Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma: A Longitudinal Study
Abstract
Introduction
Patient and Methods
Collection of Patient Data
Statistical Analysis
Results
Cohort Characteristics
Financial Analysis
Compared to the Data from 2007-2013
Discussion
Conclusions
Funding
Acknowledgments
Conflicts of Interest
References
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CMF (N = 2459) | Non-CMF (N = 9253) | Total (N = 11712) | P-Value | |
---|---|---|---|---|
Year of procedure | 0.0001a | |||
2015 | 32 (1.3%) | 134 (1.4%) | 166 (1.4%) | |
2016 | 172 (7.0%) | 731 (7.9%) | 903 (7.7%) | |
2017 | 279 (11.3%) | 1029 (11.1%) | 1308 (11.2%) | |
2018 | 307 (12.5%) | 1188 (12.8%) | 1495 (12.8%) | |
2019 | 393 (16.0%) | 1347 (14.6%) | 1740 (14.9%) | |
2020 | 450 (18.3%) | 1410 (15.2%) | 1860 (15.9%) | |
2021 | 481 (19.6%) | 1815 (19.6%) | 2296 (19.6%) | |
2022 | 345 (14.0%) | 1599 (17.3%) | 1944 (16.6%) | |
Type of insurance | <0.0001a | |||
Commercial insurance | 538 (21.9%) | 2434 (26.3%) | 2972 (25.4%) | |
Medicaid | 685 (27.9%) | 1352 (14.6%) | 2037 (17.4%) | |
Medicare | 651 (26.5%) | 4758 (51.4%) | 5409 (46.2%) | |
Self-pay | 585 (23.8%) | 709 (7.7%) | 1294 (11.0%) |
Aggregate | Outcome | CMF | Non-CMF |
---|---|---|---|
2015 | Collection rate | 13.48 | 23.43 |
RVU | 194.71 | 1006.41 | |
Charges billed | 93790.00 | 309265.00 | |
Charges collected | 12639.39 | 72472.88 | |
2016 | Collection rate | 18.27 | 25.24 |
RVU | 1198.67 | 5374.78 | |
Charges billed | 526446.70 | 1677091.10 | |
Charges collected | 96205.75 | 423233.00 | |
2017 | Collection rate | 18.23 | 26.33 |
RVU | 2060.78 | 7758.60 | |
Charges billed | 800486.50 | 2427291.50 | |
Charges collected | 145949.18 | 639194.45 | |
2018 | Collection rate | 18.22 | 25.39 |
RVU | 2267.08 | 8652.30 | |
Charges billed | 889553.00 | 2887484.30 | |
Charges collected | 162090.40 | 733219.55 | |
2019 | Collection rate | 19.79 | 26.14 |
RVU | 2718.12 | 9623.51 | |
Charges billed | 1042955.40 | 2918795.50 | |
Charges collected | 206413.53 | 763079.19 | |
2020 | Collection rate | 17.87 | 28.00 |
RVU | 2912.07 | 9564.43 | |
Charges billed | 1111659.60 | 2917347.40 | |
Charges collected | 198701.26 | 816997.50 | |
2021 | Collection rate | 17.34 | 28.72 |
RVU | 3402.43 | 12804.87 | |
Charges billed | 1285721.20 | 4006308.40 | |
Charges collected | 222901.04 | 1150683.16 | |
2022 | Collection rate | 17.27 | 25.54 |
RVU | 2175.46 | 13473.67 | |
Charges billed | 888401.60 | 4209295.80 | |
Charges collected | 153465.79 | 1075151.62 | |
All years | Collection rate | 18.05 | 26.57 |
RVU | 16929.32 | 68258.57 | |
Charges billed | 6639014.00 | 21352879.00 | |
Charges collected | 1198366.34 | 5674031.35 |
Outcome | Test Statistic | P-Value |
---|---|---|
Collection rate | —0.0456 | 0.9636 |
RVU | —7.9491 | <0.0001 |
Charges billed | —182.6742 | <0.0001 |
Charges collected | —116.2901 | <0.0001 |
CMF (N = 2459) | Non-CMF (N = 9253) | Total (N = 11712) | P-Value | |
---|---|---|---|---|
Collection rate | <0.0001a | |||
