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DoubleAttribution_mc_2019.R
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################################################################################
#### merge attributions (patientAttribution & provider attribution)
################################################################################
### prerequisite
library(data.table)
## server <- (Sys.info()[4] == 'LAZ-DEID1') ## logical value
## if (!server) stop('please run in LAZ-DEID1 server!')
source('E:/CT_APCD/Sai/2019spring/data-organization/R/utils.R')
dir_code <- input_dir('E:/CT_APCD/Sai/Attribution_2018_2019//')
dir.out <- output_dir('E:/CT_APCD/Sai/Attribution_2018_2019/output/Double-Attribution_mc_2019/')
dir.in.patAttri <- input_dir('E:/CT_APCD/Attribution_2018_2019/InProcess_mc_2019/')
dir.in.NPIAttri <- input_dir("E:/CT_APCD/Sai/Attribution_2018_2019/NPI-Attribution/")
dir.demo <- output_dir('E:/CT_APCD/Sai/Attribution_2018_2019/output/demo_mc_2019/')
source(file.path(dir_code, "myDoc.R"))
date_attribution <- Sys.Date()
overlap <- TRUE # TRUE: consider overlap between ANs; or FALSE: consider only NPI who serves for unique AN.
## start from here ##
patAttri <- fread(paste0(dir.in.patAttri, 'PatAttri_detail.csv'),
header = TRUE, colClasses = 'character', encoding = 'UTF-8')
uniqueN(patAttri$internal_member_id) # 578111
patAttriValid <- patAttri[!Identify %in% c('Unattributed', '')] # '' refers to Tie
uniqueN(patAttriValid$internal_member_id) #540300
npiAttri <- fread(paste0(dir.in.NPIAttri, 'NPI_WholeSet_07162020_medicare.csv'),
header = TRUE, colClasses = 'character', encoding = 'UTF-8')
if (overlap) {
npiAttrivalid = npiAttri
} else npiAttrivalid <- npiAttri[Total == 1] # if consider only NPI who is assigned to unique AN.
Attri2 <- npiAttrivalid[patAttri[, -c("Specialty", "Taxonomy1")], on = 'NPI']
uniqueN(Attri2$internal_member_id) #602492
Attri2valid <- Attri2[!is.na(Total)]
uniqueN(Attri2valid$internal_member_id) # 350944
fwrite(Attri2, paste0(dir.out, 'Attri2.csv'))
fwrite(Attri2valid, paste0(dir.out, 'Attri2valid.csv'))
## Attri2valid <- fread(file.path(dir.out, "Attri2valid.csv"), colClasses = 'character')
entityNameList <- names(npiAttri)[6:39]
### provider info (only include those providers who are assigned to at least 1 patient)
npiAttrivalid <- unique(
Attri2valid[, Npat := .N, by = NPI][, eval(
parse(
text = paste0('.(NPI, Taxonomy1, ', paste0(entityNameList, collapse = ", "), ', Npat)')
)
)]
)
uniqueN(npiAttrivalid$NPI) # 2591 providers are attributed to at least 1 patients
fwrite(npiAttrivalid, file.path(dir.out, 'npiAttrivalid.csv'))
### NPI tables
npitable <- data.table(entityName = entityNameList,
provider.total = apply(apply(npiAttri[, eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.PCP = apply(apply(npiAttri[Taxonomy1 %in% taxo_PCP,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ObGyn = apply(apply(npiAttri[Taxonomy1 %in% taxo_OBGYN,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.NP = apply(apply(npiAttri[Taxonomy1 %in% taxo_NP,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provier.PA = apply(apply(npiAttri[Taxonomy1 %in% taxo_PA,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.PedM = apply(apply(npiAttri[Taxonomy1 %in% taxo_PedM,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.total = apply(apply(npiAttrivalid[, eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.PCP = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_PCP,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.ObGyn = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_OBGYN,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.NP = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_NP,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.PA = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_PA,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.PedM = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_PedM,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.CCNS = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_CCNS,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.FP = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_FP,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.IM = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_IM,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
provider.ineffect.GP = apply(apply(npiAttrivalid[Taxonomy1 %in% taxo_GP,
eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum)
)
fwrite(npitable,
file.path(dir.demo, 'demo_provider.csv'))
### NPI lists and ineffect indicator for each entity
dir.out2 <- output_dir(paste0(dir.out, 'ANLists_final', date_attribution))
for (entityName in entityNameList){
npi_AN <- npiAttri[eval(parse(text = entityName)) == 1,
.(NPI, Taxonomy1)]
## npi_AN.ineffect <- npiAttrivalid[eval(parse(text = entityName)) == 1]$NPI
npi_AN.ineffect <- npiAttrivalid[eval(parse(text = entityName)) == 1][, .N, by = NPI]
npi_AN <- npiAttrivalid[, .(NPI, Npat)][npi_AN, on = 'NPI']
npi_AN[is.na(Npat), Npat := 0]
## table(npi_AN.ineffect$Npat)
fwrite(npi_AN,
paste0(dir.out2, '/', entityName, '.csv'))
cat(entityName, dim(npi_AN)[1], dim(npi_AN[Npat > 0])[1], '\n')
}
pattable <- data.table(entityName = entityNameList,
pat.total = apply(apply(Attri2valid[, eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
pat.to.pcp = apply(apply(Attri2valid[Taxonomy1 %in% taxo_PCP, eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum),
pat.to.obgyn = apply(apply(Attri2valid[Taxonomy1 %in% taxo_OBGYN, eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
2, as.numeric), 2, sum))
fwrite(pattable,
paste0(dir.out, 'PATtable.csv'))
##### Tie cases
Patient_Tie <- fread(paste0(dir.in.patAttri, 'PatientTie.csv'),
header = TRUE, colClasses = "character", encoding = 'UTF-8')
NPI_WholeSet <- fread(paste0(dir.in.NPIAttri, 'NPI_WholeSet_07162020_medicare.csv'),
header = TRUE, colClasses = "character", encoding = 'UTF-8')
Patient_Tie <- NPI_WholeSet[Patient_Tie, on = "NPI"]
Patient_Tie2 <- Patient_Tie[
, c(6:39, # corresponds to AN indicators
41 # internal_member_id
)][
, lapply(.SD, function(x) sum(as.numeric(x), na.rm = T)), by = .(internal_member_id)
]
Patient_Tie2[, AN_max := do.call(pmax, .SD), .SDcols = 2:35]
fwrite(Patient_Tie2, paste0(dir.out, 'PatientTie2.csv'))
## indicator of whether the ANs have most No. of NPI who are assigned for each tie patient.
Patient_Tie3 <- cbind(
data.table(internal_member_id = Patient_Tie2[!AN_max == 0]$internal_member_id),
Patient_Tie2[!AN_max == 0, ifelse(.SD == AN_max, 1, 0), .SDcols = 2:35]
)
uniqueN(Patient_Tie2$internal_member_id)[1] # 777
uniqueN(Patient_Tie3$internal_member_id) #354 have AN
Attri2_toAN <- rbind(
Attri2valid,
Patient_Tie3,
fill = TRUE
)
Attri2_toAN <- Attri2_toAN[, Total := eval(parse(text = paste(paste0('as.numeric(', entityNameList, ')'), collapse = "+")))]
uniqueN(Attri2_toAN$internal_member_id) # 351298
fwrite(Attri2_toAN, paste0(dir.out, "Attri2_toAN.csv"))
