Description

For all persons, HPPREXTR captures the sum of direct payments made by TRICARE (formerly CHAMPUS) for "separately billing doctor," or SBD, expenses associated with all inpatient hospital visits during the year. Refer to the comparability tab for information on how the specific sources of payment included in HPPREXTR change over time. SBD expenses include those for services provided to patients in hospital settings by providers like radiologists, anesthesiologists, and pathologists, whose charges are often not included in hospital bills. Payments for over-the-counter drugs and indirect payments not related to specific medical events, such as Medicaid Disproportionate Share and Medicare Direct Medical Education subsidies, are not included in this amount. For more information on how MEPS collects expenditure data, please refer to our user note on medical expenditures.

For more information about how hospital expenditures are handled for inpatient stays that do not include an overnight stay or hospitalizations for the birth of a child, please refer to the description for HPEXPTOT.

Related variables
Variables related to total annual health care expenditures by source of payment, total annual health care expenditures by type of medical service, and total annual health care charges are also available. Please refer to our user note on expenditures for a list of these variables.

HPPREXTR is a 6-digit numeric variable.

Comparability

This variable is mostly comparable over time. Prior to 2009, HPPREXTR includes direct payments for health care from TRICARE, including CHAMPVA. Beginning in 2009, HPPREXTR excludes direct payments from CHAMPVA; instead, direct payments from CHAMPVA are included in HPPREXVA for 2009-forward.

Universe

Availability

• 2000-2022

Weights

• 2000-2022 : PERWEIGHT

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