CS-tulsa-05-19.Rmd

---
title: "CS: Tulsa County 05-19"
author:
  - Leticia Calvillo, Fellow
  - Open Justice Oklahoma
date: "`r Sys.Date()`"
output:
  html_document:
    number_sections: yes
    toc: yes
    toc_float: yes
  pdf_document:
    toc: yes
---

```{r setup, include=FALSE}
library(ojodb)
library(knitr)


nc <- function(x) {comma(x, digits = 0)}

```
Background information: Why are we researching this topic? What is the expected product? A blog post? Analysis for an internal or external partner?

This project aims to shed light on the extent of medical debt in Oklahoma. The goal is to produce blog posts, fact sheets, and/or reports that emphasize the scale of the medicial debt problem in Oklahoma and urge citizens to vote in favor of SQ 802. 

> **Research Question**
How many medical debt cases were filled in Oklahoma County small claims court each year from 2000-2019? 

# Data sources

Where is the data from? The ojo database? OSCN? ODCR? Crime in Oklahoma reports?

The data is from the ojo database.  

## Timeframe

What years/months are you looking at? Year of case filing, first disposition, prison admission, etc.? Be as specific as possible.

The analysis aims to identify trends in medical debt cases over the past 15 years (2005-2019).

## Geography

What courts/counties/states are you looking at?

This analysis focuses on CS court cases in Tulsa County.

## Variables

What variables did you use? What types of cases, crimes, etc.?

This project focuses on medical debt cases.

## Query

If you're using data from the OJO database, include the query you used to pull your data. This may be a function that starts `ojo_query_` or `dbGetQuery`.

``` {r}


CS<- ojo_query_disps("TULSA", "CS", 2005:2019) 



```

This gives us over 226,008 rows of data. Each row in the table is a disposition; since there may be multiple dispositions per case, we should expect that the number of cases is somewhat lower.

# Checking Data

## Check for Completeness

If you're using court data, you can use the `ojo_check_comp` to see how complete the data is.

```{r}
#ojo_check_comp(CS)

#completeness
```
The pct_complete column shows that we have nearly 100 percent of expected cases for each year.

## Check for NAs

Detail the NAs and blank items in your data and, if necessary and possible, fill them in.

``` {r}
nas_plaint<- CS %>%
  group_by(casenum) %>% 
  filter(all(is.na(iss_plaint) | iss_plaint == "")) 

nas_plaint

nas_plaint <- nas_plaint %>% 
  group_by(casenum) %>% 
  slice(1)

year_nas_plaint <- nas_plaint%>% 
  ungroup %>%
  count(file_year)

year_nas_plaint

```
Most of the missing plaintiff data occurs in years 2005.


``` {r}
nas_desc <- CS %>%
  group_by(casenum) %>% 
  filter(all(is.na(iss_desc) | iss_desc == "")) 

nas_desc

nas_desc <- nas_desc%>% 
  group_by(casenum) %>% 
  slice(1)

year_nas_desc <- nas_desc%>% 
  ungroup %>%
  count(file_year)

year_nas_desc

```
There is only missing data for the issue description (iss_desc) column for one case in 2017. 

Next, we will add the debt amounts to our dataset.
## Extract debt amount from minutes
```{r}
mins <- ojo_query_mins("TULSA", "CS", 2005:2019, min_code = "A/")
mins <- mins %>% 
  mutate(debt_amt = min_desc %>% 
           str_remove_all("[:alpha:]|\\$|,") %>% 
           str_squish %>% 
           as.numeric)


debt_amts <- mins %>%
  select(casenum, debt_amt)
```


``` {r}

new <- left_join(CS, debt_amts, by= "casenum")

CS <- new 


```
Find number of CS cases: 
``` {r}
#CS <- CS %>% 
  #group_by(casenum) %>% 
  #slice(1)
```
That gives us 142,885 lawsuits filed. 


# Defining Measures

## Debt Cases
cs cases generally involve a debt of less than $10,000. To narrow down our data set, we’ll limit to cases that involve debt.That information is found in the issue description (iss_desc) column.

``` {r}
CS %>% 
  count(iss_desc) %>% 
  arrange(desc(n)) 
```
We see that over 23,667 cases are BREACH OF AGREEMENT. We can discard those. 