## discovery on providers's specialty
## npitable2 <- data.table(entityName = entityNameList,
## provider.total = apply(apply(npiAttri[, eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
## 2, as.numeric), 2, sum),
## provider.pcp = apply(apply(npiAttri[taxo %in% taxo_PCP,
## eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
## 2, as.numeric), 2, sum),
## provider.obgyn = apply(apply(npiAttri[taxo %in% taxo_OBGYN,
## eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
## 2, as.numeric), 2, sum),
## provider.ineffect.total = apply(apply(npiAttrivalid[, eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
## 2, as.numeric), 2, sum),
## provider.ineffect.pcp = apply(apply(npiAttrivalid[taxo %in% taxo_PCP,
## eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
## 2, as.numeric), 2, sum),
## provider.ineffect.obgyn = apply(apply(npiAttrivalid[taxo %in% taxo_OBGYN,
## eval(parse(text = paste0('.(', paste0(entityNameList, collapse = ", "), ')')))],
## 2, as.numeric), 2, sum))
### discovery on patients who get attributed to NPI but not ANs
outAN_part1 <- Attri2[!Identify %in% 'Unattributed' & is.na(Total) & !internal_member_id %in% Patient_Tie$internal_member_id]
outAN_part2 <- Patient_Tie2[AN_max == 0][, AN_max := NULL]
Attri2_outAN <- rbind(
outAN_part1,
outAN_part2,
fill = TRUE
)
uniqueN(Attri2_outAN$internal_member_id) # 196633
fwrite(outAN_part1, paste0(dir.out, 'Attri2_outAN_part1.csv'))
fwrite(Attri2_outAN, paste0(dir.out, 'Attri2_outAN.csv'))
### Attri2_final
Attri2_final <- rbind(
Attri2_toAN,
Attri2_outAN,
fill = T
)
uniqueN(Attri2_final$internal_member_id) # 541077
elig1 <- fread(paste0('E:/CT_APCD/Beth/data4/',
'Eligibility/Medicare_by_fiscal_yr/',
'MEDICAL_ELIG_ALL_FY12_17_medicar.csv'),
header = TRUE, colClasses = 'character',
encoding = 'UTF-8', select = c(
"INTERNAL_MEMBER_ID",
"birth_dt",
"GENDER_CODE",
NULL)) %>% unique(use.key = FALSE)
elig2 <- fread("E:/CT_APCD/shared/intermediate_data/APCD_modified/medicare_medicare_ad_patients/fy2017all_ages.csv",
header = TRUE, colClasses = 'character',
encoding = 'UTF-8')
elig <- elig1[elig2, on = "INTERNAL_MEMBER_ID", nomatch = 0]
sum(!Attri2_final$internal_member_id %in% elig$INTERNAL_MEMBER_ID)
elig[, Age := 2017 - as.integer(birth_dt)]
Attri2_final <- elig[Attri2_final, on = c('INTERNAL_MEMBER_ID' = 'internal_member_id')]
fwrite(Attri2_final, paste0(dir.out, 'Attri2_final.csv'))
### summary table for patientwise AN v.s. Specialty
nppes <- fread('E:/CT_APCD/shared/intermediate_data/APCD_modified/provider/nppes_1129.csv',
colClasses = 'character',
header = TRUE,
encoding = "UTF-8")
outAN_part1 <- nppes[outAN_part1, on = c("NPI")]
# spec.order <- c("NP", "CCNS", "PA", "OBGYN", "IM", "FP", "GP", "PedM")
# split_by_specialty <- function(dat, # data.table format with `NPI` column
# row.name){
# dat1 <- nppes[dat[!is.na(NPI), .(NPI, internal_member_id)], on = "NPI"]
# dat2 <- taxo_info[, .(taxo, spec1)][dat1, on = c("taxo" = "Taxonomy1")]
# freq <- table(factor(dat2$spec1, levels = spec.order))
# freq1 <- matrix(freq, nrow = 1)
# freq.tb <- data.table(AN = row.name, freq1)
# colnames(freq.tb) <- c("AN", names(freq))
# return(freq.tb)
# }
# AN_spec <- data.table()
# for (entityName in entityNameList){
# AN_spec <- rbind(
# AN_spec,
# split_by_specialty(
# Attri2_toAN[eval(parse(
# text = paste0(entityName, " == 1")
# ))],
# entityName
# )
# )
# cat(entityName, '\n')
# }
# AN_spec <- rbind(
# AN_spec,
# split_by_specialty(outAN_part1, "Non Attributed")
# )
# fwrite(AN_spec, paste0(dir.out, "AN_spec.csv"))
### discover those
Attri2valid <- fread(file.path(dir.out, "Attri2valid.csv"), colClasses = 'character')
length(unique(Attri2valid$NPI)) # 2591
npiAttri <- fread(paste0(dir.in.NPIAttri, 'NPI_WholeSet_07162020_medicare.csv'),
header = TRUE, colClasses = 'character', encoding = 'UTF-8')
uniqueN(npiAttri$NPI) # 4017
npiAttri[, get.patient := as.numeric(NPI %in% unique(Attri2valid$NPI))]
