, thoracic % MRI - abdomen % MRI - pelvis % MRI - chest/thorax % MRI - cardiac % MRI - other % MRI - guidance % Top procedure groups - total 2,646 2, % 67

68 5 year projected Neuro growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Central nervous system tests 1,114 1, % Electromyography % Nerve conduction studies % Electroencephalogram % Neurolytic destruction, face/extremities % Injectables - Botulinum % Other neurological studies % Neurophysiology - monitoring % Laminectomy/laminotomy % Injectables - MultipleSclerosis % Electromyography for guidance % Stereotactic radiosurgery % Spinal instrumentation % Analysis of implanted neurostimulator % Neuromuscular testing % Top procedure groups - total 2,508 2, % 68

69 5 year projected Nuc Med/ SPECT growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended SPECT - heart % Musculoskeletal imaging % Gallbladder imaging % Thyroid & parathyroid imaging % GI imaging % Pulmonary imaging % Miscellaneous imaging % Cardiac blood pool imaging % Genitourinary imaging % Radionuclide therapy % SPECT - bone % SPECT - tumor % Myocardial perfusion study % SPECT - brain % Pulmonary perfusion imaging % Top procedure groups - total 1,024 1, % 69

70 5 year projected Pain Mgmt growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Injection, spinal, fluoroscopic guidance % Injection, spinal cord % Injection paravertebral facet joint % Injection anesthetic agent or steroid % Neurolytic destruction % Neurostimulator insertion/revision % Anesthetic blocks, sympathetic % Injection for diskography % Refilling of Infusion Pump % Injection, spinal w catheter % Lysis of Epidural Adhesions % Implant/remove spine infusion pump % Catheter implantation for pain mgmt % Top procedure groups - total 2,540 2, % 70

71 5 year projected PET PET/CT growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Fusion Imaging % PET scan % Top procedure groups - total % 71

72 5 year projected Pulmonary growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Respiratory therapy 1,186 1, % Pulmonary function tests 966 1, % Bronchospasm evaluation % Spirometry % Sleep studies % Bronchoscopy % CPAP, initiation and mgmt % Ventilation assist % Tracheobronchoscopy % Other trach/bronch diagnostics % Bronchoscopy - guidance % Top procedure groups - total 3,432 3, % 72

73 5 year projected Radiation Oncology growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Radiation oncology, technical 1,735 1, % Radiation oncology, physics 1,356 1, % Radiation oncology, management % Radiation oncology, simulation % Radiation oncology, port films % Radiation oncology, planning % Brachytherapy, clinical % Hyperthermia % Top procedure groups - total 4,173 4, % 73

74 5 year projected Surgery/ Gen growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Colonoscopy 1,976 2, % Upper GI endoscopy 942 1, % Incision & drainage of cyst % Breast aspiration & biopsy % Biopsy endometrium % Excision & debridement of cyst % Other surg minor, integument % Bone marrow aspiration biopsy % Other medic ther, digestive % Cholecystectomy, laparoscopic % Insert central venous access device % Excision tumor, soft tissue % Hernia repair, inguinal % Sclerotherapy % Laparoscopy, surgical, hernia % Top procedure groups - total 4,439 4, % 74

75 5 year projected Surgery/ Ortho growth Outpatient procedures Procedures Service Line CPT Procedure Code Group Adjusted Adj & trended Arthrocentesis 3,003 3, % Soft tissue procedures, musc/skel % Splinting % Arthroscopy, knee % Casting % Fracture/dislocation, arm % Arthroscopy, shoulder % Neuroplasty, carpal tunnel % Hand/fingers procedures % Hand procedures, closed % Leg/ankle procedures, surgical % Other surg major, musc/skel % Foot procedures % Hand repair, revision & reconstruction % Carpal tunnel injection % Top procedure groups - total 5,241 5, % 75