 |
 |
Direct
Patient Contact* by Population of Area Served (n=1332)
* Includes rheumatologists in the following practice settings: Solo, Single Specialty Clinic, Multispecialty Clinic, Academic Clinic and Clinical Research.
Compensation
|
|
|
Population of Area Served |
|
n |
Total Group |
Under 100,000 (n=113) |
100,000 - 499,999 (n=461) |
500,000 - 1,000,000 (n=234) |
More than 1,000,000 (n=493) |
|
PERSONAL SOURCES OF COMPENSATION FROM PRACTICE OF RHEUMATOLOGY
|
Reported in percentage of total practice
|
|
Direct patient care |
1202 |
78.3 |
86.8 |
80.7 |
78.8 |
73.7 |
|
In office lab |
1202 |
3.9 |
3.7 |
4.3 |
3.9 |
3.4 |
|
In office x-ray |
1202 |
2.7 |
2.5 |
2.6 |
2.6 |
2.8 |
|
In office densitometry |
1202 |
2.2 |
2.6 |
2.4 |
2.3 |
1.8 |
|
In office PT/OT |
1202 |
0.2 |
0.0 |
0.3 |
0.3 |
0.2 |
|
Clinical trials |
1202 |
3.0 |
0.7 |
2.3 |
2.8 |
4.2 |
|
Medical/legal work |
1202 |
0.9 |
0.4 |
0.7 |
0.8 |
1.3 |
|
Administration |
1202 |
2.9 |
0.9 |
2.5 |
2.1 |
4.1 |
|
Teaching/lecturing |
1202 |
5.1 |
2.2 |
3.7 |
5.2 |
7.2 |
|
Consulting for pharm. or insurance industry
|
1202 |
0.9 |
0.2 |
0.5 |
1.1 |
1.3 |
|
COMPENSATION LEVEL FROM THE PRACTICE OF MEDICINE
|
Reported in percentages
|
|
less than $50,000 |
48 |
3.7 |
5.5 |
3.5 |
1.7 |
4.5 |
|
$50,000 - $100,000 |
209 |
16.2 |
20.9 |
11.8 |
17.3 |
18.8 |
|
$101,000 - $125,000 |
226 |
17.5 |
14.5 |
18.1 |
17.3 |
17.8 |
|
$126,000 - $150,000 |
260 |
20.2 |
25.5 |
22.5 |
22.5 |
15.7 |
|
$151,000 - $200,000 |
284 |
22.0 |
20.9 |
22.7 |
22.5 |
21.5 |
|
$201,000 - $250,000 |
132 |
10.2 |
4.5 |
10.9 |
11.3 |
10.4 |
|
$251,000 - $300,000 |
52 |
4.0 |
4.5 |
5.0 |
2.6 |
3.7 |
|
over $300,000 |
77 |
6.0 |
3.6 |
5.5 |
4.8 |
7.6 |
|
PERCENTAGE OF REVENUE OBTAINED FROM INSURANCE
|
Reported in percentages
|
|
Classic indemnity |
1052 |
16.0 |
16.9 |
17.0 |
15.5 |
15.1 |
|
PPO/discounted fee for service |
1052 |
26.1 |
19.3 |
23.6 |
25.8 |
30.3 |
|
Medicare (traditional) |
1052 |
35.3 |
44.4 |
38.7 |
34.0 |
30.5 |
|
Medicaid/Chronic children’s program |
1052 |
6.2 |
8.2 |
5.7 |
5.1 |
6.8 |
|
Uninsured |
1052 |
2.8 |
3.4 |
2.2 |
3.3 |
3.0 |
|
HMO |
1052 |
11.2 |
6.1 |
10.7 |
13.4 |
11.8 |
|
Subcap for rheumatology |
1052 |
0.5 |
0.3 |
0.1 |
0.4 |
0.8 |
|
Cap for primary care |
1052 |
0.2 |
0.2 |
0.1 |
0.1 |
0.3 |
|
Medicare risk (HMO) |
1052 |
1.7 |
1.2 |
1.8 |
2.4 |
1.5 |
Practice Costs
|
|
|
Population of Area Served |
|
n |
Total Group |
Under 100,000 (n=113) |
100,000 - 499,999 (n=461) |
500,000 - 1,000,000 (n=234) |
More than 1,000,000 (n=493) |
|
TOTAL PRACTICE COSTS
|
|
|
Percentage of total booked charges collected |
1042 |
71.8 |
75.9 |
75.3 |
72.8 |
66.7 |
|
Percentage of total collections to physician compensation and benefits, insurance and professional liability
|
896 |
47.2 |
47.5 |
47.5 |
45.7 |
47.6 |
