Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Research ArticleOriginal Research

Trends in Total and Out-of-Pocket Expenditures for Visits to Primary Care Physicians, by Insurance Type, 2002-2017

Michael E. Johansen and Jonathan D. Y. Yun
The Annals of Family Medicine September 2020, 18 (5) 430-437; DOI: https://doi.org/10.1370/afm.2566
Michael E. Johansen
1Grant Family Medicine, OhioHealth, Columbus, Ohio
2Heritage College of Osteopathic Medicine at Ohio University, Dublin, Ohio
MD, MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: mikejoha3@gmail.com
Jonathan D. Y. Yun
3Elmwood Primary Care, MaineGeneral, Waterville, Maine
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Additional Files
  • Figure 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1

    Proportion of primary care visits by insurance type and out-of-pocket expenditure, 2002-2017.

    OOPE = out-of-pocket expenditure.

    Notes: Categorization of visits is detailed in Methods. Darker bars represent $0 out-of-pocket expenditure visits, whereas lighter bars represent visits with an out-of-pocket expenditure.

  • Figure 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2

    Scatterplots of total expenditure per primary care visit, 2002-2017.

    Notes: The y axis represents dollar amounts adjusted to 2017 US dollars using the Consumer Price Index. The line represents the fractional polynomial.

  • Figure 3
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 3

    Scatterplots of out-of-pocket expenditure per primary care visit, 2002-2017.

    Notes: The y axis represents dollar amounts adjusted to 2017 US dollars using the Consumer Price Index. The line represents the fractional polynomial.

  • Figure 4
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 4

    Mean total expenditure per visit by insurance type, 2002-2017.

    Notes: Figure represents the postprediction average marginal effects derived from two generalized linear models (one with year as a continuous variable and one with year as a categorical variable). Each model included insurance type, year as either a continuous or categorical variable, an interaction term between insurance type and year, electrocardiograms, radiographs, magnetic resonance imaging and computed tomography scans, and laboratory tests. The 95% CIs are plotted only for the categorical model. Total visit expenditures are adjusted to 2017 US Dollars using the Consumer Price Index.

  • Figure 5
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 5

    Mean out-of-pocket expenditure per visit by insurance type, 2002-2017.

    Notes: The figure represents the post-predication average marginal effects derived from two 2-part models (one with year as a continuous variable and one with year as a categorical variable). Each model included insurance type, year as either a continuous or categorical variable, an interaction term between insurance type and year, electrocardiograms, radiographs, magnetic resonance imaging and computed tomography scans, and laboratory tests. The 95% CIs are plotted only for the categorical model. Total visit expenditures are adjusted to 2017 US Dollars using Consumer Price Index.

Tables

  • Figures
  • Additional Files
    • View popup
    Table 1

    Total Visit Expenditure and Out-of-Pocket Expenditure by Insurance Type, 2002-2017

    Insurance and YearsTotal Visit Expenditure, $Out-of-Pocket Expenditure, $
    10th25th50th75th90th10th25th50th75th90th
    Private insurance
     2002-200348669014523907142027
     2004-2005536893147245010192531
     2006-2007476591143233012182430
     2008-20095574107168304011172334
     2010-20116080118188334011222734
     2012-2013618312019333500212737
     2014-2015618312319333900162636
     2016-2017638812920438200152640
    Medicare
     2002-2003426384139274000920
     2004-2005436279119202000619
     2006-20074162841222030001220
     2008-20094667981422590001123
     2010-201149731081532610001122
     2012-201348731061492450001121
     2014-201552731061542620001021
     2016-201752751091702980001020
    Medicaid
     2002-200335508313824000001
     2004-200533467111418200001
     2006-200733497913120100001
     2008-200934518213120300001
     2010-201134518112820000000
     2012-201334528413521200000
     2014-201536548513721800000
     2016-201737568513622900000
    • Notes: Table shows the 10th, 25th, 50th, 75th, and 90th percentile of all visits by insurance type across study years. Results are survey adjusted, and all dollar amounts are adjusted to 2017 US dollars using the Consumer Price Index.

Additional Files

  • Figures
  • Tables
  • Supplemental Appendix

    Files in this Data Supplement:

    • Supplemental data: Appendix - PDF file
PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 18 (5)
The Annals of Family Medicine: 18 (5)
Vol. 18, Issue 5
September/October 2020
  • Table of Contents
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
  • In Brief
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Trends in Total and Out-of-Pocket Expenditures for Visits to Primary Care Physicians, by Insurance Type, 2002-2017
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
11 + 3 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Trends in Total and Out-of-Pocket Expenditures for Visits to Primary Care Physicians, by Insurance Type, 2002-2017
Michael E. Johansen, Jonathan D. Y. Yun
The Annals of Family Medicine Sep 2020, 18 (5) 430-437; DOI: 10.1370/afm.2566

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Trends in Total and Out-of-Pocket Expenditures for Visits to Primary Care Physicians, by Insurance Type, 2002-2017
Michael E. Johansen, Jonathan D. Y. Yun
The Annals of Family Medicine Sep 2020, 18 (5) 430-437; DOI: 10.1370/afm.2566
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • METHODS
    • RESULTS
    • DISCUSSION
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Teamwork Among Primary Care Staff to Achieve Regular Follow-Up of Chronic Patients
  • Shared Decision Making Among Racially and/or Ethnically Diverse Populations in Primary Care: A Scoping Review of Barriers and Facilitators
  • Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor?
Show more Original Research

Similar Articles

Subjects

  • Person groups:
    • Community / population health
  • Methods:
    • Quantitative methods
  • Other research types:
    • Health policy
    • Health services
  • Core values of primary care:
    • Access

Keywords

  • primary care
  • outpatients
  • office visits
  • health care delivery
  • health services research
  • cost
  • health insurance
  • health expenditures
  • health policy
  • economics, medical
  • vulnerable populations

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine