AMFMM RVU DATA AMFMM RVU DATA STUDY Da ta c o lle c te d fro m 166 - PowerPoint PPT Presentation

AMFMM RVU DATA

AMFMM RVU DATA STUDY • Da ta c o lle c te d fro m 166 do c to rs fro m 35 pra c tic e s • Da ta re pre se nts the 6 mo nth pe rio d fro m Ja nua ry 1, 2014 to June 30, 2014 • Billing info rma tio n wa s c a pture d via CPT c o de s fo llo wing the SMF M supe rb ill pro vide d b y the SMF M c o ding c o mmitte e • Da ta wa s a lso a na lyze d b y g ro up o wne rship type : c o mpa ny o wne d, ho spita l o wne d, priva te ly o wne d, a nd unive rsity o wne d • T his info rma tio n is CONF I DE NT I AL a nd no t to b e sha re d o utside o f yo ur pra c tic e a t the c urre nt time !!

MFM WORK RVU GENERATION 10 th 25 th 75 th Pr ac tic e Numbe r Avg Me dian 90th T ype Doc s Co mpa ny 11 8497 8601 6250 6463 10284 11329 o wne d Ho spita l 47 8460 8538 3183 4837 10249 14350 Priva te 37 9259 9554 2748 5763 12378 14788 Unive rsity 71 6112 5298 1769 3672 7455 11646 T o ta l 166 7636 +/ - 6925 2634 4287 9886 14248 4575 MGMA 99 6430+/ - 6048 N/ A 4757 7850 9531 2762

WORK RVU PER CLINICAL DAY WORKED 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 45.7 43.7 34.6 38.6 52.7 61.6 o wne d Ho spita l 47 63.1 41.9 17.5 28.4 70.2 130.0 Priva te 37 52.2 55.4 19.6 41.1 66.0 72.5 Unive rsity 71 47.7 40.0 22.6 31.0 63.1 83.0 T o ta l 166 52.9 45.0 19.0 31.2 64.0 85.2

AVG INPT/TOTAL WORK RVU PER DOCTOR (%) 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 4.2 2.7 1.3 2.0 4.9 5.8 o wne d Ho spita l 47 15.4 6.2 1.4 3.2 11.3 34.0 Priva te 37 5.6 3.3 0.0 0.8 4.7 11.7 Unive rsity 71 16.8 12.3 0.2 3.9 22.4 34.5 T o ta l 166 13.1 62 0.1 2.3 14.8 31.6

OFFICE VISITS + CONSULT RVU AS A PERCENTAGE OF TOTAL OUTPATIENT RVU AND ULTRASOUND 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 27.1 28.2 11.6 18.6 34.0 44.1 o wne d Ho spita l 47 21.6 16.9 9.3 10.5 28.6 36.8 Priva te 37 25.2 18.6 7.5 12.3 27.7 42.3 Unive rsity 71 33.0 27.5 5.0 10.7 43.1 67.9 T o ta l 166 27.7 21.0 7.3 11.3 33.6 54.2 I mpo rta nt to lo o k a t tha t c o nsulta tive wo rk is b e ing pe rfo rme d within the o ffic e

COMPENSATION IN DOLLARS PER WORK RVU 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 50.43 54.00 27.60 32.08 64.70 70.76 o wne d Ho spita l 47 82.30 67.57 39.27 46.71 83.51 144.97 Priva te 37 48.06 42.26 26.09 35.67 59.86 66.96 Unive rsity 71 80.25 53.64 26.56 41.73 75.49 118.54 T o ta l 166 71.68 54.03 27.08 40.32 72.92 99.98 MGMA 100 77.01+/ - 67.33 56.38 89.54 124.08 32.89 Co mpe nsa tio n pe r RVU fo r Me dic a re wa s $35.82 in 2014

76811/76805+76811 EXAM RATIO (%) 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 71.0 81.7 50.5 54.1 86.6 91.5 o wne d Ho spita l 46 60.7 60.6 39.8 53.6 68.9 86.7 Priva te 34 55.4 55.5 38.2 44.3 67.5 81.5 Unive rsity 57 54.3 57.8 18.3 40.8 80.7 86.1 T o ta l 148 57.9 58.7 35.4 46.4 77.9 87.3 I mpo rta nt to lo o k a t unde r a nd o ve rc o ding o f so no g ra ms within the o ffic e

RATIO OF RESULTS OF 76811 AND 10 TH TO 90 TH PERCENTILES

76820 /(76805 + 76811 + 76816) EXPRESSED FROM THE TOTAL NUMBER OF EXAMS IN PERCENT 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 18.0 12.5 9.6 10.9 24.0 31.2 o wne d Ho spita l 45 27.7 10.8 5.2 7.9 45.6 60.1 Priva te 34 9.0 7.8 3.6 5.5 12.4 19.0 Unive rsity 64 13.1 11.5 6.4 9.0 15.5 19.3 T o ta l 154 16.9 10.8 5.0 7.7 15.9 30.2 Hig h le ve ls o f do pple r utiliza tio n a b o ve the me dia n sho uld ma ke pro vide rs a wa re o f o ve rutiliza tio n

