Overview
Using the metrics in the tables under the Patient Population tab of the Physician Analyze Page of Marketscape Insights makes you the expert on your selected physician's patients.
Location
The content in this article pertains to tables and metrics found under the Patient Population tab.
In this article
Each table under the Patient Population tab is listed below. Each table name is a link to the description of that table.
- Patient Volume - Historical counts of patients by several different criteria
- CMS Payer Mix - compare patient counts for Medicare FFS, Medicare Advantage, and Medicaid
- Patient Locations - County - percentages of patient's by county
- Patient Diagnostic Mix - counts of patients in each Trella Health Diagnostic Group
- Chronic Conditions - Counts of the selected physician's patients with specific chronic conditions
- Patient Age tables - Breakdown of patients by age with an average for comparison
Understanding the Metrics
Patient Volume Table
The Patient Volume table includes metrics on the patient population for the selected physician so you can gauge the physician's potential for being an influence with patients admitted to a skilled nursing facility for treatment.
The counts in the columns include the most recent Annual Patient Count and eight quarters of trended counts.
The definition for the metrics in each row is included below
Chart View and Table View
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| When you hover over a line in the Patient Volume chart, the metrics for the different patient counts represented in the column are displayed. |  |
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With chart view on the Patient Volume chart has a legend that identifies the elements in the chart. Each different identifier in the legend can be toggled on and off to display or hide the matching elements in the chart. Hovering over an identifier highlights the related elements in the chart.
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| Chart Legend | Legend Customize |
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For this chart in particular, it is a good idea to turn off the Patient Days as shown in the example. The metric is not similar to the other metrics, all of which are patient counts. As you can see in the example above, with Patient Days included, the other metrics are unreadable and provide no useful visual meaning. With Patient Days off, all of the patient count trends are easier to see. | |
This feature allows you to customize what is displayed in the chart.
Medicare FFS Patients
"Medicare FFS Patients" is the count of distinct patients for which the selected physician filed a Part B claim during the most recent one year reporting period.
SNF Patients (Overall)
This is the count of the selected physician’s distinct patients who received SNF Care during the reporting period. It is limited to patients who were counted under the three claim types, Patients Followed, Patients 3 Months, Prior, and Last Claimed Patients. As such, it is a union of these three claim types, not a total, because a patient could be counted under more than one claim type, but only once under SNF Patients (Overall).
Mortalities
This is the count of patients who died during the one-year reporting period who had been treated by the physician during the six month reference period prior to their date of death.
For more information on these metrics, see Critical Concepts - Mortalities.
Total 3 Months Prior
The "Three Months Prior" metric is the count of distinct patients where the named physician treated the patient in the 3 months prior to the patient's SNF admission.
Total Last Claimed
This metric is the number of distinct patients for whom the named physician submitted the last professional claim prior to the patient's SNF admission.
Total Attended
This is the count of distinct patients who were admitted to SNF care during the reporting period where the named physician is identified as the attending physician on the SNF claim.
For more information on these metrics, see Patient Counts and Claim Types.
Dual Eligible Patients
This metric is the count of distinct Medicare FFS patients treated by the selected physician who were eligible for Medicaid during the specified period - year or quarter.
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CMS Payer Mix Table
This table shows distinct patient counts of patients for whom the selected physician submitted a claim for Medicaid, Medicare FFS, and Medicare Advantage. These counts are taken from the date of the last available Medicare Advantage data. Since complete Medicare Advantage data is not available for about two years, all of these patient counts are about 2 years ago to make the comparison meaningful.
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| When you hover over a line in the CMS Payer Mix chart, the metrics for the different patient counts represented in the column are displayed. |  |
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With chart view on the CMS Payer Mix chart has a legend that identifies the elements in the chart. Each different identifier in the legend can be toggled on and off to display or hide the matching elements in the chart. Hovering over an identifier highlights the related elements in the chart.
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Metric Details
This table shows the distinct patient counts for the following CMS payers:
- Medicare FFS
- Medicare Advantage
- Medicaid
The counts are for patients treated by the selected physician for the period listed in the header of each column.
The date for this dataset can be found in the table header. The dates for all most recent data sets is found at the top of every page. (See image)
This table will help you understand the general payer mix of potential referral sources to better determine how your agency can partner with the selected provider.
