diff --git a/fieldExtraction/src/testbed/one_to_n_comparison.py b/fieldExtraction/src/testbed/one_to_n_comparison.py index 4358838..7b22af0 100644 --- a/fieldExtraction/src/testbed/one_to_n_comparison.py +++ b/fieldExtraction/src/testbed/one_to_n_comparison.py @@ -20,8 +20,8 @@ def are_entries_similar_field_by_field(entry1: tuple, entry2: tuple, thresholds= # Compare each field with its corresponding threshold for i, (field1, field2) in enumerate(zip(entry1, entry2)): - field1_str = str(field1) - field2_str = str(field2) + field1_str = str(field1).lower() + field2_str = str(field2).lower() # Calculate similarity for this field similarity = fuzz.token_sort_ratio(field1_str, field2_str) @@ -83,8 +83,8 @@ def evaluate_one_to_n_fields_fuzzy_matching_field_by_field( matched_predictions.add(j) break # Calculate unmatched entries - total_false_negatives += len(labeled_entries) - len(matched_labels) - total_false_positives += len(predicted_entries) - len(matched_predictions) + total_false_negatives += len(labeled_entries) - len(matched_labels) # False negatives are labeled entries that were not matched + total_false_positives += len(predicted_entries) - len(matched_predictions) # False positives are predicted entries that were not matched # Calculate overall metrics diff --git a/fieldExtraction/src/testbed/test_one_to_n.ipynb b/fieldExtraction/src/testbed/test_one_to_n.ipynb index 8bf1019..46c6542 100644 --- a/fieldExtraction/src/testbed/test_one_to_n.ipynb +++ b/fieldExtraction/src/testbed/test_one_to_n.ipynb @@ -73,16 +73,22 @@ "source": [ "\n", "# make list of dataframes from labels_files\n", + "# Track where labels are coming from\n", "labels_dfs = []\n", "for filename in labels_files:\n", " print(f\"Reading {filename}\")\n", " if filename == \"DocziAI_2-12.xlsx\":\n", - " labels_dfs.append(pd.read_excel(\"Reimbursement Field Files/\" + filename, sheet_name=\"doczy-ai-test-20240211\", skiprows=3))\n", + " df_extract = pd.read_excel(\"Reimbursement Field Files/\" + filename, sheet_name=\"doczy-ai-test-20240211\", skiprows=3)\n", + " df_extract['data_source'] = filename\n", + " labels_dfs.append(df_extract)\n", " elif filename.endswith(\".xlsx\"):\n", - " labels_dfs.append(pd.read_excel(\"Reimbursement Field Files/\" + filename))\n", + " df_extract = pd.read_excel(\"Reimbursement Field Files/\" + filename)\n", + " df_extract['data_source'] = filename\n", + " labels_dfs.append(df_extract)\n", " elif filename.endswith(\".csv\"):\n", - " labels_dfs.append(pd.read_csv(\"Reimbursement Field Files/\" + filename))\n", - " \n", + " df_extract = pd.read_csv(\"Reimbursement Field Files/\" + filename)\n", + " df_extract['data_source'] = filename\n", + " labels_dfs.append(df_extract)\n", "\n", "print(f\"Extracted {len(labels_dfs)} dataframes.\")\n" ] @@ -95,7 +101,7 @@ "source": [ "labels_df = pd.concat(labels_dfs, ignore_index=True)\n", "# This is any consolidated output from the model; they can be found in S3\n", - "predictions_df = pd.read_csv('inv-test-0305-RESULTS.csv')\n", + "predictions_df = pd.read_csv('inv-test-0305-PM-RESULTS.csv')\n", "\n", "# For all float and int columns, standardize to Int64 and handle NaN values (optional)\n", "# labels_df = labels_df.astype({col: 'Int64' for col in labels_df.select_dtypes(include=['float', 'int']).columns})\n", @@ -106,13 +112,5205 @@ "cell_type": "code", "execution_count": 5, "metadata": {}, + "outputs": [ + { + "data": { + "application/vnd.microsoft.datawrangler.viewer.v0+json": { + "columns": [ + { + "name": "index", + "rawType": "int64", + "type": "integer" + }, + { + "name": "PROV_GROUP_TIN", + "rawType": "object", + "type": "unknown" + }, + { + "name": "PROV_TIN_OTHER", + "rawType": "object", + "type": "unknown" + }, + { + "name": "PROV_GROUP_NPI", + "rawType": "object", + "type": "unknown" + }, + { + "name": "PROV_NPI_OTHER", + "rawType": "object", + "type": "unknown" + }, + { + "name": "CONTRACT_TITLE", + "rawType": "object", + "type": "unknown" + }, + { + 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PROV_GROUP_TINPROV_TIN_OTHERPROV_GROUP_NPIPROV_NPI_OTHERCONTRACT_TITLECONTRACT_EFFECTIVE_DTCONTRACT_AUTO_RENEWAL_TERMCONTRACT_TERMINATION_DTCONTRACT_AUTO_RENEWAL_INDCONTRACT_CLAIM_TYPE_CD...data_source1861445421DIAG_CD_LISTREIMBURSEMENT_PROV_NAMEAARETE_DERIVED_PROV_TYPELesser ofJD NOTE, Action RequiredNOT_TO_EXCEEDREIMBURSEMENT_EFFECTIVE_DTREIMBURSEMENT_TERMINATION_DT
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1776943455260NaNNaNNaNMODA HEALTH PLAN, INC. PARTICIPATING PROVIDER ...2018-09-15 00:00:0012 monthswill automatically extend and continue in effe...YProfessional...DocziAI_2-12.xlsxNaNNaNNaNNaNNaNNaNNNaTNaT
1777943455260NaNNaNNaNMODA HEALTH PLAN, INC. PARTICIPATING PROVIDER ...2018-09-15 00:00:0012 monthswill automatically extend and continue in effe...YProfessional...DocziAI_2-12.xlsxNaNNaNNaNNaNNaNNaNNNaTNaT
..................................................................
3273141338470NaN1932182599, 1285601237, 1447227491NaNAMENDMENT TO THE STANDARD HOSPITAL PROVIDER AG...2016-01-01 00:00:00NaNNaNNInstitutional...DocziAI_2-12.xlsxNaNNaNNaNNaNNaNNaN500NaTNaT
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" + ], + "text/plain": [ + " PROV_GROUP_TIN PROV_TIN_OTHER PROV_GROUP_NPI \\\n", + "1773 943455260 NaN NaN \n", + "1774 943455260 NaN NaN \n", + "1775 943455260 NaN NaN \n", + "1776 943455260 NaN NaN \n", + "1777 943455260 NaN NaN \n", + "... ... ... ... \n", + "3273 141338470 NaN 1932182599, 1285601237, 1447227491 \n", + "3274 141338470 NaN 1932182599, 1285601237, 1447227491 \n", + "3275 141338470 NaN 1932182599, 1285601237, 1447227491 \n", + "3276 141338470 NaN 1932182599, 1285601237, 1447227491 \n", + "3277 141338470 NaN 1932182599, 1285601237, 1447227491 \n", + "\n", + " PROV_NPI_OTHER CONTRACT_TITLE \\\n", + "1773 NaN MODA HEALTH PLAN, INC. PARTICIPATING PROVIDER ... \n", + "1774 NaN MODA HEALTH PLAN, INC. PARTICIPATING PROVIDER ... \n", + "1775 NaN MODA HEALTH PLAN, INC. PARTICIPATING PROVIDER ... \n", + "1776 NaN MODA HEALTH PLAN, INC. PARTICIPATING PROVIDER ... \n", + "1777 NaN MODA HEALTH PLAN, INC. PARTICIPATING PROVIDER ... \n", + "... ... ... \n", + "3273 NaN AMENDMENT TO THE STANDARD HOSPITAL PROVIDER AG... \n", + "3274 NaN AMENDMENT TO THE STANDARD HOSPITAL PROVIDER AG... \n", + "3275 NaN AMENDMENT TO THE STANDARD HOSPITAL PROVIDER AG... \n", + "3276 NaN AMENDMENT TO THE STANDARD HOSPITAL PROVIDER AG... \n", + "3277 NaN AMENDMENT TO THE STANDARD HOSPITAL PROVIDER AG... \n", + "\n", + " CONTRACT_EFFECTIVE_DT CONTRACT_AUTO_RENEWAL_TERM \\\n", + "1773 2018-09-15 00:00:00 12 months \n", + "1774 2018-09-15 00:00:00 12 months \n", + "1775 2018-09-15 00:00:00 12 months \n", + "1776 2018-09-15 00:00:00 12 months \n", + "1777 2018-09-15 00:00:00 12 months \n", + "... ... ... \n", + "3273 2016-01-01 00:00:00 NaN \n", + "3274 2016-01-01 00:00:00 NaN \n", + "3275 2016-01-01 00:00:00 NaN \n", + "3276 2016-01-01 00:00:00 NaN \n", + "3277 2016-01-01 00:00:00 NaN \n", + "\n", + " CONTRACT_TERMINATION_DT \\\n", + "1773 will automatically extend and continue in effe... \n", + "1774 will automatically extend and continue in effe... \n", + "1775 will automatically extend and continue in effe... \n", + "1776 will automatically extend and continue in effe... \n", + "1777 will automatically extend and continue in effe... \n", + "... ... \n", + "3273 NaN \n", + "3274 NaN \n", + "3275 NaN \n", + "3276 NaN \n", + "3277 NaN \n", + "\n", + " CONTRACT_AUTO_RENEWAL_IND CONTRACT_CLAIM_TYPE_CD ... data_source \\\n", + "1773 Y Professional ... DocziAI_2-12.xlsx \n", + "1774 Y Professional ... DocziAI_2-12.xlsx \n", + "1775 Y Professional ... DocziAI_2-12.xlsx \n", + "1776 Y Professional ... DocziAI_2-12.xlsx \n", + "1777 Y Professional ... DocziAI_2-12.xlsx \n", + "... ... ... ... ... \n", + "3273 N Institutional ... DocziAI_2-12.xlsx \n", + "3274 N Institutional ... DocziAI_2-12.xlsx \n", + "3275 N Institutional ... DocziAI_2-12.xlsx \n", + "3276 N Institutional ... DocziAI_2-12.xlsx \n", + "3277 N Institutional ... DocziAI_2-12.xlsx \n", + "\n", + " 1861445421 DIAG_CD_LIST REIMBURSEMENT_PROV_NAME AARETE_DERIVED_PROV_TYPE \\\n", + "1773 NaN NaN NaN NaN \n", + "1774 NaN NaN NaN NaN \n", + "1775 NaN NaN NaN NaN \n", + "1776 NaN NaN NaN NaN \n", + "1777 NaN NaN NaN NaN \n", + "... ... ... ... ... \n", + "3273 NaN NaN NaN NaN \n", + "3274 NaN NaN NaN NaN \n", + "3275 NaN NaN NaN NaN \n", + "3276 NaN NaN NaN NaN \n", + "3277 NaN NaN NaN NaN \n", + "\n", + " Lesser of JD NOTE, Action Required NOT_TO_EXCEED \\\n", + "1773 NaN NaN N \n", + "1774 NaN NaN N \n", + "1775 NaN NaN N \n", + "1776 NaN NaN N \n", + "1777 NaN NaN N \n", + "... ... ... ... \n", + "3273 NaN NaN 500 \n", + "3274 NaN NaN 500 \n", + "3275 NaN NaN NaN \n", + "3276 NaN NaN NaN \n", + "3277 NaN NaN NaN \n", + "\n", + " REIMBURSEMENT_EFFECTIVE_DT REIMBURSEMENT_TERMINATION_DT \n", + "1773 NaT NaT \n", + "1774 NaT NaT \n", + "1775 NaT NaT \n", + "1776 NaT NaT \n", + "1777 NaT NaT \n", + "... ... ... \n", + "3273 NaT NaT \n", + "3274 NaT NaT \n", + "3275 NaT NaT \n", + "3276 NaT NaT \n", + "3277 NaT NaT \n", + "\n", + "[1505 rows x 83 columns]" + ] + }, + "execution_count": 5, + "metadata": {}, + "output_type": "execute_result" + } + ], + "source": [ + "labels_df[labels_df['data_source'] == 'DocziAI_2-12.xlsx']" + ] + }, + { + "cell_type": "code", + "execution_count": 6, + "metadata": {}, + "outputs": [ + { + "name": "stdout", + "output_type": "stream", + "text": [ + "nan 0\n", + "Custom_2009-08-10 Adventist - University Community Hopstial LTAC MU.txt 2\n", + "2018 09 01 UTMB (Amendment 10 change in reimbursement) MU.txt 2\n" + ] + } + ], + "source": [ + "for fn in labels_df['CONTRACT_FILE_NAME'].unique():\n", + " n_sources = len(labels_df[labels_df['CONTRACT_FILE_NAME'] == fn]['data_source'].unique())\n", + " if n_sources != 1:\n", + " # Remove rows from docziAI that have a separate data source\n", + " labels_df = labels_df[~((labels_df['CONTRACT_FILE_NAME'] == fn) & (labels_df['data_source'] == 'DocziAI_2-12.xlsx'))]\n", + " print(fn, n_sources)" + ] + }, + { + "cell_type": "code", + "execution_count": 7, + "metadata": {}, "outputs": [ { "name": "stdout", "output_type": "stream", "text": [ "There are 70 unique contract file names in the labels dataframe.\n", - "There are 93 unique contract file names in the predictions dataframe.\n" + "There are 95 unique contract file names in the predictions dataframe.\n" ] } ], @@ -126,7 +5324,7 @@ }, { "cell_type": "code", - "execution_count": 6, + "execution_count": 8, "metadata": {}, "outputs": [ { @@ -134,217 +5332,217 @@ "output_type": "stream", "text": [ "Processing BSW _ Original Contract _ 1.1.2000 MU.txt\n", - "false_negatives: 22 | false_positives: 1 | true_positives: 0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", + "false_negatives: 22 | false_positives: 1 | true_positives: 0 | accuracy: 0.0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", "\n", "Processing 39-0806250-Divine Saviour Hospital-ICMProviderAgreement_97009.txt\n", - "false_negatives: 0 | false_positives: 0 | true_positives: 2 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", + "false_negatives: 0 | false_positives: 0 | true_positives: 2 | accuracy: 1.0 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", "\n", "Processing nan\n", "Contract nan not found in labels.\n", "\n", "Processing Custom_2009-08-10 Adventist - University Community Hopstial LTAC MU.txt\n", - "false_negatives: 16 | false_positives: 0 | true_positives: 8 | precision: 1.0 | recall: 0.3333333333333333 | f1_score: 0.5\n", + "false_negatives: 1 | false_positives: 0 | true_positives: 8 | accuracy: 0.8888888888888888 | precision: 1.0 | recall: 0.8888888888888888 | f1_score: 0.9411764705882353\n", "\n", "Processing 2001-11-01 California Emergency Physicians PSA_MU.txt\n", - "false_negatives: 19 | false_positives: 12 | true_positives: 31 | precision: 0.7209302325581395 | recall: 0.62 | f1_score: 0.6666666666666666\n", + "false_negatives: 17 | false_positives: 12 | true_positives: 33 | accuracy: 0.532258064516129 | precision: 0.7333333333333333 | recall: 0.66 | f1_score: 0.6947368421052631\n", "\n", "Processing 92-2764433-MAGNOLIA MOBILE HOME CARE LLC-ICMProviderAgreement_322270.txt\n", - "false_negatives: 0 | false_positives: 0 | true_positives: 14 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", + "false_negatives: 0 | false_positives: 0 | true_positives: 14 | accuracy: 1.0 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", "\n", "Processing Fac1_Bullhead City_Western Arizona Med Center - 860982071 MU.txt\n", - "false_negatives: 4 | false_positives: 0 | true_positives: 5 | precision: 1.0 | recall: 0.5555555555555556 | f1_score: 0.7142857142857143\n", + "false_negatives: 3 | false_positives: 0 | true_positives: 6 | accuracy: 0.6666666666666666 | precision: 1.0 | recall: 0.6666666666666666 | f1_score: 0.8\n", "\n", "Processing Custom_PSA - Advanced Gastroenterology of Texas PLLC -Executed 47-4543923 MU.txt\n", - "false_negatives: 12 | false_positives: 2 | true_positives: 0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", + "false_negatives: 9 | false_positives: 16 | true_positives: 3 | accuracy: 0.10714285714285714 | precision: 0.15789473684210525 | recall: 0.25 | f1_score: 0.1935483870967742\n", "\n", "Processing 2022 01 20 West Park Primary Care_Master (Master) PHY Executed.pdf.filepart MU.txt\n", - "false_negatives: 22 | false_positives: 29 | true_positives: 18 | precision: 0.3829787234042553 | recall: 0.45 | f1_score: 0.4137931034482758\n", + "false_negatives: 22 | false_positives: 29 | true_positives: 18 | accuracy: 0.2608695652173913 | precision: 0.3829787234042553 | recall: 0.45 | f1_score: 0.4137931034482758\n", "\n", "Processing 95-2648499-Mission Pathology Medical Associates-ICMProviderAgreement_254534.txt\n", - "false_negatives: 62 | false_positives: 2 | true_positives: 16 | precision: 0.8888888888888888 | recall: 0.20512820512820512 | f1_score: 0.3333333333333333\n", + "false_negatives: 60 | false_positives: 0 | true_positives: 18 | accuracy: 0.23076923076923078 | precision: 1.0 | recall: 0.23076923076923078 | f1_score: 0.375\n", "\n", "Processing 61-1400871-West Kentucky Dermatology PSC-ICMProviderAgreement_104221.txt\n", - "false_negatives: 0 | false_positives: 0 | true_positives: 5 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", + "false_negatives: 0 | false_positives: 0 | true_positives: 5 | accuracy: 1.0 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", "\n", "Processing 91-1885077-COASTAL ANESTHESIOLOGY MEDICAL-ICMProviderAgreement_242069.txt\n", - "false_negatives: 4 | false_positives: 3 | true_positives: 43 | precision: 0.9347826086956522 | recall: 0.9148936170212766 | f1_score: 0.924731182795699\n", + "false_negatives: 4 | false_positives: 3 | true_positives: 43 | accuracy: 0.86 | precision: 0.9347826086956522 | recall: 0.9148936170212766 | f1_score: 0.924731182795699\n", "\n", "Processing 84-5179194-Heart and Soul Hospice LLC-ICMProviderAgreement_273737.txt\n", - "false_negatives: 2 | false_positives: 2 | true_positives: 2 | precision: 0.5 | recall: 0.5 | f1_score: 0.5\n", + "false_negatives: 2 | false_positives: 2 | true_positives: 2 | accuracy: 0.3333333333333333 | precision: 0.5 | recall: 0.5 | f1_score: 0.5\n", "\n", "Processing 050540697 Deepak Nanda 2017 PHSP MU.txt\n", - "false_negatives: 0 | false_positives: 0 | true_positives: 1 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", + "false_negatives: 1 | false_positives: 2 | true_positives: 0 | accuracy: 0.0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", "\n", "Processing 02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt\n", - "false_negatives: 112 | false_positives: 59 | true_positives: 3 | precision: 0.04838709677419355 | recall: 0.02608695652173913 | f1_score: 0.033898305084745756\n", + "false_negatives: 112 | false_positives: 59 | true_positives: 3 | accuracy: 0.017241379310344827 | precision: 0.04838709677419355 | recall: 0.02608695652173913 | f1_score: 0.033898305084745756\n", "\n", "Processing 86-0898663-Founder Health, LLC dba Preferred Homecare-ICMProviderAgreement_120661.txt\n", - "false_negatives: 50 | false_positives: 21 | true_positives: 85 | precision: 0.8018867924528302 | recall: 0.6296296296296297 | f1_score: 0.7053941908713692\n", + "false_negatives: 36 | false_positives: 18 | true_positives: 99 | accuracy: 0.6470588235294118 | precision: 0.8461538461538461 | recall: 0.7333333333333333 | f1_score: 0.7857142857142856\n", "\n", "Processing Adena Health System National Template Agreement