From: The effects of class rarity on the evaluation of supervised healthcare fraud detection models
Part B | Part D | DMEPOS | Combined | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pos count | Ratio | AUC | Group | Pos count | Ratio | AUC | Group | Pos count | Ratio | AUC | Group | Pos count | Ratio | AUC | Group |
(a) Train_Test | |||||||||||||||
All | [10:90] | 0.80998 | a | All | [10:90] | 0.78501 | a | All | [10:90] | 0.78675 | a | All | [10:90] | 0.84661 | a |
All | [25:75] | 0.80945 | a | 400 | [10:90] | 0.75851 | a | 400 | [1:99] | 0.77359 | a | 200 | [1:99] | 0.81010 | a |
1000 | [10:90] | 0.80927 | a | 200 | [10:90] | 0.72831 | a | 400 | [10:90] | 0.77152 | a | 100 | [1:99] | 0.76000 | a |
All | [35:65] | 0.80777 | a | 200 | [1:99] | 0.72403 | a | 400 | [All:all] | 0.77021 | a | 100 | [10:90] | 0.75085 | a |
400 | [10:90] | 0.79846 | a | 100 | [10:90] | 0.70322 | a | 400 | [25:75] | 0.76203 | a | All | [1:99] | 0.84512 | ab |
200 | [10:90] | 0.78454 | a | 400 | [25:75] | 0.75088 | ab | 400 | [35:65] | 0.76083 | a | 200 | [10:90] | 0.80394 | ab |
1000 | [25:75] | 0.80416 | ab | 200 | [25:75] | 0.72089 | ab | 200 | [1:99] | 0.74776 | a | 100 | [25:75] | 0.73603 | ab |
400 | [25:75] | 0.79332 | ab | 100 | [1:99] | 0.69788 | ab | 200 | [10:90] | 0.74532 | a | 100 | [All:all] | 0.73240 | abc |
400 | [1:99] | 0.79105 | ab | 100 | [25:75] | 0.68656 | abc | 200 | [All:all] | 0.74494 | a | All | [All:all] | 0.83554 | bc |
200 | [1:99] | 0.77736 | ab | All | [25:75] | 0.77651 | b | 200 | [25:75] | 0.73703 | a | 200 | [All:all] | 0.78787 | bc |
All | [50:50] | 0.80290 | b | All | [35:65] | 0.77168 | b | 100 | [1:99] | 0.71795 | a | 100 | [35:65] | 0.71594 | bc |
1000 | [35:65] | 0.80145 | bc | 400 | [1:99] | 0.74272 | b | 100 | [10:90] | 0.71655 | a | All | [25:75] | 0.83167 | c |
400 | [35:65] | 0.78776 | bc | 400 | [35:65] | 0.74009 | b | 100 | [All:all] | 0.71162 | a | All | [35:65] | 0.82591 | c |
200 | [25:75] | 0.76937 | bc | 200 | [35:65] | 0.70677 | bc | All | [1:99] | 0.78608 | ab | 200 | [25:75] | 0.78622 | c |
All | [1:99] | 0.79715 | c | 100 | [All:all] | 0.67992 | bc | 100 | [25:75] | 0.70045 | ab | 200 | [35:65] | 0.77587 | c |
200 | [All:all] | 0.76255 | c | All | [1:99] | 0.76392 | c | All | [25:75] | 0.78179 | abc | 100 | [50:50] | 0.70722 | c |
200 | [35:65] | 0.75844 | c | All | [50:50] | 0.76248 | c | 400 | [50:50] | 0.74619 | b | All | [50:50] | 0.81434 | d |
1000 | [1:99] | 0.79823 | cd | 400 | [50:50] | 0.72678 | c | 200 | [35:65] | 0.71374 | b | 200 | [50:50] | 0.75780 | d |
400 | [All:all] | 0.77886 | cd | 400 | [All:all] | 0.72336 | c | 200 | [50:50] | 0.70118 | b | – | – | – | – |
1000 | [50:50] | 0.79504 | d | 200 | [All:all] | 0.70054 | cd | all | [All:all] | 0.77825 | bc | – | – | – | – |
All | [All:all] | 0.78832 | d | 100 | [35:65] | 0.67357 | cd | 100 | [35:65] | 0.68687 | bc | – | – | – | – |
400 | [50:50] | 0.77793 | d | All | [All:all] | 0.74612 | d | All | [35:65] | 0.77490 | c | – | – | – | – |
