National Health Performance Authority, Healthy Communities: Expenditure on GP attendances, 2012–13
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Expenditure on GP attendances, 2012–13|
|Registration status:||National Health Performance Authority (retired), Retired 01/07/2016|
|Description:||The total Medicare benefits expenditure for non-referred GP attendances claimed through the Medicare Benefits Schedule (MBS).|
|Indicator set:||National Health Performance Authority: Healthy Communities: 2011– National Health Performance Authority (retired), Retired 01/07/2016|
Collection and usage attributes
|Population group age to:||All ages|
Medicare benefits expenditure on GP attendances per person
GP attendances are on Medicare benefit-funded patient/doctor encounters, such as visits and consultations, for which the patient has not been referred by another doctor. GP attendances exclude services provided by practice nurses and Aboriginal and Torres Strait Islander health practitioners on a GP’s behalf.
In terms of 'Broad Type of Service' Groups, GP attendances comprise all items in Broad Type of Service Groups 'A' – GP/VRGP non-referred attendances, 'M' - Enhanced Primary Care and 'B' Non-referred other attendances as published in official MBS statistics by the Department of Human Services and the Department of Health.
Expenditure on GP attendances does not include benefits paid for bulk billing items (MBS Items 10990, 10991, and 10992). These items are in 'Miscellaneous Services' (Category 9) in the MBS and are claimed as 'stand alone' items where the bulk billed service is a non-hospital unreferred service (other than pathology or diagnostic imaging) involving a person who is under 16 years of age or concessional. Since it is not always possible to determine the MBS item to which the incentive item relates expenditure on these items is included in 'Other MBS' (Broad Type of Service Group 'L') in official statistics.
For the year of processing expenditure on bulk billing incentive items (MBS Items 10990, 10991 and 10992) other than pathology and diagnostic imaging was $542.6 million.
In undertaking age standardisation of MBS data, the age of each person was determined from the last MBS service of any type, processed by the Department of Human Services in 2012–13. All MBS services for each individual processed in 2012–13, were attributed to the age in question.
For MBS data, Medicare Local and SA3 were determined having regard to the enrolment postcode for each person from the last MBS service of any type, processed by the Department of Human Services in 2012–13. All MBS services for each individual processed in 2012–13, were attributed to the postcode in question.
MBS postcode level data were allocated to Medicare Local and SA3 regions using concordance files provided by the ABS.
Numerator based on Medicare (MBS) data provided by Department of Health for the financial year of processing, 2012–13.
Denominator data – Estimated Resident Population at 30 June 2012 provided by ABS.
Presented per person.
Before MBS data are published by NHPA all confidential data cells are suppressed.
The current definition of confidential data is as follows:
(Numerator ÷ Denominator)
Medicare Benefits Scheme data
Expenditure on GP attendances
Expenditure on GP attendances, age standardised
Expenditure on GP attendances variation within Medicare Locals
Expenditure on GP attendances variation within Medicare Locals, age standardised
|Numerator:||Total amount of claims for non-referred (GP) attendances claimed through the Medicare Benefits Schedule (MBS)|
|Numerator data elements:|
|Denominator:||Total estimated resident population (ERP)|
|Denominator data elements:|
|Disaggregation:||By Medicare Local catchments, Medicare Local peer groups and SA3|
|Disaggregation data elements:|
|Representation class:||Mean (average)|
|Data type:||Monetary amount|
|Unit of measure:||Currency|
Indicator conceptual framework
|Framework and dimensions:||PAF-Equity of access|
Data source attributes
|Reporting requirements:||National Health Performance Authority - Performance and Accountability Framework|
|Organisation responsible for providing data:||Department of Health|
|Accountability:||National Health Performance Authority|
|Further data development / collection required:|
Source and reference attributes
|Submitting organisation:||National Health Performance Authority|
|Reference documents:||National Health Performance Authority - Performance & Accountability Framework|
|Related metadata references:|
Has been superseded by National Health Performance Authority, Healthy Communities: Expenditure on GP attendances, 2013–14 National Health Performance Authority (retired), Retired 01/07/2016