We use the str_detect() function to look for rows with the character string “FORC” in order to catch both “FORCIBLE ENTRY & DETAINER” and “FORCIBLE ENTRY & DETAINER >$1500”, plus any others that may be similar. Putting a ! before it means we want the rows where the string is not detected.

``` {r}
debt <- CS %>% 
  filter(!str_detect(iss_desc, "FORC|PROMISSORY|REPLEVIN|BREACH"))

debt %>% 
  count(iss_desc) %>% 
  arrange(desc(n))
```

Medical debt cases will be filed with “Indebtedness” issues only. We discard all other cases.

``` {r}
debt <- debt %>% 
  filter(str_detect(iss_desc, "DEBT"))

debt %>% 
  count(iss_desc) %>% 
  arrange(desc(n)) 
```

## Medical Providers

Next, we will use the mutate() function to classify the cases that have a medical provider plaintiff.

Let’s start by finding the most common plaintiffs.

``` {r}
debt %>% 
  count(iss_plaint) %>% 
  arrange(desc(n))  
```

Many of the most common plaintiffs are clearly medical providers or financial institutions. We use the  case_when() function to classify all rows where one of the words is detected as being filed by a medical provider.

We can also classify the names that contain “BANK” as not being medical providers. The TRUE category at the end will be applied to all rows that don’t fit any previous conditions.

``` {r}
debt <- debt %>% 
  mutate(plaint_type = case_when(str_detect(iss_plaint, "BANK") ~ "OTHER",
                                 str_detect(iss_plaint, "HEALTH|CLINIC|MEDICAL") ~ "MEDICAL",
                                 TRUE ~ "UNKNOWN"))
```

To check how many we were able to classify, we’ll look at the count in the plaint_type column.
``` {r}
debt %>% 
  count(plaint_type) %>% 
  arrange(desc(n))

```

To classify the remaining 171,634, we comb through the plaintiffs and classify them. We can repeat the three steps above until we have enough of them classified.

To get the most common plaintiffs that are not classified yet:

``` {r}
debt %>%
  filter(plaint_type == "UNKNOWN") %>% 
  count(iss_plaint) %>% 
  arrange(desc(n)) 
```