C19460229AA.txt\n", - "false_negatives: 7 | false_positives: 7 | true_positives: 44 | precision: 0.8627450980392157 | recall: 0.8627450980392157 | f1_score: 0.8627450980392157\n", + "false_negatives: 7 | false_positives: 7 | true_positives: 44 | accuracy: 0.7586206896551724 | precision: 0.8627450980392157 | recall: 0.8627450980392157 | f1_score: 0.8627450980392157\n", "\n", "Processing 2018 09 01 UTMB (Amendment 10 change in reimbursement) MU.txt\n", - "false_negatives: 57 | false_positives: 28 | true_positives: 1 | precision: 0.034482758620689655 | recall: 0.017241379310344827 | f1_score: 0.022988505747126436\n", + "false_negatives: 36 | false_positives: 26 | true_positives: 1 | accuracy: 0.015873015873015872 | precision: 0.037037037037037035 | recall: 0.02702702702702703 | f1_score: 0.03125\n", "\n", "Processing 2014-01-01 United Health Centers San Joaquin AMD MU.txt\n", - "false_negatives: 15 | false_positives: 6 | true_positives: 15 | precision: 0.7142857142857143 | recall: 0.5 | f1_score: 0.588235294117647\n", + "false_negatives: 15 | false_positives: 6 | true_positives: 15 | accuracy: 0.4166666666666667 | precision: 0.7142857142857143 | recall: 0.5 | f1_score: 0.588235294117647\n", "\n", "Processing 5.2000_Rehab Designs of America_VendorAgreement MU.txt\n", - "false_negatives: 0 | false_positives: 0 | true_positives: 4 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", + "false_negatives: 0 | false_positives: 0 | true_positives: 4 | accuracy: 1.0 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", "\n", "Processing 36-2902782-Circle Family HealthCare Network-ICMProviderAgreement_59631.txt\n", "Contract 36-2902782-Circle Family HealthCare Network-ICMProviderAgreement_59631.txt not found in predictions.\n", "\n", "Processing 2014-01-01 COMM PPO - PeaceHealth Multi TIN - Facility and Prof MU.txt\n", - "false_negatives: 66 | false_positives: 61 | true_positives: 181 | precision: 0.7479338842975206 | recall: 0.7327935222672065 | f1_score: 0.7402862985685071\n", + "false_negatives: 81 | false_positives: 89 | true_positives: 166 | accuracy: 0.49404761904761907 | precision: 0.6509803921568628 | recall: 0.6720647773279352 | f1_score: 0.6613545816733067\n", "\n", "Processing 06-1798267-Anthony W. Le, A Professional Corp-ICMProviderAgreement_316844.txt\n", - "Contract 06-1798267-Anthony W. Le, A Professional Corp-ICMProviderAgreement_316844.txt not found in predictions.\n", + "false_negatives: 1 | false_positives: 6 | true_positives: 39 | accuracy: 0.8478260869565217 | precision: 0.8666666666666667 | recall: 0.975 | f1_score: 0.9176470588235294\n", "\n", "Processing 33-0057155-Apria Healthcare, Inc.-ICMProviderAgreementAmendment_26762.txt\n", - "false_negatives: 372 | false_positives: 243 | true_positives: 161 | precision: 0.39851485148514854 | recall: 0.30206378986866794 | f1_score: 0.3436499466382071\n", + "false_negatives: 373 | false_positives: 234 | true_positives: 160 | accuracy: 0.20860495436766624 | precision: 0.40609137055837563 | recall: 0.300187617260788 | f1_score: 0.3451995685005394\n", "\n", "Processing 20-1668371-Midwest Medical Equipment Solutions, Inc.-ICMProviderAgreementAmendment_166876.txt\n", - "false_negatives: 80 | false_positives: 44 | true_positives: 0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", + "false_negatives: 78 | false_positives: 28 | true_positives: 2 | accuracy: 0.018518518518518517 | precision: 0.06666666666666667 | recall: 0.025 | f1_score: 0.03636363636363636\n", "\n", "Processing 95-3372911; Multiple-Davita Healthcare Partners, Inc.-ICMProviderAgreement_138658.txt\n", - "false_negatives: 4 | false_positives: 4 | true_positives: 42 | precision: 0.9130434782608695 | recall: 0.9130434782608695 | f1_score: 0.9130434782608695\n", + "false_negatives: 4 | false_positives: 4 | true_positives: 42 | accuracy: 0.84 | precision: 0.9130434782608695 | recall: 0.9130434782608695 | f1_score: 0.9130434782608695\n", "\n", "Processing 429670586-Melissa Ann Clark-ICMProviderAgreement_128379_1.txt\n", - "false_negatives: 3 | false_positives: 4 | true_positives: 5 | precision: 0.5555555555555556 | recall: 0.625 | f1_score: 0.5882352941176471\n", + "false_negatives: 0 | false_positives: 1 | true_positives: 8 | accuracy: 0.8888888888888888 | precision: 0.8888888888888888 | recall: 1.0 | f1_score: 0.9411764705882353\n", "\n", "Processing ICMProviderAgreement_ICMProviderAgreement_295973_15.txt\n", - "false_negatives: 0 | false_positives: 5 | true_positives: 5 | precision: 0.5 | recall: 1.0 | f1_score: 0.6666666666666666\n", + "Contract ICMProviderAgreement_ICMProviderAgreement_295973_15.txt not found in predictions.\n", "\n", "Processing Custom_2018-09-15 COMM Agmt FE - Bandon Community Health Center dba Coast Community Health Center.txt\n", - "false_negatives: 159 | false_positives: 124 | true_positives: 15 | precision: 0.1079136690647482 | recall: 0.08620689655172414 | f1_score: 0.09584664536741214\n", + "false_negatives: 165 | false_positives: 130 | true_positives: 9 | accuracy: 0.029605263157894735 | precision: 0.06474820143884892 | recall: 0.05172413793103448 | f1_score: 0.05750798722044728\n", "\n", "Processing Akron General Health System_Eleventh Amendment_20171001.txt\n", - "false_negatives: 14 | false_positives: 13 | true_positives: 12 | precision: 0.48 | recall: 0.46153846153846156 | f1_score: 0.47058823529411764\n", + "false_negatives: 9 | false_positives: 13 | true_positives: 17 | accuracy: 0.4358974358974359 | precision: 0.5666666666666667 | recall: 0.6538461538461539 | f1_score: 0.6071428571428571\n", "\n", "Processing Progressive Women's Health, PLLC_Physician Agreement MU.txt\n", - "false_negatives: 17 | false_positives: 26 | true_positives: 13 | precision: 0.3333333333333333 | recall: 0.43333333333333335 | f1_score: 0.37681159420289856\n", + "false_negatives: 4 | false_positives: 11 | true_positives: 26 | accuracy: 0.6341463414634146 | precision: 0.7027027027027027 | recall: 0.8666666666666667 | f1_score: 0.7761194029850748\n", "\n", "Processing Custom_HSA_EFF07012010_Driscoll Children's Hospital MU.txt\n", - "false_negatives: 4 | false_positives: 4 | true_positives: 1 | precision: 0.2 | recall: 0.2 | f1_score: 0.20000000000000004\n", + "false_negatives: 4 | false_positives: 4 | true_positives: 1 | accuracy: 0.1111111111111111 | precision: 0.2 | recall: 0.2 | f1_score: 0.20000000000000004\n", "\n", "Processing Custom_2012-10-01 AdvenHealth Amendment.txt\n", - "false_negatives: 99 | false_positives: 107 | true_positives: 71 | precision: 0.398876404494382 | recall: 0.4176470588235294 | f1_score: 0.4080459770114942\n", + "false_negatives: 104 | false_positives: 116 | true_positives: 66 | accuracy: 0.23076923076923078 | precision: 0.3626373626373626 | recall: 0.38823529411764707 | f1_score: 0.375\n", "\n", "Processing BoilerplateAnc_Bentley Medical PLLC - Amendment 8.1.14_MU.txt\n", - "false_negatives: 2 | false_positives: 2 | true_positives: 0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", + "false_negatives: 0 | false_positives: 0 | true_positives: 2 | accuracy: 1.0 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", "\n", "Processing Boilerplate_2020-01-01 COMM Amend FE (Beacon) - Portland Adventist Medical Center MU.txt\n", - "false_negatives: 2 | false_positives: 4 | true_positives: 5 | precision: 0.5555555555555556 | recall: 0.7142857142857143 | f1_score: 0.6250000000000001\n", + "false_negatives: 2 | false_positives: 4 | true_positives: 5 | accuracy: 0.45454545454545453 | precision: 0.5555555555555556 | recall: 0.7142857142857143 | f1_score: 0.6250000000000001\n", "\n", "Processing Hunt Regional Medical Center Executed Contract.txt\n", - "false_negatives: 1 | false_positives: 1 | true_positives: 1 | precision: 0.5 | recall: 0.5 | f1_score: 0.5\n", + "false_negatives: 1 | false_positives: 1 | true_positives: 1 | accuracy: 0.3333333333333333 | precision: 0.5 | recall: 0.5 | f1_score: 0.5\n", "\n", "Processing Custom_PSA - TX - Fresenius BIOMEDICAL APPLICATIONS OF TEXAS INC - 11-2226275 - 06012010 (1) (2) MU.txt\n", - "false_negatives: 24 | false_positives: 25 | true_positives: 0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", + "false_negatives: 24 | false_positives: 25 | true_positives: 0 | accuracy: 0.0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", "\n", "Processing