|
OVERHEAD-DIRECT COSTS
|
Reported in percentage of total costs
|
|
Clinical labor |
526 |
26.3 |
25.7 |
25.9 |
26.1 |
27.1 |
|
Clerical labor |
525 |
23.1 |
24.8 |
22.6 |
2.5 |
23.5 |
|
Supplies |
525 |
12.1 |
11.2 |
12.5 |
13.0 |
11.4 |
|
Procedure-specific equipment |
525 |
4.7 |
4.2 |
4.6 |
5.7 |
4.6 |
|
Overhead equipment |
525 |
4.2 |
3.4 |
4.5 |
4.0 |
4.1 |
|
OVERHEAD-INDIRECT COSTS
|
Reported in percentage of total costs
|
|
Expenses required to maintain office |
525 |
29.7 |
30.7 |
30.2 |
28.8 |
29.4 |
|
SUPPORT PERSONNEL
|
Reported in average FTEs per MD
|
|
RNs |
1071 |
0.3 |
0.3 |
0.3 |
0.3 |
0.3 |
|
LPNs/LVNs |
1070 |
0.3 |
0.4 |
0.3 |
0.4 |
0.2 |
|
Medical assistants |
1069 |
0.6 |
0.5 |
0.6 |
0.6 |
0.6 |
|
Mid-level providers (PAs and NPs) |
1067 |
0.1 |
0.1 |
0.1 |
0.1 |
0.1 |
|
Lab, x-ray, bone density technicians |
1062 |
0.4 |
0.3 |
0.5 |
0.3 |
0.4 |
|
Research support |
1064 |
0.2 |
0.0 |
0.2 |
0.2 |
0.2 |
|
Secretarial/front desk personnel |
1065 |
1.5 |
1.4 |
1.6 |
1.5 |
1.5 |
|
Total |
1071 |
3.4 |
3.1 |
3.7 |
3.3 |
3.2 |
Workforce Requirements
|
|
|
Population of Area Served |
|
n |
Total Group |
Under 100,000 (n=113) |
100,000 - 499,999 (n=461) |
500,000 - 1,000,000 (n=234) |
More than 1,000,000 (n=493) |
|
PERSONNEL
|
|
|
Number of physician associates |
1166 |
12.4 |
6.8 |
6.7 |
7.4 |
21.2 |
|
Percentage who plan to add or replace retiring associates within 5 years
|
595 |
50.8 |
37.0 |
53.8 |
48.8 |
52.1 |
|
WAITING TIME
|
|
|
Weeks to next consultation |
1247 |
4.4 |
4.4 |
4.6 |
4.4 |
4.3 |
|
Weeks to next return office visit |
1218 |
3.0 |
2.9 |
2.9 |
2.9 |
3.2 |
Productivity
|
|
|
Population of Area Served |
|
n |
Total Group |
Under 100,000 (n=113) |
100,000 - 499,999 (n=461) |
500,000 - 1,000,000 (n=234) |
More than 1,000,000 (n=493) |
|
Scheduled hours of office time per week |
1061 |
28.3 |
32.3 |
29.8 |
28.4 |
25.7 |
|
Office no show rate (reported in percentage) |
1166 |
7.8 |
6.2 |
6.9 |
7.7 |
9.0 |
|
TIME INTERVAL, in minutes, for
|
|
|
New patients |
1216 |
49.4 |
49.8 |
48.5 |
47.9 |
50.8 |
|
Return patients |
1216 |
18.4 |
19.2 |
17.1 |
17.5 |
19.9 |
|
NUMBER SEEN (per week)
|
|
|
New patients |
1182 |
10.8 |
11.2 |
11.2 |
11.9 |
9.8 |
|
Return patients |
1168 |
61.3 |
62.4 |
69.2 |
60.6 |
53.8 |
|
NUMBER OF (per week)
|
|
|
Hospital visits |
1059 |
6.7 |
6.9 |
6.1 |
7.8 |
6.7 |
|
Hospital consultations |
1115 |
2.3 |
2.2 |
2.1 |
2.7 |
2.4 |
|
Arthrocentesis, joint, tendon or bursa injections
|
1147 |
13.5 |
12.6 |
14.8 |
13.0 |
12.6 |
|
VISIT CODES PER WEEK
|
Reported in average numbers for each code
|
|
New patient/office |
99203
|
907 |
1.5 |
3.4 |
2.1 |
1.6 |
0.5 |
99204
|
909 |
2.4 |
3.7 |
3.1 |
2.1 |
1.4 |
99205 |
905 |
1.9 |
3.4 |
2.0 |
1.9 |
1.3 |
|
Established patient/office |
99213 |
907 |
28.3 |
32.3 |
