Subanalysis taking into account type of charges by
facility versus non-facility
OTO had (13) providers utilizing facility and (211) utilizing
non-facility charges. Facility fees average submitted $154.72 ± 77.67
versus reimbursed $21.44 ± 1.15 (t-test, p<0.001).
Non-facility fees submitted were $259.90 ± 19.92 vs reimbursed $86.98
± 2.02 (p<0.001). Facility versus non-facility submitted
($154.72 ± 77.67 vs $259.90 ± 19.92 , p<0.01) and reimbursed
($21.44 ± 1.15 vs $86.98 ± 2.02, p<0.001).
GS had (36) providers utilizing facility and (155) utilizing
non-facility charges. Facility fees average submitted $169.86 ± 37.03
versus reimbursed $21.42 ± 0.5121 (t-test, p<0.001).
Non-facility fees submitted were $248.30 ± 17.03 vs reimbursed $85.05
± 2.65 (p<0.001). Facility versus non-facility submitted
($169.86 ± 37.03 vs $248.30 ± 17.03, p<0.001) and reimbursed
($21.42 ± 0.5121 vs $85.05 ± 2.65, p<0.001).
ENDO had (80) providers utilizing facility and (1161) utilizing
non-facility charges. Facility fees average submitted $143.52 ± 21.00
versus reimbursed $20.25 ± 0.40 (t-test, p<0.001).
Non-facility fees submitted were $229.48 ± 5.04 versus reimbursed
$90.82 ± 0.87 (p<0.001). Facility versus non-facility
submitted ($143.52 ± 21.00 vs $$229.48 ± 5.04, p<0.001) and
reimbursed ($20.25 ± 0.40 vs $90.82 ± 0.87, p<0.001).
DR had 8831 (69.6%) providers utilizing facility and 3851 (30.4%)
utilizing non-facility charges. Facility fees average submitted $109.24
± 0.88 versus reimbursed $20.08 ± 0.04 (t-test, p<0.001).
Non-facility fees submitted were $243.39 ± 3.91 vs reimbursed $78.13 ±
0.94 (p<0.001). Facility versus non-facility submitted
($109.24 ± 0.88 vs $243.39 ± 3.91, p<0.001) and reimbursed
($20.08 ± 0.04 vs $78.13 ± 0.94, p<0.001).
There was a difference in the ratio of those charging facility versus
non-facility charges (ANOVA p<0.001). OTO (13/244, 5.3%) and
ENDO (80/1241, 6.4%) had the same ratio. GS (36/191, 18.8%) had a
higher ratio than OTO and ENDO. DR (8831/12682, 70.0%) had more
facility chargers than all three of the other subspecialties (all
ps<0.01).