I came up with the following classification:

``` {r}

debt <- debt %>% 
  mutate(plaint_type = case_when(str_detect(iss_plaint, "BANK|LAWN|BOND|CASH|CREDIT|CAR |MOTORS|AUTO|FCU|LOAN|RENT| CU |TULSA\\sADJUSTMENT\\sBUREAU|MIDLAND\\sFUNDING|PORTFOLIO\\sRECOVERY\\sASSOCIATES|LVNV\\sFUNDING|SERVICE\\sCOLLECTION\\sASSOCIATION|ASSET\\sACCEPTANCE|CACH|CAVALRY\\sSPV|TULSA\\sCOMMUNITY\\sCOLLEGE|FINANCIAL|UNIFUND\\sCCR\\sPARTNERS|MARS|CAVALRY\\sPORTFOLIO\\sSERVICES|PALISADES\\sCOLLECTION|NVESTMENT|FITNESS|YELLOW\\sPAGES|CONN\\sAPPLIANCES|JEFFERSON\\sCAPITAL\\sSYSTEMS|MBF|GEMINI|WORLDWIDE\\sASSET\\sPURCHASING|DEBT\\sEQUITIES|TAX\\sCOMMISSION|FINANCE|NCO\\sPORTFOLIO\\sMANAGEMENT|GREEN\\sCOUNTRY\\sACCEPTANCE|ACQUISITION|ASSET\\sMANAGEMENT|OSU\\sCENTER\\sFOR\\sHEALTH\\sSCIENCES\\sCOLLEGE\\sOF\\sOSTEOPAT|STATE\\sOF\\sOK\\sOSU\\sCENTER\\sFOR\\sHEALTH\\sSCIENCES\\sCOLLEGE|MARINA\\sANIMAL\\sCLINIC\\sINC|INTERMEDIATE\\sCOLLECTION\\sSERVICES\\sLLC|CONSOLIDATED\\sMEDIA\\sSYSTEMS\\sINC|GREEN\\sCOUNTRY\\sVETERINARY\\sHOSPITAL\\sINC|MEGA\\sLIFE\\s&\\sHEALTH\\sINSURANCE\\sCOMPANY|N\\sK\\sMEDICAL\\sPRODUCTS\\sINC|SAINT\\sFRANCIS\\sHOME\\sMEDICAL\\sEQUIPMENT\\sLLC|UNIVERSITY\\sOF\\sARKANSAS\\sFOR\\sMEDICAL\\sSCIENCES|CAHABA\\sMEDIA\\sGROUP\\sINC|AMERICAN\\sINSTITUTE\\sOF\\sMEDICAL\\sTECHONOLGY|AMERICAN\\sINSTITUTE\\sOF\\sMEDICAL\\sTECHNOLOGY|CAHABA\\sMEDIA\\sGROUP\\sINC|COX\\sMEDIA\\sGROUP|INOVISION\\sMEDCLR\\sPORTFOLIO\\sGRP\\sLLC|COX\\sMEDIA\\sINC|COX\\sMEDIA\\sINC|IHEART\\sMEDIA\\sAND\\sENTERTAINMENT\\sINC|LINCOLN\\sFINANCIAL\\sMEDIA\\sCOMPANY\\sOF\\sCALIFONRIA|MEGA\\sLIFE\\s&\\sHEALTH\\sINS\\sCO|MEGA\\sLIFE\\s&\\sHEALTH\\sINSURANCE|MEGA\\sLIFE\\sAND\\sHEALTH\\sINSURANCE|MKL\\sCOMPUTER\\sMEDIA\\sSUPPLIES\\sINC|NAPCO\\sMEDIA|TRI\\sANIM\\sHEALTH\\sSERVICES\\sINC|ANIMAL|VETERINARY|HOME\\sHEALTH\\sWAREHOUSE\\sLLC|TEJ\\sHOSPITALITY") ~ "OTHER",
                                 str_detect(iss_plaint, "HEALTH|CLINIC|MEDICAL|HOSPITAL| MED |AHS|ST\\sJOHN\\sSAPULPA|UROLOGIC\\sSPECIALISTS|OKLAHOMA\\sHEART\\sINC|JAMES\\sA\\sJOHNSON\\sMD\\sFACS| MD|EXCEL\\sTHERAPY\\sSPECIALISTS|ORTHOPEDIC|ORTHOPAEDIC|PHYSICAL\\sREHABILITATION\\sCENTER\\sOF\\sTULSA|SAINT\\sFRANCIS\\sHOSPTIAL|EAR\\sNOSE|PREMIER\\sMRI\\sOF\\sTULSA|PEDIATRIC\\sSURGERY\\sINC|REDBUD\\sPHYSICAL\\sTHERAPY\\sINC|SOUTH\\sTULSA\\sOPEN\\sMRI|NEUROLOGICAL\\sSURGERY\\sINC|SOUTH\\sTULSA\\sANESTHESIOLOGY|SIR\\sMAGNETIC\\sIMAGING|CHERRY\\sSTREET\\sMRI\\sINC|METRO\\sTULSA\\sFOOT\\sAND\\sANKLE\\sSPECIALISTS\\sPLLC|NEONATOLOGY\\sGROUP|HEART\\sRHYTHM\\sINSTITUTE\\sOF\\sOKLAHOMA\\sPC|GARRY\\sDMD|HILLCREST\\sFERTILITY\\sCORP|ALLEN\\sC\\sDDS|RESPIRATORY\\sSPECIALIST\\sINC|BARTLESVILLE\\sAMBULANCE\\sSERVICE\\sINC|GREATER\\sTULSA\\sANETHESIOLOGY|TULSA\\sEYE\\sCONSULTANTS\\sINC|LARRY\\sDDS|ALLEN\\sC\\sD\\.D\\.S|CENTRAL\\sSTATES\\sORTHOPPEDIC\\sSPECIALISTS\\sINC|INTERNATIONAL\\sDENTAL\\sARTS\\sLAB\\sINC|NEUROLOGIAL\\sSURGERY\\sINC|NEUROSURGERY\\sSPECIALISTS|OU\\sPHYSICIANS\\sPEDIATRICS|GARY\\sE\\sANDERSON\\sDMD|ADVANCED\\sIMAGING\\sRESOURCES\\sCO") ~ "MEDICAL",
                                 TRUE ~ "UNKNOWN"))



```

This gives us a count of:

```{r}
debt %>% 
  count(plaint_type) %>% 
  arrange(desc(n))


```

This gives us the most common UNKNOWN plaintiffs.
``` {r}
debt %>%
  filter(plaint_type == "UNKNOWN") %>% 
  count(iss_plaint) %>% 
  arrange(desc(n)) 
```

This gives us the most common OTHER plaintiffs.
``` {r}
debt %>%
  filter(plaint_type == "OTHER") %>% 
  count(iss_plaint) %>% 
  arrange(desc(n)) 
```


This gives us the most common medical plaintiffs.
```{r}
debt %>%
  filter(plaint_type == "MEDICAL") %>%
  count(iss_plaint) %>% 
  arrange(desc(n)) 

```



To get a data frame with only the medical debt cases, filter on the plaint_type variable we created.
``` {r}
debt <- debt %>% 
  filter(plaint_type == "MEDICAL")

```

# Summarizing and Visualizing Data

## Summarizing to the case level

``` {r}
debt <- debt %>% 
  group_by(casenum) %>% 
  slice(1)
```
That gives us 16,944 lawsuits filed. 


