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- W2917967217 abstract "To characterize national provider and site of service utilization rates and cost charges of totally implantable central venous access port (TIAP) placements among the US Medicare population. Medicare Physician Supplier Procedure Summary (PSPS) Master Files between 2005-2015 were analyzed by TIAP procedure code and used to calculate total annual procedure volume. Physician specialty codes were used to determine the top 5 providers and were classified as either radiology (diagnostic and interventional) or surgery (general, vascular, and thoracic). The data was independently analyzed by site of service and cost charges. Between 2005-2015, the Medicare fee-for-service beneficiary frequency of TIAP placements increased 14.35% (127,384 to 145,659) overall. Specialty specific trends demonstrated a total increase of 146.95% (22,238 to 54,917) for radiologists whereas surgery experienced a decrease in placements by 17.50% (84,174 to 69,445). On a per year basis, the average change in utilization of these respective providers was statistically significant (p <.0001). During the studied period, outpatient TIAP placements significantly increased by 34.7% (77,258 to 104,062; p <.0001) and declined in the inpatient setting by 39.4% (38,599 to 23,390) across all specialties. The average allowed charge per TIAP placement increased in both the outpatient setting by 7.27% ($308.64 to $331.08) and in the inpatient setting by 7.86% ($287.94 to $310.57). National TIAP placements between 2005-2015 have increased among the Medicare population with radiology modestly increasing relative specialty utilization by 14%. The outpatient hospital setting remained the dominant site of service for this procedure." @default.
- W2917967217 created "2019-03-02" @default.
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- W2917967217 date "2019-03-01" @default.
- W2917967217 modified "2023-10-16" @default.
- W2917967217 title "04:12 PM Abstract No. 266 Provider specific utilization of chest port placements in the Medicare population: a decade-long analysis" @default.
- W2917967217 doi "https://doi.org/10.1016/j.jvir.2018.12.328" @default.
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