PCP referral activity and physical therapy findings.
March 24 to September 23, 2026
Primary Procedure identifies the following orders across the PCP referral population. A member may have more than one order.
Massage 47
Acupuncture 1
PT referral orders 16
Spine and extremity imaging
Examples, no classified total
Rheumatology 9
Podiatry 10
Orthopedics 12
Hand Surgery 8
These services describe areas of care to investigate. The available data do not show the order in which individual members received them. Lantern may be relevant when a member’s clinical needs match a covered service.
Primary Procedure identifies 12 AMB REFERRAL TO ORTHOPEDICS orders. Field definitions and extraction dates affect which referrals appear in a query.
Specialty patterns and imaging are visible. Care setting and external destination are largely unavailable.
Diagnosis patterns are visible. Postoperative status and direct PT referrals need further review.
No virtual PT in this six-month dataset. The PT team confirmed the finding for James and Nathan.
Chronic pain and back and neck diagnoses appear in both PT and specialty referral data. Reviewing individual records could help identify members whose care needs may match a covered Lantern service.
Referral specialties describe the types of care members seek. Counts come from the Referred To Specialty query for March 23 to September 22, 2026.
Select a row to inspect its count and share. Categories reflect the source display.
The specialty query includes 205 Radiology referrals. Procedure details include general imaging and musculoskeletal imaging. No classified MSK imaging total or percentage is available.
General imaging includes breast, chest, pelvic, thyroid, cardiac and abdominal studies, plus DEXA. MSK examples include spine and extremity studies. The lists below are incomplete and may include overlapping procedure categories.
Radiology referrals across the Health Clinic.
Mammography and pelvic, chest, abdominal, and thyroid imaging are part of this mix. Total radiology volume alone cannot identify an MSK cohort.
The procedure examples above describe MSK imaging. The detailed Radiology mix shown here comes from Dr. Roe’s query. “Other” retains the source grouping.
Among 262 PT Initial patients, chronic pain and spine, neck, and back diagnoses recur alongside shoulder, knee, ankle, foot, and other extremity presentations.
Patient counts, not encounter counts. These groups may overlap.
The source reports 114 patients outside the Top 20 displayed categories. Diagnosis counts should not be summed as unique patients. Filters organize displayed diagnoses, not clinically validated cohorts. “Other chronic pain” does not establish an anatomical site.
The available referral fields did not measure PT referral activity. The review found zero visits across the five PT video visit types.
James and Nathan were not selectable as “Referred By” providers in the Referrals model.
That does not establish whether they refer directly to specialists or PCPs when they suspect a need for imaging or further assessment.
Confirm the PT team’s workflow and inspect the relevant order or referral records, including referrals back to PCPs.
James and Nathan were not providing virtual PT in this six-month dataset, confirmed directly with the PT team.
The Video Visits model contained 65 visits overall. Selecting the five PT-specific video visit types returned zero.
No virtual-PT follow-through analysis is currently warranted. Revisit this question if the team begins providing virtual PT.
Chronic pain and spine-related diagnoses appear in PT, physical medicine and rehabilitation (PM&R), and Sports Medicine data. Review these services to understand where members may need further assessment. The tabs describe areas for review. Individual members’ sequences of care remain unknown.
Additional PM&R diagnoses occurred at n=1. Diagnosis counts may overlap and do not sum to a unique referral total.
When a member needs specialty care, does their Lantern benefit cover an appropriate service, and how can the Premise team help them access it?
PCP order queries cover March 24 to September 23. Specialty, PT and virtual queries cover March 23 to September 22. These extraction windows differ by one day. The Referrals model uses Creation Date and counts referrals. The PT analysis counts patients by visit type. The review supports a six-month description of referral specialties and PT diagnoses. It does not establish the care setting, surgical status, or sequence of care for individual members.