AMD - IV - HSA eff 2017 (amd 4) - Broward MU.txt\n", - "false_negatives: 41 | false_positives: 19 | true_positives: 11 | precision: 0.36666666666666664 | recall: 0.21153846153846154 | f1_score: 0.26829268292682923\n", + "false_negatives: 51 | false_positives: 31 | true_positives: 1 | accuracy: 0.012048192771084338 | precision: 0.03125 | recall: 0.019230769230769232 | f1_score: 0.02380952380952381\n", "\n", "Processing 2019 01 01 Gulf Coast Division (Agreement_STAR, CHIP, CHIP P, STAR_PLUS) MU.txt\n", - "false_negatives: 20 | false_positives: 37 | true_positives: 16 | precision: 0.3018867924528302 | recall: 0.4444444444444444 | f1_score: 0.3595505617977528\n", + "false_negatives: 25 | false_positives: 44 | true_positives: 11 | accuracy: 0.1375 | precision: 0.2 | recall: 0.3055555555555556 | f1_score: 0.2417582417582418\n", "\n", "Processing AGMT - HSA - TEXAS HEALTH RESOURCES - 75-6001743 MU.txt\n", - "false_negatives: 3 | false_positives: 3 | true_positives: 1 | precision: 0.25 | recall: 0.25 | f1_score: 0.25\n", + "false_negatives: 4 | false_positives: 2 | true_positives: 0 | accuracy: 0.0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", "\n", "Processing ICMProviderAgreement_CorasWellnessAndBehavioralHealth_212482_8.txt\n", - "false_negatives: 1 | false_positives: 0 | true_positives: 16 | precision: 1.0 | recall: 0.9411764705882353 | f1_score: 0.9696969696969697\n", + "false_negatives: 9 | false_positives: 8 | true_positives: 8 | accuracy: 0.32 | precision: 0.5 | recall: 0.47058823529411764 | f1_score: 0.48484848484848486\n", "\n", "Processing Boilerplate_Benjamin Bieber MD - Amendment 5.30.16_MU.txt\n", - "false_negatives: 4 | false_positives: 4 | true_positives: 4 | precision: 0.5 | recall: 0.5 | f1_score: 0.5\n", + "false_negatives: 5 | false_positives: 5 | true_positives: 3 | accuracy: 0.23076923076923078 | precision: 0.375 | recall: 0.375 | f1_score: 0.375\n", "\n", "Processing Community Health Network_Base Contract MU.txt\n", - "false_negatives: 6 | false_positives: 3 | true_positives: 2 | precision: 0.4 | recall: 0.25 | f1_score: 0.3076923076923077\n", + "false_negatives: 6 | false_positives: 3 | true_positives: 2 | accuracy: 0.18181818181818182 | precision: 0.4 | recall: 0.25 | f1_score: 0.3076923076923077\n", "\n", "Processing CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTER OF EL PASO - 74-6000756 MU.txt\n", - "false_negatives: 5 | false_positives: 5 | true_positives: 4 | precision: 0.4444444444444444 | recall: 0.4444444444444444 | f1_score: 0.4444444444444444\n", + "false_negatives: 5 | false_positives: 5 | true_positives: 4 | accuracy: 0.2857142857142857 | precision: 0.4444444444444444 | recall: 0.4444444444444444 | f1_score: 0.4444444444444444\n", "\n", "Processing Anc2_23-1943113_BayadaHHC_Amendment1_553403.txt\n", - "false_negatives: 57 | false_positives: 56 | true_positives: 3 | precision: 0.05084745762711865 | recall: 0.05 | f1_score: 0.05042016806722689\n", + "false_negatives: 43 | false_positives: 42 | true_positives: 17 | accuracy: 0.16666666666666666 | precision: 0.288135593220339 | recall: 0.2833333333333333 | f1_score: 0.2857142857142857\n", "\n", "Processing 6.2000_Omni Transport Systems_ServicesAgreement MU.txt\n", - "false_negatives: 0 | false_positives: 0 | true_positives: 4 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", + "false_negatives: 0 | false_positives: 0 | true_positives: 4 | accuracy: 1.0 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", "\n", "Processing Boilerplate_PSA_Houston Eye Associates_76-0512625_05012007 MU.txt\n", - "false_negatives: 0 | false_positives: 3 | true_positives: 2 | precision: 0.4 | recall: 1.0 | f1_score: 0.5714285714285715\n", + "false_negatives: 0 | false_positives: 4 | true_positives: 2 | accuracy: 0.3333333333333333 | precision: 0.3333333333333333 | recall: 1.0 | f1_score: 0.5\n", "\n", "Processing ICMProviderAgreement_BanyanDelaware_210080_5.txt\n", - "false_negatives: 8 | false_positives: 8 | true_positives: 8 | precision: 0.5 | recall: 0.5 | f1_score: 0.5\n", + "false_negatives: 8 | false_positives: 8 | true_positives: 8 | accuracy: 0.3333333333333333 | precision: 0.5 | recall: 0.5 | f1_score: 0.5\n", "\n", "Processing ICMProviderAgreement_AlisonUnitisLPCMH_227710_5.txt\n", - "false_negatives: 1 | false_positives: 1 | true_positives: 9 | precision: 0.9 | recall: 0.9 | f1_score: 0.9\n", + "false_negatives: 3 | false_positives: 3 | true_positives: 7 | accuracy: 0.5384615384615384 | precision: 0.7 | recall: 0.7 | f1_score: 0.7\n", "\n", "Processing ICMProviderAgreement_NewCastleHealthandRehabilitationCenter_212261_13 MU.txt\n", - "false_negatives: 16 | false_positives: 18 | true_positives: 2 | precision: 0.1 | recall: 0.1111111111111111 | f1_score: 0.10526315789473685\n", + "false_negatives: 14 | false_positives: 14 | true_positives: 4 | accuracy: 0.125 | precision: 0.2222222222222222 | recall: 0.2222222222222222 | f1_score: 0.2222222222222222\n", "\n", "Processing 2013-09-01 Fresno Dental Surgery Center PPA_MU.txt\n", - "false_negatives: 31 | false_positives: 19 | true_positives: 9 | precision: 0.32142857142857145 | recall: 0.225 | f1_score: 0.2647058823529412\n", + "false_negatives: 26 | false_positives: 17 | true_positives: 14 | accuracy: 0.24561403508771928 | precision: 0.45161290322580644 | recall: 0.35 | f1_score: 0.3943661971830986\n", "\n", "Processing Genesis_ICMProviderAgreement_ICMProviderAgreement_153537_5.txt\n", - "false_negatives: 7 | false_positives: 6 | true_positives: 3 | precision: 0.3333333333333333 | recall: 0.3 | f1_score: 0.3157894736842105\n", + "false_negatives: 6 | false_positives: 6 | true_positives: 4 | accuracy: 0.25 | precision: 0.4 | recall: 0.4 | f1_score: 0.4000000000000001\n", "\n", "Processing Boilerplate_Fac_Bronx Lebanon Hospital Center - Amendment 1.1.14 MU.txt\n", - "false_negatives: 7 | false_positives: 7 | true_positives: 1 | precision: 0.125 | recall: 0.125 | f1_score: 0.125\n", + "false_negatives: 1 | false_positives: 1 | true_positives: 7 | accuracy: 0.7777777777777778 | precision: 0.875 | recall: 0.875 | f1_score: 0.875\n", "\n", "Processing Cabell Huntington_OH MCD Compensation MU.txt\n", - "false_negatives: 4 | false_positives: 5 | true_positives: 11 | precision: 0.6875 | recall: 0.7333333333333333 | f1_score: 0.7096774193548386\n", + "false_negatives: 4 | false_positives: 5 | true_positives: 11 | accuracy: 0.55 | precision: 0.6875 | recall: 0.7333333333333333 | f1_score: 0.7096774193548386\n", "\n", "Processing Boilerplate_AMD - MKPL - NBHD dba Broward Health - Copy_MU.txt\n", - "false_negatives: 3 | false_positives: 4 | true_positives: 9 | precision: 0.6923076923076923 | recall: 0.75 | f1_score: 0.7199999999999999\n", + "false_negatives: 1 | false_positives: 0 | true_positives: 11 | accuracy: 0.9166666666666666 | precision: 1.0 | recall: 0.9166666666666666 | f1_score: 0.9565217391304348\n", "\n", "Processing ICMProviderAgreement_ICMProviderAgreement_143342_10_Landmark of Midwest City Rehab and Nursing Center.txt\n", - "false_negatives: 0 | false_positives: 4 | true_positives: 6 | precision: 0.6 | recall: 1.0 | f1_score: 0.7499999999999999\n", + "false_negatives: 0 | false_positives: 3 | true_positives: 6 | accuracy: 0.6666666666666666 | precision: 0.6666666666666666 | recall: 1.0 | f1_score: 0.8\n", "\n", "Processing Southeast Georgia Health System Inc_20170517_Dually Executed MU.txt\n", - "Contract Southeast Georgia Health System Inc_20170517_Dually Executed MU.txt not found in predictions.