Quartiles of Medicare Revenue for Family Physicians in Ohio

Broken down by quartiles of total Medicare revenues (from the 2012 payments dataset),  the top 25% of Family Physicians in Ohio received between $100k to $521k  in payments.

The bottom 75% of Family Physicans recieved less than $100k in payments from Medicare.

> summary(RevFractionByCode$totRevDeciles)

Payment Range           Number

[   50.9, 32868)          9808

[32868.1, 58012)      9798

[58011.6, 99887)      9823

[99886.8,521249]     9779

The Medicare 2012 Payments Dataset has wealth of information

This payments dataset contains information identifying the healthcare provider (name, address, credentials, provider_type, Medicare Participation status) and  detailed information about every Medicare procedure code payment connected to these providers (HCPCS code, number of services, number of unique beneficiaries serviced, and the payment charges submitted, average Medicare payments allowed and paid for each of these charges).

A physician or healthcare provider who bills Medicare for services can make use of this information to assess comparative patterns of coding and payments in his or her locality (zipcode area or city, for example) to focus on improving practice revenues.

Here are examples of sample reports:

Category_Summary_FP_sample

Code_Summary_FP_sample

 

 

Mission Statement

CPT(*) or HCPCS procedural coding is how physicians and healthcare providers are paid.  Up until about 2014, physicians and healthcare providers have had only limited access to information about coding and payments.

The release of the  9 million line Medicare Payments  database in April of 2014 opens up this playing field and makes available information about submitted charges and Medicare payments for every physician and healthcare provider, broken down by CPT/HCPCS codes for the 2012 payments year.

Medical Coding Analytics uses advanced analytic methods to help physicians and healthcare providers to identify opportunities for increased revenue in their practices by giving them comparative and proprietary analytic information about coding and payments in their specialty and in their area.

Comparative Coding information includes:

• Summary information for the Top Medicare Revenue producers in your area including revenue breakdown by Code Catetories and Individual HCPCS codes.

 

“Knowledge is power. Information is liberating. Education is the premise of progress, in every society, in every family.”
— Kofi Annan

Please use the contact form below to request more information.

(*) CPT codes, descriptions and other data only are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).

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