npi.no.patient <- npiAttri[get.patient == 0]$NPI
## source("E:/CT_APCD/Yaqiong/myfunction.R")
## MC_2016_OutP <- get_medical_vs(
## vs.list = 'Outpatient',
## year.list = 2016
## )
## MC_2017_OutP <- get_medical_vs(
## vs.list = 'Outpatient',
## ## code.sys = c("procedure_code"), #, "revenue_code"),
## year.list = 2017,
## # select = c(
## # 'INTERNAL_MEMBER_ID',
## # 'RENDERING_PROVIDER_ID',
## # 'submitter_id',
## # 'PROCEDURE_CODE'
## # )
## )
## MC_2017_OutP <- MC_2017_OutP[, .(internal_member_id, submitter_id, procedure_code, rendering_provider_id)]
## MC_2016_OutP <- MC_2016_OutP[, .(internal_member_id, submitter_id, procedure_code, rendering_provider_id)]
## ## modified provider file
## provider <- fread('E:/CT_APCD/shared/intermediate_data/APCD_modified/provider/provider_new.csv',
## header = TRUE,
## colClasses = 'character',
## encoding = 'UTF-8')
## ## modified eligibility file
## elig.patient <- fread("E:/CT_APCD/shared/intermediate_data/APCD_modified/eligibility/eligibility_patient.csv",
## header = TRUE, colClasses = 'character', encoding = 'UTF-8',
## select = c(
## "INTERNAL_MEMBER_ID",
## "birth_dt"
## )
## ) ## need MEDICAL COVERAGE?????
##
## ## identify patients whose ages more than 64
## patient_age0064 <- elig.patient[birth_dt >= 2017 - 64]$INTERNAL_MEMBER_ID
##
## ## Add NPI to raw dataset
## MC_2017_OutP <- provider[MC_2017_OutP, on = c(PROVIDER_ID = 'rendering_provider_id')]
## MC_2016_OutP <- provider[MC_2016_OutP, on = c(PROVIDER_ID = 'rendering_provider_id')]
##
## ## Exclude patients with age 65 more
## MC_2017_OutP <- MC_2017_OutP[internal_member_id %in% patient_age0064]
## MC_2016_OutP <- MC_2016_OutP[internal_member_id %in% patient_age0064]
##
## ## Exclude Medicare claims
## MC_2017_OutP <- MC_2017_OutP[!submitter_id == 15227]
## MC_2016_OutP <- MC_2016_OutP[!submitter_id == 15227]
##
## ## MC to MC_EM & MC_NotEM datasets
## MC_2017_OutP_EM <- MC_2017_OutP[procedure_code %in% CPTList]
## MC_2016_OutP_EM <- MC_2016_OutP[procedure_code %in% CPTList]
##
## MC_2017_npi.no.patient <- MC_2017_OutP_EM[NPI %in% npi.no.patient]
## dim(MC_2017_npi.no.patient)
## # claims that associate with those NPI who get no patient attributed to: 51659 (dt: 2019-04-14)
## length(unique(MC_2017_npi.no.patient$NPI))
## # npi who associate with at least 1 claim in 2017: 364 (dt: 2019-04-14)
## length(unique(MC_2017_npi.no.patient$internal_member_id))
## # patients who associate with those NPI who get no patient attributed to: 29010 (dt: 2019-04-14)
## MC_2016_npi.no.patient <- MC_2016_OutP_EM[NPI %in% npi.no.patient]
## dim(MC_2016_npi.no.patient)
## # claims that associate with those NPI who get no patient attributed to: 42581 (dt: 2019-04-14)
## length(unique(MC_2016_npi.no.patient$NPI))
## # npi who associate with at least 1 claim in 2016: 276 (dt: 2019-04-14)
## length(unique(MC_2016_npi.no.patient$internal_member_id))
## # patients who associate with those NPI who get no patient attributed to: 23625 (dt: 2019-04-14)
##
## ## 16-17 overlap
## length(unique(c(MC_2017_npi.no.patient$NPI, MC_2016_npi.no.patient)))
## # 370 (dt: 2019-04-14)
## length(unique(c(MC_2017_npi.no.patient$internal_member_id, MC_2016_npi.no.patient$internal_member_id)))
## # 41825 (dt: 2019-04-14)
## patient.target <- unique(MC_2017_npi.no.patient$internal_member_id)
## table(Attri2_final[INTERNAL_MEMBER_ID %in% patient.target]$Total)
Attri2_final[, Total := as.numeric(Total)]
Attri2_final_tmp <- Attri2_final[, lapply(.SD, sum),
by = .(INTERNAL_MEMBER_ID),
.SDcol = "Total"]
table(Attri2_final_tmp$Total) # patients with npi to 1,2,3 AN
# 1 2 3 4
# 330737 20078 479 4
Attri2valid[, Total := as.numeric(Total)]
Attri2valid_tmp <- Attri2valid[, lapply(.SD, sum),
by = .(internal_member_id),
.SDcol = "Total"]
table(Attri2valid_tmp$Total) # patients (with npi and no tie) to 1,2,3 AN
# 1 2 3
# 330435 20032 477
Patient_Tie4 <- Patient_Tie3
Patient_Tie4[, Total := rowSums(.SD, na.rm = T),
.SDcols = names(Patient_Tie4)[-1]]
table(Patient_Tie4$Total) # patients (with npi and tie) to 1,2,3 AN
# 2 4 6 8
# 302 46 2 4