\n", + "false_negatives: 2 | false_positives: 6 | true_positives: 10 | accuracy: 0.5555555555555556 | precision: 0.625 | recall: 0.8333333333333334 | f1_score: 0.7142857142857143\n", "\n", "Processing 2021-07-15 COMM Agmt FE - Samaritan Health Services MU.txt\n", - "false_negatives: 185 | false_positives: 145 | true_positives: 78 | precision: 0.34977578475336324 | recall: 0.2965779467680608 | f1_score: 0.3209876543209877\n", + "false_negatives: 187 | false_positives: 153 | true_positives: 76 | accuracy: 0.18269230769230768 | precision: 0.3318777292576419 | recall: 0.2889733840304182 | f1_score: 0.3089430894308943\n", "\n", "Processing Custom_Prof_Anna Suponya MD PC - Agreement Provider Signed_MU.txt\n", - "false_negatives: 9 | false_positives: 10 | true_positives: 5 | precision: 0.3333333333333333 | recall: 0.35714285714285715 | f1_score: 0.3448275862068965\n", + "false_negatives: 12 | false_positives: 16 | true_positives: 2 | accuracy: 0.06666666666666667 | precision: 0.1111111111111111 | recall: 0.14285714285714285 | f1_score: 0.125\n", "\n", "Processing ICMProviderAgreement_AzarEyeSurgeryCenter_232594_6.txt\n", - "false_negatives: 1 | false_positives: 0 | true_positives: 30 | precision: 1.0 | recall: 0.967741935483871 | f1_score: 0.9836065573770492\n", + "false_negatives: 5 | false_positives: 6 | true_positives: 26 | accuracy: 0.7027027027027027 | precision: 0.8125 | recall: 0.8387096774193549 | f1_score: 0.8253968253968254\n", "\n", "Processing 2019 06 01 Dr Raul Rivera & Associates (Amend 1)_MU.txt\n", - "false_negatives: 2 | false_positives: 2 | true_positives: 0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", + "false_negatives: 0 | false_positives: 0 | true_positives: 2 | accuracy: 1.0 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", "\n", "Processing Custom_Parkview Health Systems-OH MP, IN MP-ID C15656222AA MU.txt\n", - "false_negatives: 2 | false_positives: 3 | true_positives: 10 | precision: 0.7692307692307693 | recall: 0.8333333333333334 | f1_score: 0.8\n", + "false_negatives: 2 | false_positives: 10 | true_positives: 10 | accuracy: 0.45454545454545453 | precision: 0.5 | recall: 0.8333333333333334 | f1_score: 0.625\n", "\n", "Processing 133923495 CAIPA 2015 PHSP.txt\n", - "false_negatives: 64 | false_positives: 64 | true_positives: 54 | precision: 0.4576271186440678 | recall: 0.4576271186440678 | f1_score: 0.4576271186440678\n", + "false_negatives: 98 | false_positives: 47 | true_positives: 20 | accuracy: 0.12121212121212122 | precision: 0.29850746268656714 | recall: 0.1694915254237288 | f1_score: 0.2162162162162162\n", "\n", "Processing Custom_060121 HonorHealth and its Affiliates Care 1st Physician Agreement.txt\n", - "false_negatives: 15 | false_positives: 29 | true_positives: 11 | precision: 0.275 | recall: 0.4230769230769231 | f1_score: 0.33333333333333337\n", + "false_negatives: 12 | false_positives: 16 | true_positives: 14 | accuracy: 0.3333333333333333 | precision: 0.4666666666666667 | recall: 0.5384615384615384 | f1_score: 0.5\n", "\n", "Processing Anc8_Hanger Pros & Ortho West Contract.txt\n", - "Contract Anc8_Hanger Pros & Ortho West Contract.txt not found in predictions.\n", + "false_negatives: 67 | false_positives: 30 | true_positives: 23 | accuracy: 0.19166666666666668 | precision: 0.4339622641509434 | recall: 0.25555555555555554 | f1_score: 0.32167832167832167\n", "\n", "Processing Tampa General Rehabilitation Hospital Agreement MU.txt\n", - "false_negatives: 3 | false_positives: 2 | true_positives: 6 | precision: 0.75 | recall: 0.6666666666666666 | f1_score: 0.7058823529411765\n", + "false_negatives: 3 | false_positives: 2 | true_positives: 6 | accuracy: 0.5454545454545454 | precision: 0.75 | recall: 0.6666666666666666 | f1_score: 0.7058823529411765\n", "\n", "Processing Custom_2018-09-15 COMM Amend FE Plaza Ambulatory Surgery Center, LLC MU.txt\n", - "false_negatives: 12 | false_positives: 17 | true_positives: 4 | precision: 0.19047619047619047 | recall: 0.25 | f1_score: 0.2162162162162162\n", + "false_negatives: 16 | false_positives: 19 | true_positives: 0 | accuracy: 0.0 | precision: 0.0 | recall: 0.0 | f1_score: 0\n", "\n", "Processing Custom_SOUTHWEST BEHAVIORAL & HEALTH SERVICES INC.txt\n", - "false_negatives: 67 | false_positives: 37 | true_positives: 2 | precision: 0.05128205128205128 | recall: 0.028985507246376812 | f1_score: 0.037037037037037035\n", + "false_negatives: 66 | false_positives: 42 | true_positives: 3 | accuracy: 0.02702702702702703 | precision: 0.06666666666666667 | recall: 0.043478260869565216 | f1_score: 0.052631578947368425\n", "\n", "Processing CustomFac_Benedictine Hospital - Amendment 1.1.16 (HBX,HARP,EPP) (REVISED).txt\n", - "false_negatives: 1 | false_positives: 1 | true_positives: 31 | precision: 0.96875 | recall: 0.96875 | f1_score: 0.96875\n", + "false_negatives: 0 | false_positives: 0 | true_positives: 32 | accuracy: 1.0 | precision: 1.0 | recall: 1.0 | f1_score: 1.0\n", "\n", "Processing 00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt\n", - "false_negatives: 2 | false_positives: 2 | true_positives: 10 | precision: 0.8333333333333334 | recall: 0.8333333333333334 | f1_score: 0.8333333333333334\n", + "false_negatives: 4 | false_positives: 4 | true_positives: 8 | accuracy: 0.5 | precision: 0.6666666666666666 | recall: 0.6666666666666666 | f1_score: 0.6666666666666666\n", "\n", "Processing 46-0979580-Harris and Theodore Anesthesia Services, LLC-ICMProviderAgreement_313205.txt\n", - "false_negatives: 4 | false_positives: 1 | true_positives: 23 | precision: 0.9583333333333334 | recall: 0.8518518518518519 | f1_score: 0.9019607843137256\n", + "false_negatives: 5 | false_positives: 2 | true_positives: 22 | accuracy: 0.7586206896551724 | precision: 0.9166666666666666 | recall: 0.8148148148148148 | f1_score: 0.8627450980392156\n", "\n" ] } @@ -352,6 +5550,9 @@ "source": [ "precisions = []\n", "recalls = []\n", + "accuracies = []\n", + "\n", + "comparisons = {}\n", "\n", "total_true_positives = 0\n", "total_false_positives = 0\n", @@ -381,11 +5582,14 @@ " fields,\n", " thresholds=MATCH_THRESHOLD\n", " )\n", + " comparisons[contract_file_name] = comparison\n", "\n", " # comparison = evaluate_one_to_n_fields_fuzzy_matching_field_by_field(labels_df_contract, predictions_df_contract, \"CONTRACT_FILE_NAME\", ['CONTRACT_REIMBURSEMENT_METHOD', 'CONTRACT_FEE_SCHEDULE_DESC'])\n", "\n", " precisions.append(comparison[\"precision\"])\n", " recalls.append(comparison[\"recall\"])\n", + " accuracies.append(comparison[\"accuracy\"])\n", + "\n", "\n", " total_true_positives += comparison[\"true_positives\"]\n", " total_false_positives += comparison[\"false_positives\"]\n", @@ -393,34 +5597,201 @@ "\n", " # contract file name is already printed above\n", " print(\n", - " f\"false_negatives: {comparison['false_negatives']} | false_positives: {comparison['false_positives']} | true_positives: {comparison['true_positives']} | precision: {comparison['precision']} | recall: {comparison['recall']} | f1_score: {comparison['f1_score']}\\n\"\n", + " f\"false_negatives: {comparison['false_negatives']} | false_positives: {comparison['false_positives']} | true_positives: {comparison['true_positives']} | accuracy: {comparison['accuracy']} | precision: {comparison['precision']} | recall: {comparison['recall']} | f1_score: {comparison['f1_score']}\\n\"\n", " )" ] }, { "cell_type": "code", - "execution_count": 7, + "execution_count": 9, "metadata": {}, "outputs": [ { "name": "stdout", "output_type": "stream", "text": [ - "Median precision across 66 contracts at match threshold 90: 0.5000\n", - "Median recall across 66 contracts at match threshold 90: 0.4808\n", - "Grand precision across 66 contracts at match threshold 90: 0.4686\n", - "Grand recall across 66 contracts at match threshold 90: 0.3946\n" + "Median accuracy across 68 contracts at match threshold 90: 0.3333\n", + "Median precision across 68 contracts at match threshold 90: 0.5000\n", + "Median recall across 68 contracts at match threshold 90: 0.5192\n", + "Mean accuracy across 68 contracts at match threshold 90: 0.4378\n", + "Mean precision across 68 contracts at match threshold 90: 0.5444\n", + "Mean recall across 68 contracts at match threshold 90: 0.5428\n", + "Grand accuracy across 68 contracts at match threshold 90: 0.2739 (total true positives: 1240, total false positives: 1401, total false negatives: 1887)\n", + "Grand precision across 68 contracts at match threshold 90: 0.4695 (total true positives: 1240, total false positives: 1401)\n", + "Grand recall across 68 contracts at match threshold 90: 0.3965 (total true positives: 1240, total false negatives: 1887)\n" ] } ], "source": [ - "from statistics import median\n", + "from statistics import median, mean\n", "\n", + "print(f\"Median accuracy across {len(accuracies)} contracts at match threshold {MATCH_THRESHOLD}: {median(accuracies):.4f}\")\n", "print(f\"Median precision across {len(precisions)} contracts at match threshold {MATCH_THRESHOLD}: {median(precisions):.4f}\")\n", "print(f\"Median recall across {len(recalls)} contracts at match threshold {MATCH_THRESHOLD}: {median(recalls):.4f}\")\n", - "print(f\"Grand precision across {len(precisions)} contracts at match threshold {MATCH_THRESHOLD}: {total_true_positives / (total_true_positives + total_false_positives):.4f}\")\n", - "print(f\"Grand recall across {len(recalls)} contracts at match threshold {MATCH_THRESHOLD}: {total_true_positives / (total_true_positives + total_false_negatives):.4f}\")" + "print(f\"Mean accuracy across {len(accuracies)} contracts at match threshold {MATCH_THRESHOLD}: {mean(accuracies):.4f}\")\n", + "print(f\"Mean precision across {len(precisions)} contracts at match threshold {MATCH_THRESHOLD}: {mean(precisions):.4f}\")\n", + "print(f\"Mean recall across {len(recalls)} contracts at match threshold {MATCH_THRESHOLD}: {mean(recalls):.4f}\")\n", + "print(f\"Grand accuracy across {len(accuracies)} contracts at match threshold {MATCH_THRESHOLD}: {(total_true_positives) / (total_true_positives + total_false_positives + total_false_negatives):.4f} (total true positives: {total_true_positives}, total false positives: {total_false_positives}, total false negatives: {total_false_negatives})\")\n", + "print(f\"Grand precision across {len(precisions)} contracts at match threshold {MATCH_THRESHOLD}: {total_true_positives / (total_true_positives + total_false_positives):.4f} (total true positives: {total_true_positives}, total false positives: {total_false_positives})\")\n", + "print(f\"Grand recall across {len(recalls)} contracts at match threshold {MATCH_THRESHOLD}: {total_true_positives / (total_true_positives + total_false_negatives):.4f} (total true positives: {total_true_positives}, total false negatives: {total_false_negatives})\")\n" ] + }, + { + "cell_type": "code", + "execution_count": 10, + "metadata": {}, + "outputs": [ + { + "data": { + "text/plain": [ + "{'precision': 0.7333333333333333,\n", + " 'recall': 0.66,\n", + " 'f1_score': 0.6947368421052631,\n", + " 'accuracy': 0.532258064516129,\n", + " 'true_positives': 33,\n", + " 'false_positives': 12,\n", + " 'false_negatives': 17,\n", + " 'matched_labels': {'2001-11-01 California Emergency Physicians PSA_MU.txt': [('Covered Services',\n", + " 'Compensation shall be based on the Resource Based Relative Value Scale (RBRVS), the Conversion Factors (CF) and the Geographic Practice Cost Indices (GPCI) adjustment factors promulgated by the Health Care Financing Administration (HCFA). Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 90% of billed charges, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, physician shall be reimburse at 90% of billed charges not to exceed usual, reasonable and customary charges.'),\n", + " ('Supplies and devices',\n", + " \"Supplies and devices provided and administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of the HCFA participating provider fee schedule for Physician Group's locality, or Physician Group's usual billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Supplies and devices',\n", + " \"Supplies and devices provided and administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of the HCFA participating provider fee schedule for Physician Group's locality, or Physician Group's usual billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Medications',\n", + " \"Medications provided or administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of (a) the HCFA participating provider fee schedule for Physician Group's locality, or (b) for medications for which a HCPC code has not been established Physician Group shall bill using the NDC code, drug and manufacturer name and shall be compensated at the Average Wholesale Price, or (c) Physician Group's billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Medications',\n", + " \"Medications provided or administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of (a) the HCFA participating provider fee schedule for Physician Group's locality, or (b) for medications for which a HCPC code has not been established Physician Group shall bill using the NDC code, drug and manufacturer name and shall be compensated at the Average Wholesale Price, or (c) Physician Group's billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Medications',\n", + " \"Medications provided or administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of (a) the HCFA participating provider fee schedule for Physician Group's locality, or (b) for medications for which a HCPC code has not been established Physician Group shall bill using the NDC code, drug and manufacturer name and shall be compensated at the Average Wholesale Price, or (c) Physician Group's billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Immunizations',\n", + " \"Immunization administered by Physician Group shall be billed using CPT-4 codes and shall be compensated at the lesser of a) the Physician Group's billed charges, or b) the Average Wholesale Price (AWP) as established by First Databank less ten percent (10%). This AWP fee schedule is reviewed and subject to adjustment on a semi annual basis.\"),\n", + " ('Immunizations',\n", + " \"Immunization administered by Physician Group shall be billed using CPT-4 codes and shall be compensated at the lesser of a) the Physician Group's billed charges, or b) the Average Wholesale Price (AWP) as established by First Databank less ten percent (10%). This AWP fee schedule is reviewed and subject to adjustment on a semi annual basis.\"),\n", + " ('Laboratory Procedures',\n", + " \"Compensation for laboratory procedures provided and administered by Physician Group shall be at the lesser of 80% of the HCFA participating provider fee schedule for Physician Group locality, or Physician Group's usual billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Laboratory Procedures',\n", + " \"Compensation for laboratory procedures provided and administered by Physician Group shall be at the lesser of 80% of the HCFA participating provider fee schedule for Physician Group locality, or Physician Group's usual billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('CPT 59400-Global Obstetric care with vaginal delivery',\n", + " \"Compensation for obstetrical services shall be at the lesser of the Physician Group's billed charges, or: $1700.00\"),\n", + " ('CPT 59400-Global Obstetric care with vaginal delivery',\n", + " \"Compensation for obstetrical services shall be at the lesser of the Physician Group's billed charges, or: $1700.00\"),\n", + " ('CPT 59510-Global Obstetric care with Cesarean delivery',\n", + " \"Compensation for obstetrical services shall be at the lesser of the Physician Group's billed charges, or: $1700.00\"),\n", + " ('CPT 59510-Global Obstetric care with Cesarean delivery',\n", + " \"Compensation for obstetrical services shall be at the lesser of the Physician Group's billed charges, or: $1700.00\"),\n", + " ('Anesthesiology Services',\n", + " \"Physician Group shall be compensated for anesthesiology services which are Covered Services at the lesser of (a) $39.00 per unit value in accordance with the American Society of Anesthesiology (ASA) unit scale, or (b) 75% of the Physician Group's usual billed charges.\"),\n", + " ('Anesthesiology Services',\n", + " \"Physician Group shall be compensated for anesthesiology services which are Covered Services at the lesser of (a) $39.00 per unit value in accordance with the American Society of Anesthesiology (ASA) unit scale, or (b) 75% of the Physician Group's usual billed charges.