A method and system for analyzing historical medical provider billings to
statistically establish a normative utilization profile. Comparison of a
medical provider's utilization profile with a normative profile is
enabled. Based on historical treatment patterns and a fee schedule, an
accurate model of the cost of a specific medical episode can be created.
Various treatment patterns for a particular diagnosis can be compared by
treatment cost and patient outcome to determine the most cost-effective
treatment approach. It is also possible to identify those medical
providers who provide treatment that does not fall within the
statistically established treatment patterns or profiles.