Table 7.
Episode Costs and Clinician Characteristics∗
| Episode Cost Score |
|||||
|---|---|---|---|---|---|
| All Episodes Mean (SD) | ASC/Bilateral† Mean (SD) |
ASC/Unilateral Mean (SD) | HOPD/Bilateral† Mean (SD) |
HOPD/Unilateral Mean (SD) | |
| All clinicians | $2876 ($265) | $3790 ($250) | $2065 ($203) | $4977 ($519) | $2657 ($320) |
| Clinician census region | |||||
| Northeast | $2885 ($270) | $3842 ($309) | $2072 ($209) | $5002 ($536) | $2625 ($274) |
| Midwest | $2885 ($253) | $3783 ($259) | $2070 ($222) | $5024 ($485) | $2674 ($257) |
| South | $2866 ($261) | $3797 ($247) | $2043 ($179) | $4947 ($540) | $2676 ($358) |
| West | $2880 ($280) | $3741 ($181) | $2095 ($221) | $4902 ($508) | $2620 ($335) |
| Unknown | $2884 ($380) | $3895 ($316) | $2111 ($265) | – | $2360 ($477) |
| Clinician risk score quintile‡ | |||||
| 1st | $2931 (337) | $3751 ($252) | $2045 ($212) | $4889 ($580) | $2649 ($287) |
| 2nd | $2869 ($274) | $3792 ($249) | $2062 ($206) | $4896 ($572) | $2639 ($307) |
| 3rd | $2871 ($243) | $3815 ($283) | $2065 ($203) | $5079 ($443) | $2369 ($322) |
| 4th | $2862 ($213) | $3786 ($235) | $2068 ($192) | $4923 ($568) | $2689 ($364) |
| 5th | $2856 ($252) | $3795 ($234) | $2079 ($204) | $5100 ($346) | $2672 ($304) |
| Number of episodes | |||||
| 10–19 | $2904 ($317) | $3838 ($325) | $2095 ($235) | $4972 ($526) | $2642 ($320) |
| 20–39 | $2894 ($301) | $3809 ($269) | $2068 ($202) | $5044 ($468) | $2644 ($284) |
| 40–59 | $2874 ($269) | $3790 ($254) | $2069 ($203) | $5013 ($482) | $2653 ($300) |
| 60–79 | $2874 ($269) | $3790 ($254) | $2069 ($203) | $5003 ($491) | $2598 ($297) |
| 80–99 | $2885 ($265) | $3785 ($216) | $2074 ($211) | $4977 ($502) | $2598 ($302) |
| 100–199 | $2873 ($246) | $3753 ($186) | $2064 ($198) | $4708 ($655) | $2676 ($310) |
| 200–299 | $2848 ($249) | $3795 ($205) | $2061 ($204) | $5133 ($102) | $2805 ($385) |
| ≥ 300 | $2864 ($246) | $3687 ($84) | $2021 ($202) | – | $3015 ($508) |
ASC = Ambulatory Surgery Center; HOPD = Hospital Outpatient Department; SD = standard deviation.
∗
Among clinicians with ≥ 10 episodes.
†
Bilateral episodes are those with right and left eye cataract surgery (2 cataract surgery trigger codes) occurring ≤ 30 days apart in the same patient.
‡
Based on the average of expected costs for each of a clinician’s attributed episodes determined from risk adjustment modeling.