\"),\n", + " ('Supplies and Devices',\n", + " \"Supplies and devices provided and administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of the HCFA participating provider fee schedule for Physician Group's locality, or Physician Group's usual billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Supplies and Devices',\n", + " \"Supplies and devices provided and administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of the HCFA participating provider fee schedule for Physician Group's locality, or Physician Group's usual billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Medications',\n", + " \"Medications provided or administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of (a) the HCFA participating provider fee schedule for Physician Group's locality, or (b) for medications for which a HCPC code has not been established Physician Group shall bill using the NDC code, drug and manufacturer name and shall be compensated at the Average Wholesale Price, or (c) Physician Group's billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Medications',\n", + " \"Medications provided or administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of (a) the HCFA participating provider fee schedule for Physician Group's locality, or (b) for medications for which a HCPC code has not been established Physician Group shall bill using the NDC code, drug and manufacturer name and shall be compensated at the Average Wholesale Price, or (c) Physician Group's billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Immunizations',\n", + " \"Immunization administered by Physician Group shall be billed using CPT-4 codes and shall be compensated at the lesser of a) the Physician Group's billed charges, or b) the Average Wholesale Price (AWP) as established by First Databank less ten percent (10%). This AWP fee schedule is reviewed and subject to adjustment on a semi annual basis.\"),\n", + " ('Immunizations',\n", + " \"Immunization administered by Physician Group shall be billed using CPT-4 codes and shall be compensated at the lesser of a) the Physician Group's billed charges, or b) the Average Wholesale Price (AWP) as established by First Databank less ten percent (10%). This AWP fee schedule is reviewed and subject to adjustment on a semi annual basis.\"),\n", + " ('Laboratory Procedures',\n", + " \"Compensation for laboratory procedures provided and administered by Physician Group shall be at the lesser of 80% of the HCFA participating provider fee schedule for Physician Group locality, or Physician Group's usual billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Laboratory Procedures',\n", + " \"Compensation for laboratory procedures provided and administered by Physician Group shall be at the lesser of 80% of the HCFA participating provider fee schedule for Physician Group locality, or Physician Group's usual billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('CPT 59400-Global Obstetric care with vaginal delivery',\n", + " \"Compensation for obstetrical services shall be at the lesser of the Physician Group's billed charges, or: $1700.00\"),\n", + " ('CPT 59400-Global Obstetric care with vaginal delivery',\n", + " \"Compensation for obstetrical services shall be at the lesser of the Physician Group's billed charges, or: $1700.00\"),\n", + " ('CPT 59510-Global Obstetric care with Cesarean delivery',\n", + " \"Compensation for obstetrical services shall be at the lesser of the Physician Group's billed charges, or: $1700.00\"),\n", + " ('CPT 59510-Global Obstetric care with Cesarean delivery',\n", + " \"Compensation for obstetrical services shall be at the lesser of the Physician Group's billed charges, or: $1700.00\"),\n", + " ('Anesthesiology Services',\n", + " \"Physician Group shall be compensated for anesthesiology services which are Covered Services at the lesser of (a) $39. 00 per unit value in accordance with the American Society of Anesthesiology (ASA) unit scale, or (b) 75% of the Physician Group's usual billed charges.\"),\n", + " ('Anesthesiology Services',\n", + " \"Physician Group shall be compensated for anesthesiology services which are Covered Services at the lesser of (a) $39. 00 per unit value in accordance with the American Society of Anesthesiology (ASA) unit scale, or (b) 75% of the Physician Group's usual billed charges.\"),\n", + " ('Covered Services',\n", + " \"Health Net will pay Physician Group the lessor of (1) the Physician Group's billed charges, or (2) 100% of the applicable standard Medi-Cal Fee-For-Service Program rate. Such compensation shall be paid within 45 working days of receipt of a clean, complete and accurate claim for Covered Services rendered to a Member.\"),\n", + " ('Covered Services',\n", + " \"Health Net will pay Physician Group the lessor of (1) the Physician Group's billed charges, or (2) 100% of the applicable standard Medi-Cal Fee-For-Service Program rate. Such compensation shall be paid within 45 working days of receipt of a clean, complete and accurate claim for Covered Services rendered to a Member.\"),\n", + " ('Covered Services',\n", + " \"Physician Group shall accept compensation for Medically Necessary Covered Services at one hundred and twenty percent (120%) of the State of California's Medi-Cal Fee Schedule rates in effect at the time of the service.\")]},\n", + " 'unmatched_labels': {'2001-11-01 California Emergency Physicians PSA_MU.txt': [('\"by report\" procedures, unlisted procedures and relativities not established in RBRVS',\n", + " 'Compensation shall be based on the Resource Based Relative Value Scale (RBRVS), the Conversion Factors (CF) and the Geographic Practice Cost Indices (GPCI) adjustment factors promulgated by the Health Care Financing Administration (HCFA). Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 90% of billed charges, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, physician shall be reimburse at 90% of billed charges not to exceed usual, reasonable and customary charges.'),\n", + " ('OB Epidural',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: BASE UNITS: 00955 - Continuous epidural, labor and vaginal delivery 5 units, 00857 - Continuous epidural, labor and C-Section 7 units, 00850 - Planned C-Section 7 units, TIME UNITS: Start up time: up to three units for first hour of labor time, plus Labor time: two units for each additional hour of labor, plus Surgery time: one unit for each fifteen minute interval of surgical time if labor goes into C-Section, or of planned C-Section'),\n", + " ('OB Epidural',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: BASE UNITS: 00955 - Continuous epidural, labor and vaginal delivery 5 units, 00857 - Continuous epidural, labor and C-Section 7 units, 00850 - Planned C-Section 7 units, TIME UNITS: Start up time: up to three units for first hour of labor time, plus Labor time: two units for each additional hour of labor, plus Surgery time: one unit for each fifteen minute interval of surgical time if labor goes into C-Section, or of planned C-Section'),\n", + " ('COMMERCIAL HMO AND COMMERCIAL POS BENEFIT PROGRAM Covered Services',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 90% of billed charges, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, physician shall be reimburse at 90% of billed charges not to exceed usual, reasonable and customary charges.'),\n", + " ('COMMERCIAL HMO AND COMMERCIAL POS BENEFIT PROGRAM \"by report\" procedures, unlisted procedures and relativities not established in RBRVS',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 90% of billed charges, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, physician shall be reimburse at 90% of billed charges not to exceed usual, reasonable and customary charges.'),\n", + " ('MEDICARE HMO AND MEDICARE POS AND MEDICARE SELECT BENEFIT PROGRAM COVERED SERVICES',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 100% of the HCFA participating provider fee schedule for Physician Group\\'s locality, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, Physician Group shall be reimbursed at 75% of billed charges not to exceed usual, reasonable and customary charges, or (c) Physician Groups usual billed charges'),\n", + " ('MEDICARE HMO AND MEDICARE POS AND MEDICARE SELECT BENEFIT PROGRAM COVERED SERVICES',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 100% of the HCFA participating provider fee schedule for Physician Group\\'s locality, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, Physician Group shall be reimbursed at 75% of billed charges not to exceed usual, reasonable and customary charges, or (c) Physician Groups usual billed charges'),\n", + " ('MEDICARE HMO AND MEDICARE POS AND MEDICARE SELECT BENEFIT PROGRAM \"by report\" procedures, unlisted procedures and relativities not established in RBRVS',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 100% of the HCFA participating provider fee schedule for Physician Group\\'s locality, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, Physician Group shall be reimbursed at 75% of billed charges not to exceed usual, reasonable