34.9 |
26.6 |
21.4 |
99214 |
906 |
28.0 |
23.0 |
28.8 |
30.1 |
27.5 |
99215 |
904 |
4.0 |
4.5 |
4.2 |
3.5 |
3.9 |
|
Consult/office |
99243 |
906 |
2.5 |
3.8 |
3.4 |
2.5 |
1.1 |
99244
|
906 |
5.3 |
6.6 |
6.3 |
5.0 |
4.1 |
99245 |
906 |
3.7 |
5.5 |
3.4 |
3.7 |
3.4 |
|
Consult/inpatient |
99253 |
907 |
1.4 |
3.0 |
2.1 |
0.4 |
0.7 |
99254 |
905 |
1.7 |
3.5 |
2.5 |
1.1 |
0.8 |
99255 |
901 |
1.4 |
4.0 |
1.7 |
1.2 |
0.7 |
|
WORK YEAR
|
|
|
Average weeks worked per year |
920 |
47.6 |
47.6 |
47.4 |
47.5 |
47.8 |
Contracts and Networks
|
|
|
Population of Area Served |
|
n |
Total Group |
Under 100,000 (n=113) |
100,000 - 499,999 (n=461) |
500,000 - 1,000,000 (n=234) |
More than 1,000,000 (n=493) |
|
CONTRACTS
|
Reported as percentage of those answering yes to existence of
contracts
|
|
PHO |
471 |
58.3 |
53.7 |
58.1 |
59.1 |
59.1 |
Number of contracts (average number) |
321 |
4.2 |
2.1 |
4.2 |
4.1 |
4.7 |
|
IPA |
477 |
57.1 |
50.0 |
53.5 |
58.7 |
61.8 |
Number of contracts (average number) |
321 |
4.0 |
2.5 |
4.0 |
3.8 |
4.5 |
|
HMO |
747 |
77.6 |
65.3 |
79.2 |
81.6 |
76.5 |
|
Number of subcapitation contracts (average number)
|
321 |
1.4 |
1.5 |
1.4 |
1.4 |
1.3 |
|
Number of fee-based contracts (average number)
|
434 |
6.0 |
5.4 |
5.2 |
5.4 |
7.4 |
|
EQUITY/NETWORKS
|
Reported as percentage of those answering yes
|
|
Sold equity in practice |
117 |
10.1 |
6.8 |
13.1 |
12.0 |
6.9 |
|
to hospital |
49 |
45.4 |
57.1 |
43.1 |
54.2 |
38.5 |
|
to foundation |
15 |
13.9 |
0.0 |
17.6 |
12.5 |
11.5 |
|
to Physician Practice Mgmt. Company
|
45 |
41.7 |
42.9 |
41.2 |
33.3 |
50.0 |
|
Merged practice with another in last 5 years |
142 |
12.2 |
11.7 |
14.1 |
14.1 |
9.5 |
Contested Charges
|
|
|
Population of Area Served |
|
n |
Total Group |
Under 100,000 (n=113) |
100,000 - 499,999 (n=461) |
500,000 - 1,000,000 (n=234) |
More than 1,000,000 (n=493) |
|
CONTESTED CHARGES
|
|
|
Charges reduced or denied during the last year (percent of those
answering yes)
|
727 |
69.0 |
59.8 |
66.8 |
69.3 |
73.4 |
|
What percent of charges |
559 |
19.7 |
21.6 |
15.3 |
21.7 |
22.7 |
|
Most frequent problem |
Reported in percentage of those answering yes |
|
Payment schedule by third-party payor is inadequate
|
238 |
39.7 |
51.3 |
37.3 |
36.9 |
41.2 |
Reduction of E/M code level
|
97 |
16.2 |
10.3 |
15.2 |
16.2 |
18.0 |
|
Denial of E/M visit and inj. on same day
|
176 |
29.3 |
25.6 |
31.3 |
33.3 |
26.2 |
|
Denial of interpretive charges for imaging procedure
|
4 |
0.7 |
0.0 |
0.5 |
0.0 |
1.3 |
Denial of DEXA
|
38 |
6.3 |
5.1 |
6.0 |
7.2 |
6.4 |
Other
|
47 |
7.8 |
7.7 |
9.7 |
6.3 |
6.9 |
|
Formal audit by Medicare in the last year (percentage reporting yes)
|
62 |
5.3 |
4.0 |
4.6 |
4.3 |
6.7 |
How much paid back to Medicare ($)
|
34 |
$4206 |
$391 |
$1298 |
$3119 |
$7404 |
Practice Type
|
|
|