## Summarizing by year
To find out how many medicial debt cases were filed in Tulsa County small claims court each year we just need to count up the number of rows with each distinct file year in our data.
``` {r}
year_sum <- debt %>% 
  ungroup %>%
  count(file_year)

year_sum
```

Now we have a data frame with the number of cases filed in each year. To create a simple line plot with this data.
``` {r}
ggplot(year_sum, aes(file_year, n)) +
  geom_line() +
  geom_text(aes(y = n + 50, label = n), family = "Menlo", size = 3) +
  xlab("Year") + ylab("Cases") +
  ylim(0, NA) +
  theme_ojo() +
  theme(plot.title = element_text(hjust = 0.5)) +
  theme(plot.subtitle = element_text(hjust = 0.5)) +
  labs(title = "CS medical debt cases",
       subtitle = "Tulsa County 2005-2019")
```


## Summarizing by provider 

The most common plaintiffs seem to be SAINT FRANCIS,ST JOHN, WARREN CLINIC. Again, we’ll use the str_detect() function to classify the cases. 

``` {r}
debt <- debt %>% 
  mutate(plaint_cat = case_when(str_detect(iss_plaint, "SAINT FRANCIS") ~ "SAINT FRANCIS",
                                str_detect(iss_plaint, "ST JOHN") ~ "ST JOHN",
                                str_detect(iss_plaint, "HILLCREST") ~ "HILLCREST",
                                TRUE ~ "OTHER"))

```

Now we can see how many cases each group filed each year:
``` {r}
plaint_sum <- debt %>% 
  ungroup %>% # Our data frame is still grouped by casenum from the code above; ungroup to summarize using broader groups
  count(file_year, plaint_cat)

ggplot(plaint_sum, aes(file_year, n, group = plaint_cat, color = plaint_cat)) +
  geom_line() +
  xlab("Year") + ylab("Cases")+
  ylim(0, NA) + # Extends y-axis down to zero
  theme_ojo() + # Adds ojo styling to the plot
  theme(legend.title=element_blank())+
  theme(plot.title = element_text(hjust = 0.5, size = 14)) +
  theme(plot.subtitle = element_text(hjust = 0.5, size = 13)) +
  theme(legend.text=element_text(size = 9))+
  theme(legend.position="bottom")+
  labs(title = "CS medical debt cases\nin Tulsa County 2005-2019",
       subtitle = "By medical provider") +
  scale_color_manual(values = ojo_pal) # Gives lines colors from ojo's palette

```
### Find median debt amount

Created a new dataframe with the median medical debt amount by file_year. 


```{r}
debt_new <- debt%>%
  group_by(file_year) %>%
  summarise(n_cases = n(),
            n_cases_with_debt = sum(!is.na(debt_amt)),
            avg = median(debt_amt, na.rm = TRUE)) %>% 
  mutate(pct_with_debt = n_cases_with_debt/n_cases)

debt_new 

```


### Graph median medical debt by year 

```{r}

ggplot(debt_new, aes(x= file_year, y= avg)) +
  geom_line() +
  #geom_text(aes(y = avg + 50, label = avg), family = "Menlo", size = 3) +
  xlab("Year") + ylab("Amount") +
  ylim(0, NA) + # Extends y-axis down to zero
  theme_ojo() +
  theme(plot.title = element_text(hjust = 0.5)) +
  theme(plot.subtitle = element_text(hjust = 0.5)) +
  labs(title = "Median medical debt amount CS",
       subtitle = "Tulsa County 2005-2019")


```

## Summary 1

- How you summarized and why
To answer the original question, I summarized by year. To take a deeper look into what is behind the general trends, I also summarized by medical provider. 
- How you visualized the data
I used a line graph to visualize the data. 
- Potential leads and trends
Sharp increase in 2009. Medical debt cases has more than doubled since 2000.  





```{r results="asis", echo=FALSE}
cat("
<style>
body {
  padding-top: 63px;
}

h1.title.toc-ignore {
  font-family: 'Pluto Sans';
  font-weight: bold;
  background-color: #F8D64E;
}

h1, h2, h3 {
  font-family: 'Pluto Sans';
  font-weight: bold;
}

#TOC {
  font-family: 'Menlo'
}

.list-group-item.active, .list-group-item.active:focus, .list-group-item.active:hover {
    font-weight: bold;
    color: black;
    background-color: #F8D64E;
}

p a {
  color: black;
  background-color: #F8D64E;
  font-weight: bold;
}

</style>
")
```