In the U.S., the largest percentage of health care dollars are spent on:

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4 In the U.S., the largest percentage of health care dollars are spent on: 1. Physicians 2. Nursing homes 3. Hospital care 4. Pharmaceuticals 5. Public Health 0% 0% 0% 0% 0%

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6 Fastest Responders (in seconds)

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9 What is the standard annual premium for Medicare Part B? Three Chances Showcase Showdown X

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11 In the U.S., What percent of the GDP is spent on healthcare? % 0% 0% 0% 0%

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14 Fastest Responders (in seconds)

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16 For a self pay patient, which are the three most expensive tests? Lipid Panel Basic Metabolic Panel Complete Metabolic Panel Complete Blood Count Thyroid Stimulating Hormone Hemoglobin A1c Showcase Showdown

17 For a self pay patient, which are the three most expensive tests? Lipid Panel Basic Metabolic Panel Complete Metabolic Panel Complete Blood Count Thyroid Stimulating Hormone Hemoglobin A1c Showcase Showdown

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19 What is the population size needed to support one family physician? % 0% 0% 0% 0%

20 Population ratio needed to support one physician FM: 2500 Peds: 6000 (2000 kids) IM: 3500 OB/Gyn: 6500 Gen. Surg: 12,800 Ortho: 16,800 Ophtho: 23,600 Cards: 25,500 Urology: 34,000 ENT: 35,400 Neuro: 40,700 GI: 41,100 Hem/Onc: 46,700 Pulm: 58,600 Nephro: 65,300 Rheum: 85,600 Allergy 93,800

21 Fastest Responders (in seconds)

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23 Showcase Showdown

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25 Showcase Showdown

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27 What percentage of Americans are uninsured? % 0% 0% 0% 0%

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29 Fastest Responders (in seconds)

30 Showcase Showdown

31 Vaccine Insurance Self Pay TD $20.39 $38 DTAP $22.62 $40 TDAP $38.19 $57

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33 How much does the average employer pay annually for medical coverage for an employees family plan? 1. 1, , , , ,773 0% 0% 0% 0% 0%

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35 Fastest Responders (in seconds)

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37 You have a patient that fall and hit her head. You need a CT-head to evaluate for a bleed. Before you can get the CT you need to quote the correct price. any number CT of Head w/o contrast Screening Mammogram DEXA Self Pay per Proscan 2011 Showcase Showdown

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39 Who pays for more of the health care system in the U.S.? 1. Public 2. Private 0% 0%

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41 Fastest Responders (in seconds)

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43 The nation Medicare average for a Level IV new patient visit. Showcase Showdown

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46 What was the average annual healthcare spending for a young adult in 2008? 1. $ $ $ $5208 0% 0% 0% 0%

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48 Fastest Responders (in seconds)

49 In 2010: Average Doctor Visit Co-pay Average Individual Deductable Showcase Showdown

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51 What percentage of Medicaid enrollees are children? % 0% 0% 0%

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53 Fastest Responders (in seconds)

54 What is the average cost of one day in the hospital? Showcase Showdown

55 2009 National statistics Outcomes for all discharges All discharges: 39,434,956 Length of stay: days (mean) 4.6 Charges: (mean) $30,655 Costs: (mean) $9,173 Cost per day: $1994

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57 What percentage of children are on Medicaid? % 0% 0% 0%

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59 Fastest Responders (in seconds)

60 Showcase Showdown

61 insured or uninsured ECG $56 Rapid Strep $14 Peak flow $32 Urine dip $5 Rounded to the nearest dollar Pregnancy test $26 Visual acuity $26 Showcase Showdown

62 insured or uninsured ECG Rapid Strep Urine dip Visual acuity Pregnancy test Peak flow

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64 What percentage of the U.S. is covered by Medicare? % 0% 0% 0%

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66 Fastest Responders (in seconds)

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69 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

70 $99 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

71 $99 $175 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

72 $99 $175 $325 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

73 $99 $175 $325 $550 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

74 $99 $175 $325 $550 $825 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

75 $99 $175 $325 $550 $825 $1230 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

76 $99 $175 $325 $550 $825 $1230 $1550 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

77 $99 $175 $325 $550 $825 $1230 $1550 $2050 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