Population of Area Served |
|
n |
Total Group |
Under 100,000 (n=113) |
100,000 - 499,999 (n=461) |
500,000 - 1,000,000 (n=234) |
More than 1,000,000 (n=493) |
|
PERCENTAGE OF VISITS
|
Reported in percentages of total practice
|
|
Adult rheumatology practice |
1277 |
84.3 |
79.5 |
86.8 |
86.2 |
82.1 |
|
Primary care (general int. med. or pediatrics)
|
1277 |
9.4 |
18.2 |
9.3 |
8.4 |
7.9 |
|
Pediatric rheumatology practice |
1277 |
5.0 |
1.8 |
2.4 |
3.6 |
8.7 |
|
None of the above |
1277 |
1.4 |
0.5 |
1.5 |
1.8 |
1.2 |
|
DESIRED PERCENTAGE OF PRACTICE
|
Reported in percentages
|
|
Dedicated to rheumatology |
1166 |
92.7 |
88.8 |
92.6 |
92.8 |
93.7 |
Demographics
|
|
|
Population of Area Served |
|
n |
Total Group |
Under 100,000 (n=113) |
100,000 - 499,999 (n=461) |
500,000 - 1,000,000 (n=234) |
More than 1,000,000 (n=493) |
|
PROGRAM COMPLETION
|
Reported in percentages
|
|
Graduate from medical school |
Institution inside the US
|
1087 |
84.5 |
78.4 |
84.1 |
82.7 |
87.2 |
Institution outside the US
|
199 |
15.5 |
21.6 |
15.9 |
17.3 |
12.8 |
|
Complete residency |
Institution inside the US
|
1254 |
97.5 |
95.5 |
98.3 |
97.0 |
97.5 |
Institution outside the US
|
22 |
1.7 |
0.9 |
1.1 |
3.0 |
1.9 |
Both circumstances
|
10 |
0.8 |
3.6 |
0.7 |
0.0 |
0.6 |
|
Complete fellowship |
Institution inside the US
|
1248 |
98.3 |
95.5 |
98.7 |
97.8 |
98.8 |
Institution outside the US
|
14 |
1.1 |
1.8 |
0.9 |
1.7 |
0.8 |
Both circumstances
|
8 |
0.6 |
2.7 |
0.4 |
0.4 |
0.4 |
|
BOARD ELIGIBILITY AND CERTIFICATION
|
Reported in percentages
|
|
Internal Medicine |
Board eligible
|
1210 |
97.7 |
98.2 |
99.3 |
99.1 |
95.2 |
Board certified
|
1159 |
95.6 |
97.2 |
97.2 |
97.3 |
92.8 |
|
Adult rheumatology |
Board eligible
|
1175 |
95.8 |
95.4 |
96.8 |
98.7 |
93.6 |
Board certified
|
1065 |
91.1 |
93.3 |
91.4 |
94.9 |
88.4 |
|
Pediatrics |
Board eligible
|
70 |
13.8 |
7.3 |
5.4 |
10.3 |
24.1 |
Board certified
|
68 |
9.3 |
5.2 |
3.8 |
5.2 |
17.1 |
|
Pediatric rheumatology |
Board eligible
|
89 |
17.4 |
7.9 |
11.2 |
10.5 |
27.3 |
Board certified
|
66 |
9.1 |
3.6 |
4.2 |
4.5 |
16.9 |
|
GENDER
|
Reported as percentages
|
|
Male |
1003 |
77.2 |
66.4 |
80.3 |
77.4 |
76.6 |
|
Female |
297 |
22.8 |
33.6 |
19.7 |
22.6 |
23.4 |
|
AGE (average age) |
1292 |
48.4 |
45.9 |
48.4 |
47.8 |
49.2 |
|
YEARS IN PRACTICE (average years) |
1287 |
16.0 |
12.8 |
16.3 |
15.0 |
17.1 |
|
PLANS TO RETIRE
|
A number of respondents did not report an age, but indicated
other plans. They are reported first
|
|
Undecided |
133 |
76.4 |
71.4 |
78.2 |
66.7 |
79.7 |
|
No plans to retire |
26 |
14.9 |
14.3 |
16.4 |
16.7 |
13.5 |
|
As soon as possible |
15 |
8.6 |
14.3 |
5.5 |
16.7 |
6.8 |
|
Average reported retirement age |
1082 |
63.6 |
63.1 |
63.0 |
63.3 |
64.4 |
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