and customary charges, or (c) Physician Groups usual billed charges'),\n", + " ('MEDICARE HMO AND MEDICARE POS AND MEDICARE SELECT BENEFIT PROGRAM \"by report\" procedures, unlisted procedures and relativities not established in RBRVS',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 100% of the HCFA participating provider fee schedule for Physician Group\\'s locality, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, Physician Group shall be reimbursed at 75% of billed charges not to exceed usual, reasonable and customary charges, or (c) Physician Groups usual billed charges'),\n", + " ('Medications for medications for which a HCPC code has not been established',\n", + " \"Medications provided or administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of (a) the HCFA participating provider fee schedule for Physician Group's locality, or (b) for medications for which a HCPC code has not been established Physician Group shall bill using the NDC code, drug and manufacturer name and shall be compensated at the Average Wholesale Price, or (c) Physician Group's billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('Medications for medications for which a HCPC code has not been established',\n", + " \"Medications provided or administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of (a) the HCFA participating provider fee schedule for Physician Group's locality, or (b) for medications for which a HCPC code has not been established Physician Group shall bill using the NDC code, drug and manufacturer name and shall be compensated at the Average Wholesale Price, or (c) Physician Group's billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('00955 - Continuous epidural, labor and vaginal delivery',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: 5 units\\nTIME UNITS: \\nStart up time: up to three units for first hour of labor time, plus \\nLabor time: two units for each additional hour of labor, plus \\nSurgery time: one unit for each fifteen minute interval of surgical time if labor goes Into C-Section, or of planned C-Section'),\n", + " ('00955 - Continuous epidural, labor and vaginal delivery',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: 5 units\\nTIME UNITS: \\nStart up time: up to three units for first hour of labor time, plus \\nLabor time: two units for each additional hour of labor, plus \\nSurgery time: one unit for each fifteen minute interval of surgical time if labor goes Into C-Section, or of planned C-Section'),\n", + " ('00857 - Continuous epidural, labor and C-Section',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: 7 units\\nTIME UNITS: \\nStart up time: up to three units for first hour of labor time, plus \\nLabor time: two units for each additional hour of labor, plus \\nSurgery time: one unit for each fifteen minute interval of surgical time if labor goes Into C-Section, or of planned C-Section'),\n", + " ('00857 - Continuous epidural, labor and C-Section',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: 7 units\\nTIME UNITS: \\nStart up time: up to three units for first hour of labor time, plus \\nLabor time: two units for each additional hour of labor, plus \\nSurgery time: one unit for each fifteen minute interval of surgical time if labor goes Into C-Section, or of planned C-Section'),\n", + " ('00850 - Planned C-Section',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: 7 units\\nTIME UNITS: \\nStart up time: up to three units for first hour of labor time, plus \\nLabor time: two units for each additional hour of labor, plus \\nSurgery time: one unit for each fifteen minute interval of surgical time if labor goes Into C-Section, or of planned C-Section'),\n", + " ('00850 - Planned C-Section',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: 7 units\\nTIME UNITS: \\nStart up time: up to three units for first hour of labor time, plus \\nLabor time: two units for each additional hour of labor, plus \\nSurgery time: one unit for each fifteen minute interval of surgical time if labor goes Into C-Section, or of planned C-Section')]},\n", + " 'unmatched_predictions': {'2001-11-01 California Emergency Physicians PSA_MU.txt': [('Covered Services',\n", + " 'Physician Group shall accept as payment-in-full for Contracted Services, the amount payable by HNI or Payor as set forth in the applicable Addendum to this Agreement and in accordance with the applicable Benefit Program.'),\n", + " ('OB Epidural 00955 - Continuous epidural, labor and vaginal delivery',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: BASE UNITS: 5 units'),\n", + " ('OB Epidural 00857 - Continuous epidural, labor and C-Section',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: BASE UNITS: 7 units'),\n", + " ('OB Epidural 00850 - Planned C-Section',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: BASE UNITS: 7 units'),\n", + " ('COMMERCIAL HMO AND COMMERCIAL POS BENEFIT PROGRAM',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 90% of billed charges, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, physician shall be reimburse at 90% of billed charges not to exceed usual, reasonable and customary charges.'),\n", + " ('COMMERCIAL HMO AND COMMERCIAL POS BENEFIT PROGRAM',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 90% of billed charges, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, physician shall be reimburse at 90% of billed charges not to exceed usual, reasonable and customary charges.'),\n", + " ('MEDICARE HMO AND MEDICARE POS AND MEDICARE SELECT BENEFIT PROGRAM',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 100% of the HCFA participating provider fee schedule for Physician Group\\'s locality, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, Physician Group shall be reimbursed at 75% of billed charges not to exceed usual, reasonable and customary charges, or (c) Physician Groups usual billed charges'),\n", + " ('MEDICARE HMO AND MEDICARE POS AND MEDICARE SELECT BENEFIT PROGRAM',\n", + " 'Physician Group shall be compensated for Covered Services in an amount, less applicable Copayments and/or coinsurance, that is equal to the lesser of: (a) 100% of the HCFA participating provider fee schedule for Physician Group\\'s locality, or (b) for \"by report\" procedures, unlisted procedures and relativities not established in RBRVS, Physician Group shall be reimbursed at 75% of billed charges not to exceed usual, reasonable and customary charges, or (c) Physician Groups usual billed charges'),\n", + " ('Medications',\n", + " \"Medications provided or administered by Physician Group shall be billed using HCPC codes if available and shall be compensated at the lesser of (a) the HCFA participating provider fee schedule for Physician Group's locality, or (b) for medications for which a HCPC code has not been established Physician Group shall bill using the NDC code, drug and manufacturer name and shall be compensated at the Average Wholesale Price, or (c) Physician Group's billed charge amount not to exceed usual, reasonable and customary charges.\"),\n", + " ('00955 - Continuous epidural, labor and vaginal delivery',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: BASE UNITS: 5 units'),\n", + " ('00857 - Continuous epidural, labor and C-Section',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: BASE UNITS: 7 units'),\n", + " ('00850 - Planned C-Section',\n", + " 'OB Epidural shall be compensated under the unit value conversion factor stated above for Anesthesiology and applied to the ASA Base Units and Time Units as set forth below: BASE UNITS: 7 units')]}}" + ] + }, + "execution_count": 10, + "metadata": {}, + "output_type": "execute_result" + } + ], + "source": [ + "comparisons['2001-11-01 California Emergency Physicians PSA_MU.txt']" + ] + }, + { + "cell_type": "code", + "execution_count": null, + "metadata": {}, + "outputs": [], + "source": [] } ], "metadata": { diff --git a/fieldExtraction/src/utils/string_utils.py b/fieldExtraction/src/utils/string_utils.py index e6dbf41..f2fd5e3 100644 --- a/fieldExtraction/src/utils/string_utils.py +++ b/fieldExtraction/src/utils/string_utils.py @@ -238,9 +238,11 @@ reimbursement_strings = [ # These are for `method='keyword'` "%", "$", "percent", + "billed charges" ] reimb_regex = r"(?