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Confidential Comparative Data
Your Patterns of Practice Related to the Care of Medicare Beneficiaries with a Diagnosis of Diabetes Mellitus
Physician Identifier:
Individual Practice:
Address:
County:
Source: 2001 MEDICARE PART B BILLING DATA
INTRODUCTION: Diabetes mellitus and the complications of the disease can be prevented or delayed by appropriate and timely examinations and treatment. The Georgia Medical Care Foundation (GMCF) has examined state, county, and individual practice patterns in an effort to increase the rates of these key examinations and laboratory tests: glycosylated hemoglobin (HbA1c) testing, annual eye exams, annual lipid profiles, and quantitative urine analysis. Data provided on this informational sheet is confidential and relates to your patterns of practice.
METHOD: GMCF analyzed 2001 billing data for primary care physicians in 159 counties in Georgia who saw Medicare (fee-for-service) Part B enrollees with diabetes. Patients were identified as having diabetes if there was one inpatient or two outpatient claims for the care of diabetes mellitus in 2001.
GMCF excluded patients from the analysis for the following reasons: less than 65 years of age, less than two outpatient diabetic claims thirty days or more apart, no code for ambulatory care during 2001, fewer than eleven months of Part B coverage, any HMO coverage, or if death occurred during 2001. The patient population consisted of 91,253 Medicare patients who received care from a primary care physician. All data are based on claims for enrollees who had a diagnosis code of (250.XX).
FINDINGS: Below are the patterns of care for your practice for patients with a diagnosis of diabetes mellitus as determined from the review of claims data.
Example Information That Is Included in an Individual Doctor's Diabetes Management Profile
| Number of Patients |
|
|
70,953 |
| Average Age (Years) |
|
|
73.7 |
| Percent Female |
|
|
52.1% |
| Percent Black |
|
|
25.5% |
| Average Number of Ambulatory Visits |
|
|
10.0 |
| 2001 Exams Billed |
|
|
|
| Glycosylated HbA1c |
|
|
74.9% |
| Eye Exam |
|
|
45.9% |
| Lipid Profile |
|
|
57.0% |
| Quantitative Urine Protein |
|
|
12.7% |
CONCLUSIONS: There are opportunities to improve the care of patients who have a diagnosis of diabetes mellitus. The concerted efforts of health care professionals in the state will result in enhanced care and better lives for our patients.
Please direct any questions or comments regarding this information to:
William McClellan, M.D., M.P.H., Clinical Coordinator
Medicare Health Care Quality Improvement Program
Georgia Medical Care Foundation
1455 Lincoln Parkway, Suite 800
Atlanta, GA 30346
800-982-0411
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