Number of ED visits | |||||||||
---|---|---|---|---|---|---|---|---|---|
Range of potential overutilization | |||||||||
EFa | |||||||||
0 | 1 | 2 | 3–4 | 5–6 | 7–9 | 10–14 | 15+ | All | |
Number of patients | 773,001 | 176,198 | 75,955 | 57,435 | 19,132 | 9970 | 4877 | 3084 | 1,119,652 |
Percent of patients | 69.04 | 15.74 | 6.78 | 5.13 | 1.71 | 0.89 | 0.44 | 0.28 | 100.00 |
Percent of ED visits | 0.00 | 21.25 | 18.32 | 23.23 | 12.42 | 9.32 | 6.75 | 8.71 | 100.00 |
Cumulative percentage of ED visits | 0.00 | 50.83 | 72.74 | 89.31 | 94.83 | 97.70 | 99.11 | 100.00 | NA |
Medical expenditureb | |||||||||
Percent of total medical expenditure | 40.72 | 20.58 | 12.28 | 12.31 | 5.48 | 3.66 | 2.39 | 2.57 | 100.00 |
Average medical expenditure per patient | $2145 | $4758 | $6582 | $8731 | $11,673 | $14,945 | $19,968 | $33,989 | $3637 |
ED expenditurec | |||||||||
Percent of total ED expenditure | NA | 20.38 | 17.56 | 22.83 | 12.29 | 9.56 | 7.12 | 10.25 | 100.00 |
Average ED expenditure per patient | NA | $374 | $747 | $1285 | $2076 | $3101 | $4722 | $10,750 | $289 |
Average ED expenditure per visit | NA | $369 | $368 | $377 | $379 | $392 | $400 | $433 | $382 |
Inpatient (IP) stays | |||||||||
Average IP stays | 0.23 | 0.37 | 0.45 | 0.57 | 0.77 | 0.97 | 1.38 | 2.35 | 0.31 |
Percent of total IP stays | 51.04 | 18.53 | 9.91 | 9.47 | 4.23 | 2.79 | 1.94 | 2.08 | 100.00 |
Percent of total IP expenditurec | 43.74 | 19.80 | 11.61 | 11.61 | 5.13 | 3.50 | 2.31 | 2.30 | 100.00 |
Average IP expenditure per patientc | $830 | $1649 | $2243 | $2967 | $3932 | $5159 | $6938 | $10,969 | $1311 |
Average IP expenditure per stayc | $3560 | $4413 | $4820 | $5035 | $4859 | $5102 | $4847 | $4553 | $4130 |
Program visit distributiond (%) | |||||||||
Fee-for-service (FFS) | NA | 32.75 | 28.58 | 24.23 | 20.94 | 19.19 | 18.15 | 19.08 | 25.07 |
In managed care | NA | 67.25 | 71.42 | 75.77 | 79.06 | 80.81 | 81.85 | 80.92 | 74.94 |
Sociodemographic characteristics | |||||||||
Mean age (years)e | 30.89 | 32.64 | 33.14 | 33.79 | 34.73 | 35.88 | 37.28 | 38.94 | 31.63 |
Percent female | 78.18 | 77.82 | 79.21 | 79.67 | 79.10 | 77.60 | 74.98 | 67.48 | 78.23 |
Race or ethnicity (%) | |||||||||
Black | 18.68 | 21.39 | 23.67 | 25.26 | 26.4 | 26.25 | 24.48 | 23.44 | 20.02 |
Hispanic | 46.26 | 41.75 | 37.65 | 33.82 | 29.19 | 27.40 | 24.50 | 25.23 | 43.72 |
White | 23.55 | 25.63 | 27.15 | 28.5 | 30.27 | 31.18 | 32.93 | 32.3 | 24.62 |
Other or unknown | 11.51 | 11.22 | 11.53 | 12.41 | 14.15 | 15.16 | 18.09 | 19.03 | 11.64 |
Poverty indexf | 22.86 | 23.50 | 23.53 | 23.44 | 23.26 | 23.78 | 23.53 | 24.25 | 23.06 |
High-density population | 81.76 | 80.76 | 80.80 | 80.74 | 81.36 | 81.52 | 82.20 | 82.60 | 81.48 |
Disability status (%) | |||||||||
Disabled eligibility | 23.04 | 32.20 | 36.12 | 40.82 | 47.67 | 54.62 | 62.91 | 75.45 | 27.30 |
History of chronic conditionsg | |||||||||
Any chronic condition (%) | 26.42 | 45.42 | 53.49 | 62.17 | 71.98 | 79.31 | 86.45 | 93.87 | 34.78 |
Multiple chronic conditions (%) | 13.48 | 26.07 | 32.5 | 39.83 | 49.72 | 58.95 | 69.57 | 83.53 | 19.56 |
Substance use disordersh (%) | 13.85 | 31.82 | 41.57 | 50.72 | 61.37 | 69.25 | 78.55 | 85.41 | 22.23 |
Mental illnessh (%) | 22.88 | 39.83 | 49.12 | 58.54 | 70.20 | 78.15 | 86.22 | 90.08 | 30.92 |
Schizophreniah (%) | 2.98 | 5.38 | 7.03 | 9.23 | 13.32 | 16.99 | 22.06 | 29.31 | 4.41 |
Bipolar disorderh (%) | 4.76 | 10.45 | 14.44 | 19.20 | 27.40 | 33.85 | 40.78 | 49.29 | 7.98 |
Depressive psychosish (%) | 5.33 | 10.81 | 14.43 | 18.54 | 25.03 | 30.18 | 36.19 | 46.24 | 8.29 |
Number of chronic conditions | 0.66 | 1.14 | 1.42 | 1.77 | 2.23 | 2.66 | 3.25 | 4.27 | 0.93 |
Charlson Comorbidity Indexi | 0.63 | 1.24 | 1.55 | 1.93 | 2.42 | 2.90 | 3.57 | 4.94 | 0.93 |