Reports
Screening program - Advocate Health Care
Program return
Modelled on the 10,000-patient pilot cohort · first 90 daysScans completed
470
CPT 71271 captured
Eligibility established
1,180
confirmed on the call
Downstream revenue
$329k
from these 470 scans
470 completed scans × $700 net revenue per scan · 1,180 G0296 visits billed. One screening round; annual rescreening not counted.
EHR feed connectedEpic · FHIR R4write-back enabled
Screening funnel
Pilot cohort · first 90 days1. Identified in the chart
Risk-ranked from the chart
10,000
2. Reached by outreach
Spoke with the patient
3,400
34% contact rate
3. Eligibility confirmed
Pack-years captured on the call
1,180
CMS criteria met
4. LDCT ordered
Signed by the referring physician
640
via Epic order
5. LDCT completed
Scan performed and read
470
6. Follow-up in progress
Lung-RADS 3+ or incidental finding
122
What a care pathway looks like
470 pathways · completed LDCTs from the funnel aboveRepresentative pathways · $4,558 average billed charges
Chen, Maria · 64F
SDM → LDCT → Biopsy → VATS
$24,301
Active
Porter, James · 71M
SDM → LDCT → Annual
$519
Active
Brown, Patricia · 63F
SDM → LDCT → Follow-up CT
$1,361
Active
Hall, Donald · 73M
SDM → LDCT → Annual
$519
Scheduled
Harris, Barbara · 61F
SDM → LDCT → PET/CT
$3,329
Active
Lewis, Nancy · 70F
SDM → LDCT → Annual
$519
Scheduled
Nguyen, Linh · 62F
SDM → LDCT → Follow-up CT
$1,361
Active
Chen, Maria · 64F — $24,301 across 7 codes
G0296
SDM counselling visit
$121
71271
LDCT screening, annual
$398
71250
CT chest with contrast (follow-up)
$842
78816
PET/CT whole body
$2,810
32408
CT-guided core needle biopsy
$890
32663
VATS lobectomy
$18,420
99213 ×4
Office follow-up visits (Year 1)
$820
Total · Chen, Maria · 64F pathway
$24,301
Net revenue per completed scan, across the screening episode and the follow-up it generates. Benchmarked against published fee-for-service screening program economics.
That is the whole loop: find the eligible patients, call them, and hand a nurse a prepared visit.Back to the worklist Demonstration environment. All records shown are synthetic.