Australian Health Performance Framework: PI 2.5.1–Bulk-billing for non-referred (GP) attendances, 2020
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||AHPF PI 2.5.1–Bulk-billing for non-referred (GP) attendances, 2020|
|Registration status:||Health, Standard 13/10/2021|
The number and rates of services for non-referred General Practitioner (GP) attendances bulk billed in a year.
|Indicator set:||Australian Health Performance Framework, 2020 Health, Standardisation pending 30/07/2021|
Collection and usage attributes
|Population group age to:|
Bulk-billing is an arrangement in which a GP bills Medicare directly for any eligible medical or allied health service that the patient receives, and imposes no other 'gap payment' on the patient. In this arrangement the provider accepts the Medicare benefit as full payment for the service and the patient assigns their right to a Medicare benefit to the service provider.
GP attendances are 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 Services Groups:
In published bulk billing statistics from 2009-10, the patient’s geographic location is determined using their geocoded Medicare enrolment address at the date the claim was processed. There may be minor changes to the statistics in subsequent publications as geospatial information is updated.
Statistics are published by Modified Monash Model (MMM) and by state/territory of patient. The MMM is a geographical classification that categorises different areas in Australia into seven remoteness categories. The MMM classifies metropolitan, regional, rural and remote areas according to geographical remoteness, as defined by the Australian Bureau of Statistics (ABS), and town size.
The MMM is used to determine eligibility for a range of health programs.
Presented in numbers and percentages.
(Numerator ÷ Denominator) x 100
Bulk-billed GP attendances
Number of bulk-billed GP attendances claimed through the Medicare Benefits Schedule (MBS)
|Numerator data elements:|
Total GP attendances for year of processing
|Denominator data elements:|
By state/territory and by Modified Monash Model (MMM) Category.
|Disaggregation data elements:|
|Unit of measure:||Service event|
Data source attributes
Australian Health Performance Framework
|Organisation responsible for providing data:|
Department of Health
Source and reference attributes
Australian Institute of Health and Welfare
|Steward:||Australian Institute of Health and Welfare|
Department of Health
|Related metadata references:|
See also National Health Performance Authority, Healthy Communities: Bulk-billed GP attendances, 2013–14 National Health Performance Authority (retired), Retired 01/07/2016