Project Overview

This repository contains code and documentation for analyzing costs associated with different treatments for Stress Urinary Incontinence (SUI) using Medicare Fee-For-Service Claims data. The analysis is performed for the AUGS alternative payment committee.

Key Files

Analysis Scripts

Data Sources

The analysis uses Medicare Fee-For-Service Claims data from January 2023 CADR files. The main data files include:

  • Cohort descriptors
  • Treatment-specific index costs (Sling, PT, Pessary, Open Burch, Laparoscopic Burch)
  • Complication costs
  • Pre/post-index procedure costs
  • Provider specialty information
  • Lab and E/M visit costs

Full file listings are available in the Data Dictionary section below.

Reproducibility

This project uses Git LFS for managing large files. To work with this repository:

# Find large files
find . -type f -exec du -h {} + | sort -rh | head -n 10

# Set up Git LFS tracking
git lfs track "*.csv"  # For CSV files
git lfs track "*.rds"  # For RDS files
git lfs track "*.tiff" # For TIFF files

# Commit and push changes
git add .gitattributes
git add .
git commit -m "Track large files with Git LFS"
git push origin main

# Increase buffer size if needed
git config --global http.postBuffer 524288000

Data Dictionary

Raw Data Files

Raw Data Files
Files
Cohort descriptors_23JAN2023.csv
Laparoscopic burch index costs_23JAN2023.csv
Open burch index costs_23JAN2023.csv
Pessary and PT complication costs_23JAN2023.csv
Post-index procedure costs_23JAN2023.csv
Pre-index lab costs_23JAN2023.csv
Pre-index procedure costs_23JAN2023.csv
Provider specialty_23JAN2023.csv
PT index costs_23JAN2023.csv
Sling index costs_23JAN2023.csv
Subsequent pessary costs_23JAN2023.csv
Subsequent PT costs_23JAN2023.csv
Surgical complication costs_23JAN2023.csv
Post-index EM visit costs_23JAN2023.csv
Pre-index EM visit costs_23JAN2023.csv

References

ACOG Districts Map: ACOG Districts

US Census Bureau Regions: US Census Bureau Regions