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OPPHPREXTR
Annual total of direct health care payments from TRICARE for separately billed services from outpatient physicians

Description

For all persons, OPPHPREXTR captures the sum of direct payments made by TRICARE (formerly CHAMPUS) for "separately billing doctor," or SBD, expenses associated with all visits to outpatient physicians during the year. Refer to the comparability tab for information on how the specific sources of payment included in OPPHPREXTR 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.

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.

Codes

OPPHPREXTR is a 6-digit numeric variable.

Comparability

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

Universe

  • 2000-2021: All persons.

Availability

  • 2000-2021

Weights

Flags

This variable has no flags.