RATIO OF RESULTS OF 76820 AND 10 TH TO 90 TH PERCENTILES

76821 /(76805 + 76811 + 76816) EXPRESSED FROM THE TOTAL NUMBER OF EXAMS IN PERCENT 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 2.2 2.3 0.6 0.9 3.1 3.9 o wne d Ho spita l 43 10.7 6.1 1.0 2.0 10.1 27.8 Priva te 32 1.4 1.1 0.3 0.6 1.6 3.0 Unive rsity 55 6.7 2.8 1.0 1.7 5.3 15.1 T o ta l 141 6.0 2.6 0.6 1.2 6.1 12.1 Hig h le ve ls o f do pple r utiliza tio n a b o ve the me dia n sho uld ma ke pro vide rs a wa re o f o ve rutiliza tio n

PERCENT OF SCANS AS REPEAT SCANS 76816/ 76816+76805+76811) 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 49.1 48.7 41.6 42.7 53.2 59.9 o wne d Ho spita l 46 47.6 42.1 21.3 31.9 53.8 63.6 Priva te 34 46.3 43.9 19.1 26.3 58.3 66.5 Unive rsity 65 46.3 53.6 6.1 42.1 57.4 100.0 T o ta l 156 46.9 47.6 18.2 35.9 57.1 66.5 Ag a in, g ive s a n ide a o f pro pe r c o ding o f ultra so und visits

RATIO OF RESULTS OF 76816 AND 10 TH TO 90 TH PERCENTILES

TOTAL COMPENSATION 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 457,521 480,000 322,738 385,000 542,500 610,000 o wne d Ho spita l 47 593,187 536,043 315,131 475,921 764,156 948,604 Priva te 37 478,704 400,000 182,202 350,000 469,976 965,255 Unive rsity 71 335,497 327,508 210,324 264,333 426,803 460,000 T o ta l 166 448,463 402,859 206,576 309,375 525,000 774,912 MGMA 146 487,907 454,186 N/ A 368,755 576,123 731,394 +/ -213671 MGMA 25 353,568 349,999 232,135 295,678 423,735 501,750 Univ +/ -111,802

SALARY BASED ON NUMBER OF DELIVERIES De live r y Cor p Hospital Pr ivate Unive r sity T otal Numbe r L e ss tha n 25 455,274 585,039 466,880 246,736 433,609 Gre a te r 480,000 597,392 576,250 370,307 461,952 tha n = 25 L e ss tha n 50 455,274 571,443 478,149 312,422 450,422 Gre a te r tha t 480,000 650,055 485,000 360,610 444,048 = 50 T re nd to wa rds de c re a sing c o mpe nsa tio n with inc re a sing a mo unts o f de live rie s o ve ra ll b ut this is mo re due to the hig he r pe rc e nta g e o f unive rsity g ro ups do ing mo re de live rie s a s e a c h g ro up ha s hig he r c o mpe nsa tio n with mo re de live rie s. Additio na lly, the swe e t spo t se e ms to b e b e twe e n 25-49 de live rie s pe r ye a r a s a b o ve 50 fo r mo st g ro ups sa la ry sta b ilize s o r g o e s do wn.

CESAREAN SECTION RATE (%) EXCLUDING MULTIPLE GESTATIONS 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 4 41.7 100.0 55.5 84.1 100.0 100.0 o wne d Ho spita l 35 68.5 64.7 43.7 57.9 74.3 87.0 Priva te 19 46.1 50.0 0.0 25.0 77.5 90.0 Unive rsity 59 38.0 40.0 17.9 25.7 47.9 69.0 T o ta l 117 49.0 48.1 20.3 33.3 70.0 88.2 T o o ur kno wle dg e , this is the first da ta o n c e sa re a n de live ry ra te s fo r MF M pro vide rs

AVERAGE TYPE OF CONSULT BENCHMARKING Pra c tic e Numbe r 99241% 99242% 99243% 99244% 99245% T ype Co rpo ra te 10 7.1 11.8 42.8 24.0 14.4 Ho spita l 42 16.5 29.8 42.6 10.0 1.2 Owne d Priva te ly 35 37.0 23.9 15.6 16.5 7.1 Owne d Univ. 58 21.0 28.7 29.3 15.8 5.3 Owne d T o ta l 145 22.6 26.7 30.8 14.8 5.2 Ag a in, this ma y b e use d to lo o k a t unde r a nd o ve rc o ding a nd a s a me a ns to a udit yo ur pra c tic e a nd e nsure pro pe r do c ume nta tio n. Hig he r le ve ls o f c o nsulta tio n ma y b e re a so na b le if b illing b y c o mpo ne nts inste a d o f time

AVERAGE PERCENT NEW OFFICE VISIT OR CONSULT TYPE Pr a c tic e Numbe r 99201(% ) 99202(% ) 99203(% ) 99204(% ) 99205(% ) T ype Co rpo ra te 9 24.8 6.6 34.5 16.8 17.4 Ho spita l 38 11.3 22.1 45.1 14.5 7.0 Owne d Priva te ly 34 26.5 12.4 24.2 17.3 19.7 Owne d Univ. 66 12.2 14.4 34.2 23.9 15.3 Owne d T o ta l 147 16.1 15.4 34.7 19.5 14.3

76825 AS A PERCENT OF TOTAL ULTRASOUND RVU (EXCLUDING BPP) 10 th 25 th 75 th Pr ac tic e Numbe r Ave r age Me dian 90th T ype Doc s Co mpa ny 11 6.7 6.7 2.9 4.5 9.2 12.0 o wne d Ho spita l 46 2.3 1.0 0 0 3.5 5.9 Priva te 34 4.5 4.4 0.2 1.6 6.4 8.2 Unive rsity 65 3.3 2.4 0 0 5.6 7.3 T o ta l 156 3.5 2.7 0 0 5.7 7.6