Table 2.
Clinic Characteristic | N |
---|---|
Total number of days opena | 149 |
Total number of hours opena | 596 |
Total number of visits | 2,153 |
Total number of visits where insurance was used | 595 |
Total number of tests performed (number billed to insurance) | |
HIV | 1,885 (534) |
RPR | 1,957 (568) |
Gonorrhea (Urine) | 2,049 (582) |
Chlamydia (Urine) | 2,048 (582) |
Gonorrhea (Oral) | 1,238 (389) |
Chlamydia (Oral) | 1,238 (389) |
Gonorrhea (Rectal) | 707 (235) |
Chlamydia (Rectal) | 706 (234) |
Total number of positive testsb | |
Syphilis | 73 |
Gonorrhea (at least one site) | 125 |
Chlamydia (at least one site) | 231 |
Total income generated from testing onlyc | $83,576 |
Total income generated from testing and treatmentc | $86,271 |
Total income generated from testing, treatment, and provider timec | $103,526 |
Based on operating hours of the STD Clinic (Wednesday, Thursday, Friday from 12:30PM-3:30PM), holidays excluded, plus an additional hour for administrative tasks.
For the purposes of this analysis, it was assumed all people with a positive syphilis test were treated with one intramuscular penicillin G benzathine (Bicillin L-A®) injection, individuals with a positive chlamydia test were treated with azithromycin 1 gram orally once, and individuals with a positive gonorrhea test were treated with ceftriaxone 250mg intramuscularly once and azithromycin 1 gram orally once.
Based on visits where insurance was used to bill (Appendix Table 2 provides Medicaid income estimates). Actual clinic only billed for laboratory testing but not for treatment and provider time. Reimbursement rates were based on the Medicaid fee schedule, a low estimate.
RPR, rapid plasma reagin test