200 | [50:50] | 0.74526 | d | 200 | [50:50] | 0.68893 | d | 100 | [50:50] | 0.67462 | c | – | – | – | – |
1000 | [All:all] | 0.78758 | e | 100 | [50:50] | 0.65839 | d | All | [50:50] | 0.76333 | d | – | – | – | – |
(b) Train_CV | |||||||||||||||
All | [10:90] | 0.82319 | a | All | [10:90] | 0.77090 | a | All | [10:90] | 0.73988 | a | All | [10:90] | 0.82112 | a |
1000 | [10:90] | 0.81748 | a | All | [25:75] | 0.76972 | a | 400 | [10:90] | 0.72602 | a | 200 | [1:99] | 0.78428 | a |
400 | [10:90] | 0.79391 | a | 400 | [10:90] | 0.75133 | a | 200 | [10:90] | 0.68450 | a | 100 | [1:99] | 0.73084 | a |
400 | [25:75] | 0.79186 | a | 400 | [1:99] | 0.74374 | a | 200 | [1:99] | 0.68391 | a | 200 | [10:90] | 0.78131 | ab |
200 | [10:90] | 0.76815 | a | 200 | [10:90] | 0.71388 | a | 100 | [1:99] | 0.66837 | a | 100 | [10:90] | 0.72700 | ab |
200 | [1:99] | 0.76623 | a | 200 | [1:99] | 0.71341 | a | 100 | [10:90] | 0.66221 | a | All | [1:99] | 0.81300 | b |
All | [25:75] | 0.82113 | ab | 100 | [1:99] | 0.69233 | a | 100 | [All:all] | 0.65738 | a | All | [25:75] | 0.81154 | b |
1000 | [25:75] | 0.81538 | ab | 100 | [10:90] | 0.68280 | a | 400 | [1:99] | 0.72322 | ab | 200 | [25:75] | 0.77045 | bc |
400 | [1:99] | 0.78671 | ab | 100 | [25:75] | 0.67886 | a | 400 | [25:75] | 0.72010 | ab | 100 | [All:all] | 0.70978 | bc |
200 | [25:75] | 0.75931 | ab | 100 | [All:all] | 0.67779 | a | 400 | [All:all] | 0.71707 | ab | 100 | [25:75] | 0.70695 | bc |
All | [35:65] | 0.81799 | b | 400 | [25:75] | 0.74283 | ab | 200 | [All:all] | 0.67961 | ab | All | [35:65] | 0.80248 | c |
400 | [35:65] | 0.78149 | b | 200 | [25:75] | 0.70243 | ab | 200 | [25:75] | 0.67483 | ab | All | [All:all] | 0.79995 | c |
200 | [35:65] | 0.74914 | b | All | [35:65] | 0.76372 | b | 100 | [25:75] | 0.65625 | ab | 200 | [35:65] | 0.76136 | c |
200 | [All:all] | 0.74885 | b | All | [1:99] | 0.75973 | b | All | [25:75] | 0.73331 | b | 200 | [All:all] | 0.75921 | c |
1000 | [35:65] | 0.81078 | bc | 200 | [All:all] | 0.69948 | b | All | [1:99] | 0.73307 | b | 100 | [35:65] | 0.69683 | cd |
All | [50:50] | 0.81137 | c | 100 | [35:65] | 0.65408 | b | 400 | [35:65] | 0.71446 | b | All | [50:50] | 0.78849 | d |
All | [1:99] | 0.81066 | c | 100 | [50:50] | 0.64716 | b | 200 | [35:65] | 0.66684 | b | 200 | [50:50] | 0.74497 | d |
400 | [All:all] | 0.77018 | c | 400 | [35:65] | 0.73359 | bc | 100 | [35:65] | 0.63598 | bc | 100 | [50:50] | 0.68324 | d |
400 | [50:50] | 0.76851 | c | 200 | [35:65] | 0.69507 | bc | All | [35:65] | 0.72656 | c | – | – | – | – |
200 | [50:50] | 0.73313 | c | All | [50:50] | 0.75384 | c | All | [all:all] | 0.72649 | c | – | – | – | – |
1000 | [1:99] | 0.80692 | cd | 200 | [50:50] | 0.68167 | c | 400 | [50:50] | 0.70160 | c | – | – | – | – |
1000 | [50:50] | 0.80325 | d | 400 | [All:all] | 0.72706 | cd | 200 | [50:50] | 0.65281 | c | – | – | – | – |
all | [All:all] | 0.79896 | d | All | [All:all] | 0.74634 | d | 100 | [50:50] | 0.63076 | c | – | – | – | – |
1000 | [All:all] | 0.79083 | e | 400 | [50:50] | 0.72126 | d | All | [50:50] | 0.71734 | d | – | – | – | – |