BFD: Data Ratios: Outpatient

[jawalonoski]

Requested Feature

RIF export ratios need adjustment:

• ratio of types of claims overall
• ratio of claim types per bene
• ratio of lines per claim type

Claim Ratio = Claim of Type / Claim Total across all types
Synthea Total:  1,054,589,695
Actual Total:  23,195,755,891

Table	Claim % (Synthea)	Claim % (Actual)	Notes
outpatient	25.26	6.13	largely overrepresented in Synthea

Table	Average Line/Claim (Synthea)	Average Line/Claim (Actual)	Notes
outpatient	1.18	7.15	underrepresented lines in Synthea

"Actual" counts as of analysis time.

Table	Count
beneficiaries	83,178,011
outpatient_claims	1,422,291,392
outpatient_claim_lines	10,165,216,482

Full data analysis for all tables is here: https://github.com/synthetichealth/synthea/wiki/RIF-Data-Analysis

[hadleynet]

[jawalonoski]

Claim Lines per Claim

Synthetic	Real

Claims per Beneficiary

Synthetic	Real