Physician Fee analysis 04132016

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Transcript of Physician Fee analysis 04132016

Page 1: Physician Fee analysis 04132016

CODE DESCRIPTION 50th 90th Mcare Fee AETNABCBS CIGNA MCRB CAID SelfPayUHC 2015Chg 2015Pay 2015Adj. ReimRatio

99205 OV NP LEVEL 5 367 769 210.6 275 171 200.2 159.9 156.1 99 200 165 86775 46906.7 36638.4 0.540672

99213 OV EP LEVEL 3 110 244 74.16 90 60.3 70.67 56.51 68.22 34.9 90 56.5 101705 60930.9 37147.5 0.599086

99214 OV EP LEVEL 4 162 360 109.3 150 89 104.3 83.56 101.3 49.1 150 85 331484 143386 183436 0.432555

99215 OV EP LEVEL 5 229 510 147.3 275 119 139.6 112.2 139 71.9 200 115 16615 6536.93 9670.84 0.393379

58300 INSERT INTRAUTERINE 273 508 74.41 370 80.7 63.04 70.28 55.1 175 73.4 17360 3278.84 13841.2 0.188825

59400 OBSTETRICAL CARE 4335 9690 2168 2400 1850 1921 1929 1608 800 1577 43200 31700.4 9257.83 0.733796

59409 OBSTETRICAL CARE 2259 5049 848.7 1000 583.2 555.5 706 216000 120211 88789 0.556532

59514 CESAREAN DELIVERY ONLY2618 5831 1082 1200 693.3 699.9 101100 53995.8 42304.2 0.534075

76801 U/S FIRST TRIM FET & MAT EV 357 804 126 250 96.79 76.63 106.9 200 145 8700 3953.35 4746.65 0.454368

76830 TRANSVAGINAL US NON-OB 334 752 124.9 350 105 99.75 75 115.4 95.4 200 125 122439 35641 82056 0.291092