RIF Data Analysis - synthetichealth/synthea GitHub Wiki

RIF export ratios need adjustment:

Claim Ratio = Claim of Type / Claim Total across all types
Synthea Total:  1,054,589,695
Actual Total:  23,195,755,891

Table	Claim % (Synthea)	Claim % (Actual)	Notes
carrier	12.94	31.05	underrepresented in Synthea
dme	0.12	2.19	slightly underrepresented in Synthea
hha	2.13	0.43	slightly overrepresented in Synthea
hospice	0.21	0.17
inpatient	2.66	0.39	slightly overrepresented in Synthea
outpatient	25.26	6.13	largely overrepresented in Synthea
partd	56.38	59.48
snf	0.29	0.16

Table	Average Line/Claim (Synthea)	Average Line/Claim (Actual)	Notes
carrier	9.46	2.03	overrepresented in Synthea
dme	1.00	1.78
hha	1.07	11.13	underrepresented in Synthea
hospice	51.95	21.12	largely overrepresented in Synthea
inpatient	1.98	17.21	largely underrepresented lines in Synthea
outpatient	1.18	7.15	underrepresented lines in Synthea
snf	103.6	8.02	vastly overrepresented proportions in Synthea

Source	Claims per Beneficiary (avg)
Actual	278.87
Synthea	104.62

Synthea generation is underproducing claims/bene by 266%

This is across all years though, so it may be misleading.

"Actual" counts as of analysis time.