Healthcare Spend: 30-Second Decision View

Cost concentration and social determinants analysis of 5,000 patients

Median patient spend
$97,135
Mean patient spend
$188,952
Gini coefficient
0.611
Top 10% share
43.2%

Spend concentration

Cumulative share of patients Cumulative share of dollars Equality Actual spending

Executive findings

The mean is 1.9 times the median, indicating a strongly right-skewed spending distribution.

Patients enter the top spending decile at $509,540.

This week’s exemplar spent $1,048,378, placing her in the 98.4th percentile.

Spending does not move consistently with income, so income alone cannot explain the observed cost differences.

Recommended decision

Prioritize care-management review for patients above $509,540, while examining clinical need, income, access, and neighborhood barriers before choosing an intervention.