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Calculate the average revenue for CPT 99215 the provider will receive given the payment rates in Table 5.1 and the following payer mix. If the

Calculate the average revenue for CPT 99215 the provider will receive given the payment rates in Table 5.1 and the following payer mix. If the average cost to provide the patient visit is $64.00, will the provider need nonoperating revenues to cover its costs?

Payer Payer Mix Charge 8% Medicare 45% Medicaid 10% Blue Cross 15% Managed CareGiant 10% Managed CareSigma 5% Managed CareUnity 4% Charity/No-pay 3% 100%

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