Medicare Statistics

Table 4: Medicare - % bill type by Broad Type of Service and various periods


  2014/2015 Fin. Year Fin. YTD JUL14 -
MAR15
Fin. YTD JUL15 -
MAR16
JAN15 - MAR15
JAN16 - MAR16
% Services % Services % Services % Services % Services
Bill Type Broad Type of Service 0.9 1.0 0.8 0.9 0.7
Cheque to Claimant Unreferred Attendances - VR GP
Unreferred Attendances - Enhanced Primary Care 0.1 0.1 0.1 0.1 0.1
Unreferred Attendances - Other 0.6 0.6 0.5 0.6 0.5
Unreferred Attendances - Sub Total 0.9 0.9 0.7 0.9 0.7
Unreferred Attendances - Practice Nurse Items 0.0 0.0 0.0 0.0 0.0
Unreferred Attendances - Total 0.9 0.9 0.7 0.8 0.6
Other Allied Health 0.6 0.6 0.6 0.6 0.5
Specialist Attendances 3.6 3.6 3.4 3.7 3.1
Obstetrics 1.2 1.3 1.0 1.3 0.8
Anaesthetics 0.4 0.4 0.4 0.4 0.4
Pathology Collection Items 0.0 0.0 0.0 0.0 0.0
Pathology Tests 0.0 0.0 0.0 0.0 0.0
Pathology - Total 0.0 0.0 0.0 0.0 0.0
Diagnostic Imaging 1.4 1.4 1.3 1.4 1.1
Operations 1.5 1.5 1.4 1.5 1.3
Assistance at Operations 0.2 0.2 0.2 0.3 0.2
Optometry 0.1 0.0 0.3 0.0 0.2
Radiotherapy and Therapeutic Nuclear Medicine 0.5 0.5 0.5 0.6 0.3
Miscellaneous 1.6 1.6 1.4 1.6 1.3
Dental Benefits Schedule 0.1 0.3 3.9 -1.4 0.0
Child Dental Benefit Schedule 0.1 0.1 0.1 0.1 0.1
Total 0.8 0.8 0.7 0.8 0.7
Cheque to Provider via Claimant Unreferred Attendances - VR GP 1.0 1.1 0.9 1.0 0.8
Unreferred Attendances - Enhanced Primary Care 0.4 0.4 0.4 0.4 0.4
Unreferred Attendances - Other 0.7 0.8 0.7 0.7 0.7
Unreferred Attendances - Sub Total 1.0 1.0 0.8 1.0 0.8
Unreferred Attendances - Practice Nurse Items 0.1 0.1 0.1 0.1 0.1
Unreferred Attendances - Total 1.0 1.0 0.8 1.0 0.8
Other Allied Health 0.4 0.4 0.4 0.3 0.4
Specialist Attendances 2.7 2.8 2.4 2.7 2.3
Obstetrics 1.3 1.3 1.0 1.3 1.0
Anaesthetics 2.7 2.8 2.0 2.6 2.0
Pathology Collection Items 0.6 0.6 0.6 0.7 0.5
Pathology Tests 0.7 0.7 0.6 0.7 0.6
Pathology - Total 0.7 0.6 0.6 0.7 0.5
Diagnostic Imaging 3.2 3.2 3.0 3.1 3.1
Operations 4.0 4.1 3.6 4.0 3.5
Assistance at Operations 3.9 4.1 3.1 4.0 2.9
Optometry 0.0 0.0 0.0 0.0 0.0
Radiotherapy and Therapeutic Nuclear Medicine 7.8 8.5 6.2 8.7 5.8
Miscellaneous 2.8 2.8 2.7 2.9 2.5
Dental Benefits Schedule -1.8 -1.3 -2.6 -9.6 5.9
Child Dental Benefit Schedule 0.2 0.2 0.1 0.2 0.1
Total 1.3 1.3 1.1 1.3 1.1
Cash Unreferred Attendances - VR GP 0.0 0.0 -0.0 0 0
Unreferred Attendances - Enhanced Primary Care 0.0 0.0 0 0 0
Unreferred Attendances - Sub Total 0.0 0.0 -0.0 0 0
Unreferred Attendances - Total 0.0 0.0 -0.0 0 0
Other Allied Health -0.1 -0.0 -0.0 -0.1 -0.0
Specialist Attendances 0.0 -0.0 0.0 0.0 0.0
Anaesthetics 0.0 0.0 0 0.0 0
Pathology Collection Items 0.0 0 0 0 0
Pathology Tests 0.0 0 0 0 0
Pathology - Total 0.0 0 0 0 0
Diagnostic Imaging 0.0 0.0 -0.0 0.0 0
Operations -0.0 -0.0 0 0.0 0
Miscellaneous 0.0 0.0 0.0 0.0 0.0
Total -0.0 -0.0 -0.0 -0.0 -0.0
Bulk Bill Unreferred Attendances - VR GP 83.0 82.7 83.4 82.5 83.6
Unreferred Attendances - Enhanced Primary Care 97.3 97.3 97.3 97.2 97.3
Unreferred Attendances - Other 88.5 88.2 90.0 88.5 89.9
Unreferred Attendances - Sub Total 84.3 84.0 84.8 84.0 85.1
Unreferred Attendances - Practice Nurse Items 99.4 99.5 99.5 99.4 99.5
Unreferred Attendances - Total 84.5 84.2 85.0 84.2 85.3
Other Allied Health 62.9 62.9 63.4 63.4 63.5
Specialist Attendances 29.9 29.7 30.0 29.7 29.9
Obstetrics 50.2 49.8 52.8 50.5 53.4
Anaesthetics 9.9 9.8 10.1 10.1 10.4