N | 2459 | 9253 | 11712 | |
Missing | 0 | 0 | 0 | |
Mean (SD) | 18.28 (22.91) | 26.83 (23.47) | 25.04 (23.62) | |
Median | 10.75 | 21.14 | 18.76 | |
Q1, Q3 | 0.00, 24.93 | 10.41, 37.11 | 8.07, 35.12 | |
Range | (0.00-100.00) | (0.00-100.00) | (0.00-100.00) | |
RVU | 0.4079a | |||
N | 2459 | 9224 | 11683 | |
Missing | 0 | 29 | 29 | |
Mean (SD) | 6.88 (5.19) | 7.40 (7.30) | 7.29 (6.91) | |
Median | 5.65 | 4.91 | 4.91 | |
Q1, Q3 | 3.18, 11.01 | 2.61, 10.22 | 2.61, 10.32 | |
Range | (0.00-48.96) | (0.00-82.67) | (0.00-82.67) | |
Charges billed | <0.0001a | |||
N | 2459 | 9253 | 11712 | |
Missing | 0 | 0 | 0 | |
Mean (SD) | 2699.88 (1995.32) | 2307.67 (2232.72) | 2390.02 (2190.77) | |
Median | 2130.00 | 1644.00 | 1754.00 | |
Q1, Q3 | 930.00, 4538.00 | 828.00, 3293.00 | 857.00, 3342.00 | |
Range | (39.00-19296.00) | (39.00-29394.00) | (39.00-29394.00) | |
Charges collected | <0.0001a | |||
N | 2459 | 9253 | 11712 | |
Missing | 0 | 0 | 0 | |
Mean (SD) | 487.34 (854.31) | 613.21 (870.25) | 586.78 (868.41) | |
Median | 169.32 | 320.65 | 288.48 | |
Q1, Q3 | 0.00, 659.78 | 102.57, 814.66 | 71.25, 778.04 | |
Range | (0.00-7776.00) | (0.00-11050.00) | (0.00-11050.00) |
Charges Collected (Collection Rate) | Charges Not Collected | Charges Billed | P-Value* | |
---|---|---|---|---|
Years | <0.0001 | |||
2007-2013 (Moses et al) | 644,141.86 (17.25%) | 3,090,885.14 | 3,735,027 | |
2015-2022 | 1,198,366.34 (18.05%) | 5,440,647.66 | 6,639,014 |
Charges Collected (Collection Rate) | Charges Not Collected | Charges Billed | P-Value* | |
---|---|---|---|---|
Years | <0.0001 | |||
2007-2013 (Moses et al) | 9,423,768 (29.61%) | 22,407,219 | 31,830,987 | |
2015-2022 | 5,674,031.35 (26.57%) | 15,678,847.65 | 21,352,879 |
© 2024 by the authors. Published by MDPI on behalf of the AO Foundation. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Issa, K.; Frisco, N.A.; Kilpatrick, K.W.; Kuchibhatla, M.; Barrett, D.M.; Powers, D.B.; Woodard, C.R. Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma: A Longitudinal Study. Craniomaxillofac. Trauma Reconstr. 2024, 17, 40. https://doi.org/10.1177/19433875241292164
Issa K, Frisco NA, Kilpatrick KW, Kuchibhatla M, Barrett DM, Powers DB, Woodard CR. Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma: A Longitudinal Study. Craniomaxillofacial Trauma & Reconstruction. 2024; 17(4):40. https://doi.org/10.1177/19433875241292164
Chicago/Turabian StyleIssa, Khalil, Nicholas A. Frisco, Kayla W. Kilpatrick, Maragatha Kuchibhatla, Dane M. Barrett, David B. Powers, and Charles R. Woodard. 2024. "Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma: A Longitudinal Study" Craniomaxillofacial Trauma & Reconstruction 17, no. 4: 40. https://doi.org/10.1177/19433875241292164
APA StyleIssa, K., Frisco, N. A., Kilpatrick, K. W., Kuchibhatla, M., Barrett, D. M., Powers, D. B., & Woodard, C. R. (2024). Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma: A Longitudinal Study. Craniomaxillofacial Trauma & Reconstruction, 17(4), 40. https://doi.org/10.1177/19433875241292164