78 $99 $175 $325 $550 $825 $1230 $1550 $2050 $3025 MRI of the knee w/o contrast Self Pay Next game Showcase Showdown

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80 How much time does the average physician spend with a patient during an average visit? 1. 9 minutes minutes minutes minutes 0% 0% 0% 0%

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82 Fastest Responders (in seconds)

83 $83.77 Hep. A, adult Varicella Hep. B, adult Zostavax Commercial Insurance Showcase Showdown

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85 Who pays for the most nursing home spending? 1. Medicaid 2. Medicare 3. Private Insurance 4. Self payment 0% 0% 0% 0%

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87 Fastest Responders (in seconds)

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89 Self Pay Wet Prep Nebulizer Treatment Spirometry Audiometry $50 $100 $150 $200 $250 $300 Showcase Showdown

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91 What was the average starting salary for a Family Physician (2007)? 1. $115, $145, $165, $195,000 0% 0% 0% 0%

92 2007 data from NEJM 2009.

93 Fastest Responders (in seconds)

94 What is the average cost of an Emergency Room visit? Showcase Showdown

95 What is the average cost of an Emergency Room visit? Showcase Showdown

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97 How long does it take the average physician to get paid? Average days in accounts receivable (A/R) 1. 1 day days days days 0% 0% 0% 0%

98 Days in A/R National Average is about 52 days

99 Fastest Responders (in seconds)

100 The average spent per individual each year on prescription medications. Showcase Showdown

101 The average spent per individual each year on prescription medications. 1 Showcase Showdown

102 The average spent per individual each year on prescription medications. 13 Showcase Showdown

103 The average spent per individual each year on prescription medications. 130 Showcase Showdown

104 The average spent per individual each year on prescription medications Showcase Showdown

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106 What percent of doctors are accepting new Medicare patients? % 0% 0% 0%

107 Percentage of doctors accepting new patients

108 Fastest Responders (in seconds)

109 Showcase Showdown

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111 Enter question text Enter answer text... 0%

112 Fastest Responders (in seconds) 0 Participant 1 0 Participant 2 0 Participant 3 0 Participant 4 0 Participant 5

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114 Showcase Showdown

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116 Enter question text Enter answer text... 0%

117 Fastest Responders (in seconds) 0 Participant 1 0 Participant 2 0 Participant 3 0 Participant 4 0 Participant 5

118 Showcase Showdown

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120 Enter question text Enter answer text... 0%

121 Fastest Responders (in seconds) 0 Participant 1 0 Participant 2 0 Participant 3 0 Participant 4 0 Participant 5

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123 Showcase Showdown

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125 Enter question text Enter answer text... 0%

126 Fastest Responders (in seconds) 0 Participant 1 0 Participant 2 0 Participant 3 0 Participant 4 0 Participant 5

127 Showcase Showdown

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129 Enter question text Enter answer text... 0%

130 Fastest Responders (in seconds) 0 Participant 1 0 Participant 2 0 Participant 3 0 Participant 4 0 Participant 5

131 Showcase Showdown

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133 Enter question text Enter answer text... 0%

134 Fastest Responders (in seconds) 0 Participant 1 0 Participant 2 0 Participant 3 0 Participant 4 0 Participant 5

135 Showcase Showdown

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137 Participant Scores

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139 A 50 y/o woman comes in for a Preventive visit. You order the following tests/etc. How much will this entire visit with screening tests/etc cost the healthcare system? She has commercial insurance. Colonoscopy Mammogram Pap smear Lipid panel Basic Metabolic Panel TDaP

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141 Invoice Cost will vary by insurer, region, and type of location. Preventive visit $ 127 Colonoscopy $1200 Mammogram $ 80 Pap smear $ 40 Lipid panel $ 19 Basic Metabolic Panel $ 12 Venipuncture $ 4 TDaP $ 38 1 st Immun. Admin. Fee $ 19 Total $1539

142 This is Bob Barker reminding you to help control the pet population; have you pet spayed or neutered.

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RICHMOND COUNTY HEALTH DEPARTMENT CLINIC FEE SCHEDULE SCHEDULE 2016 PROCEDURES PROCEDURES

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