Pathology Collection Items 88.0 88.1 88.6 88.5 89.0
Pathology Tests 87.7 87.7 88.3 88.3 88.7
Pathology - Total 87.8 87.8 88.4 88.3 88.8
Diagnostic Imaging 76.9 76.9 77.2 77.3 77.5
Operations 43.6 43.8 44.1 45.3 46.1
Assistance at Operations 1.1 1.1 1.2 1.2 1.1
Optometry 95.4 96.0 93.8 94.1 93.9
Radiotherapy and Therapeutic Nuclear Medicine 67.9 67.7 69.1 67.8 70.0
Miscellaneous 57.1 57.0 57.5 56.9 57.4
Dental Benefits Schedule 85.8 86.7 13.2 66.4 0
Child Dental Benefit Schedule 92.9 92.7 93.7 93.3 93.6
Total 77.8 77.7 78.3 78.0 78.7
PCe(Easyclaim Patient Claim) Unreferred Attendances - VR GP 5.2 5.2 5.6 5.4 5.6
Unreferred Attendances - Enhanced Primary Care 0.8 0.7 0.8 0.8 0.8
Unreferred Attendances - Other 2.1 2.2 1.8 2.1 1.8
Unreferred Attendances - Sub Total 4.7 4.7 5.0 4.9 5.0
Unreferred Attendances - Practice Nurse Items 0.1 0.1 0.1 0.1 0.1
Unreferred Attendances - Total 4.6 4.7 5.0 4.8 5.0
Other Allied Health 16.4 16.2 17.4 16.8 18.0
Specialist Attendances 2.6 2.6 2.7 2.7 2.7
Obstetrics 4.5 4.5 4.8 4.6 4.8
Anaesthetics 0.1 0.1 0.1 0.1 0.0
Pathology Collection Items 0.0 0.0 0.0 0.0 0.0
Pathology Tests 0.0 0.0 0.0 0.0 0.0
Pathology - Total 0.0 0.0 0.0 0.0 0.0
Diagnostic Imaging 0.3 0.3 0.3 0.3 0.3
Operations 1.3 1.3 1.3 1.3 1.4
Assistance at Operations 0.0 0.0 0.0 0.0 -0.0
Optometry 3.6 3.2 4.0 4.9 3.8
Radiotherapy and Therapeutic Nuclear Medicine 0.0 0.0 0.0 0.0 0
Miscellaneous 1.9 1.9 2.2 1.9 2.2
Dental Benefits Schedule 0.1 0.1 0 0 0
Child Dental Benefit Schedule 1.6 1.6 1.8 1.5 1.6
Total 2.6 2.6 2.8 2.7 2.9
Simplified Bill Unreferred Attendances - VR GP 0.2 0.2 0.2 0.2 0.2
Unreferred Attendances - Enhanced Primary Care 0.0 0.0 0.0 0.0 0.0
Unreferred Attendances - Other 1.6 1.6 1.5 1.6 1.5
Unreferred Attendances - Sub Total 0.3 0.3 0.3 0.3 0.3
Unreferred Attendances - Total 0.3 0.3 0.3 0.3 0.3
Specialist Attendances 23.6 23.5 24.1 23.2 23.8
Obstetrics 6.2 6.3 5.8 6.1 5.7
Anaesthetics 75.5 75.3 77.9 75.9 78.0
Pathology Collection Items 10.0 9.9 9.7 9.5 9.4
Pathology Tests 10.4 10.3 10.0 9.8 9.7
Pathology - Total 10.2 10.2 9.9 9.7 9.6
Diagnostic Imaging 6.0 5.9 6.1 5.7 6.0
Operations 28.4 28.1 28.6 26.9 27.2
Assistance at Operations 79.1 78.7 81.1 79.1 82.1
Radiotherapy and Therapeutic Nuclear Medicine 1.3 1.3 1.3 1.3 1.2
Miscellaneous 19.7 19.6 19.9 19.6 20.1
Total 7.9 7.9 7.9 7.7 7.7
EFT Unreferred Attendances - VR GP 9.6 9.8 9.1 9.9 9.0
Unreferred Attendances - Enhanced Primary Care 1.4 1.4 1.3 1.5 1.4
Unreferred Attendances - Other 6.4 6.6 5.6 6.5 5.6
Unreferred Attendances - Sub Total 8.9 9.1 8.3 9.0 8.2
Unreferred Attendances - Practice Nurse Items 0.3 0.3 0.2 0.3 0.2
Unreferred Attendances - Total 8.8 9.0 8.2 8.9 8.1
Other Allied Health 19.8 20.0 18.2 18.9 17.5
Specialist Attendances 37.6 37.7 37.4 38.1 38.1
Obstetrics 36.6 36.9 34.6 36.2 34.3
Anaesthetics 11.4 11.7 9.5 11.0 9.2
Pathology Collection Items 1.3 1.4 1.1 1.3 1.0
Pathology Tests 1.3 1.3 1.0 1.2 1.0
Pathology - Total 1.3 1.3 1.1 1.2 1.0
Diagnostic Imaging 12.2 12.3 12.1 12.1 12.0
Operations 21.1 21.2 20.8 20.8 20.5
Assistance at Operations 15.6 15.8 14.4 15.4 13.8
Optometry 0.9 0.8 1.9 0.9 2.0
Radiotherapy and Therapeutic Nuclear Medicine 22.4 22.0 23.0 21.7 22.8
Miscellaneous 17.0 17.1 16.4 17.1 16.5
Dental Benefits Schedule 15.7 14.2 85.5 44.5 94.1
Child Dental Benefit Schedule 5.3 5.4 4.4 5.0 4.6
Total 9.5 9.6 9.1 9.5 9.0
Other Anaesthetics 0.0 0.0 0.0 0 0
Total 0.0 0.0 0.0 0 0