Counts displayed are based on the most recent data available for 100% of FFS, MA, and Medicaid provided by CMS. Distinct patient counts are based on the FFS, MA, and Medicaid claims submitted by the NPI and therefore the same patient may be included in multiple payer groups during the same time period.
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Patient Locations - County
The Patient Location - County table shows the percentage of patients treated by the selected physician within the two year reference period who resided in the listed county at the time their skilled nursing admission claim was filed. The two year reference period aligns with the end of the last quarter for the most recent data set included in Marketscape.
The patient percentages in this table are calculated from all Medicare claims for the selected physician.
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| When you hover over a sector in the Patient Location chart, the metrics for that sector is displayed. |  |
Metric Details
For the selected physician, this table contains the names of the counties and the percentage of patients for each county from the physician's total patient count.
Since these metrics are based on the patients' place of residence, it is possible to have counties from states other than the state of the physician's practice. This will be especially true for physicians who practice in smaller states or near state lines. For physicians who primarily examine clinical records, (X-rays, EKGs, etc.), there could be numerous counties from all over the country.
Aggregated <11s
- Any and all counties where the percentage was calculated from a count of less than 11 patients will not be identified in the table but will be aggregated into the row titled, "Aggregated <11s."
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Patient Diagnostic Mix
This table breaks down the selected Physician's patients by the principle diagnosis indicated on the claim. For each diagnosis, we provide a total count and then we breakout the total count into acuity levels, low, medium, and high.
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| When you hover over a bar in the Patient Diagnostic Mix chart, the metrics for the different patient counts represented in the bar are displayed. |  |
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With chart view on the Patient Diagnostic Mix chart has a legend that identifies the elements in the chart. Each different identifier in the legend can be toggled on and off to display or hide the matching elements in the chart. Hovering over an identifier highlights the related elements in the chart.
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Metric Details
Trella Diagnostic Group
Each diagnostic category represents a collection of similar diagnoses that align with the diagnostic category name.
For more information on the Diagnostic categories used in the table, see Trella Health Diagnostic Groupings.
Total Patient Count
The numbers in this column represent the counts of patients treated by this physician within the previous two years with a principle diagnosis that falls within the diagnostic category in that row.
Low, Medium, or High Acuity
These three columns break out the counts for three levels of acuity. The number in each column is the count of low, medium, and high acuity patients with a diagnosis included in the diagnostic category listed.
For more information on the Diagnostic categories used in the table, see Trella Health Diagnostic Groupings. For more information on Acuity, see Trella Health Patient Acuity.
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Chronic Conditions
This table includes the counts and percentages of patients treated by the selected physician who met the criteria for the listed chronic condition based on the CCW Chronic Condition algorithm.
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| When you hover over a bar in the Chronic Conditions chart, the count for the chosen bar is shown. |  |
Metric Details
Metric Name |
Description |
| Chronic Condition |
The name of condition developed from CCW Chronic Condition algorithms that search the CMS administrative claims data for specific diagnosis codes, MS-DRG codes, or procedure codes |
| Annual Patient Count | The count of distinct patients treated by the selected physician during the one-year reporting period who met the criteria for the listed chronic condition based on the CCW Chronic Condition algorithm. |
| Percentage of Patients | The percentage of patients treated by the selected physician who met the criteria for the listed chronic condition based on the CCW chronic condition algorithm. |
- The listed percentages will not add up to 100%, since patients treated by the physician could be diagnosed with chronic conditions listed in more than one row.
- The algorithms used to create this table can be found at the Chronic Conditions Data Warehouse website
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Patient Age Metrics
The last two tables and one chart under the Patient Population tab provide age demographics.
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There are two tables related to patient age. Patient Age Groups (top - which aligns with the Patient Age chart) and Average Patient Age (bottom) |
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| When you hover over any bar in the Patient Age chart, the metrics for the different patient counts represented in the chart are displayed. |  |
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With chart view on the Patient Age chart has a legend that identifies the elements in the chart. Each different identifier in the legend can be toggled on and off to display or hide the matching elements in the chart. Hovering over an identifier highlights the related elements in the chart.
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Metric Details
Average Patient Age
The average age of patients treated by the selected physician with the state average age of patients for physicians with the same specialty for comparison.
Patient Age Groups
This table present the percentages of the selected physician's patients broken out by age.
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