Important Information

  • This page is best printed in landscape mode.
  • The figures in the report include only those services that are performed by a registered provider, for services that qualify for Medicare Benefit and for which a claim has been processed by Services Australia. They do not include services provided by hospital doctors to public patients in public hospitals or services that qualify for a benefit under the Department of Veterans' Affairs National Treatment Account.
  • Services per capita (ie. per 100,000 population) is calculated by dividing the number of services processed in a month by the number of people enrolled in Medicare at the end of that month
  • State/Territory is determined according to the address (at the time of claiming) of the patient to whom the service was rendered.
  • Month is determined by the date the service was processed by Services Australia, not the date the service was provided.
  • Bill type statistics are not available at the monthly level due to volatility in the data.
  • Monthly figures may vary due to the varying number of processing days in a month, which depends on the number of days in the month, public holidays, overtime worked etc.
  • A financial year is 1 July to 30 June.
  • Detailed information on the Strengthening Medicare - Additional Incentive Item numbers can be found under Table 6 of the Monthly Quarterly Standard Reports. Please note, in this report, the number of services for these item numbers are not considered when determining the bill type percentage because they are not Medicare services, simply an additional payment.
  • Instructions on how to download the statistics into a spreadsheet are contained in Downloading Statistical Information.

Disclaimer

The information and data contained in the reports and tables have been provided by Services Australia for general information purposes only. While Services Australia takes care in the compilation and provision of the information and data, it does not assume or accept any liability for the accuracy, quality, suitability and currency of the information or data, or for any reliance on the information or data. Services Australia recommends that users exercise their own care, skill and diligence with respect to the use and interpretation of the information and data.

Last updated: 9 August 2019

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