Addiction medicine 64 76 -12

Anesthesiologist Assistant 50 57 -7 Podiatry 33 40 -7
Mass Immunization Roster Biller 65 72 -7 Registered Dietician/Nutrition Professional 52 58 -6 Sports Medicine 61 66 -5 Psychiatry 43 47 -4 Endocrinology 69 73 -4 Peripheral vascular disease 37 41 -4 Interventional Pain Management 21 24 -3 Cardiac Electrophysiology 66 69 -3 Chiropractic 28 31 -3
Nuclear medicine 29 32 -3
Geriatric medicine 6 9 -3 Hand surgery 72 75 -3 Certified Registered Nurse Anesthetists (CRNA) 26 29 -3 Family practice 36 38 -2 Diagnostic radiology 31 33 -2 Urology 60 62 -2 Clinical psychologist (billing indepedently) 18 20 -2 Occupational therapist 58 60 -2
Licensed clinical social worker 19 21 -2 Hematology 5 7 -2
Preventive medicine 49 51 -2 Emergency medicine 32 34 -2 Interventional radiology 41 43 -2 Physician assistant 23 25 -2 Anesthesiology 48 49 -1 Neurology 62 63 -1 Neurosurgery 9 10 -1 Orthopedic surgery 47 48 -1 Plastic and Reconstructive surgery 45 46 -1 Thoracic surgery 25 26 -1
Infectious disease 34 35 -1 Rheumatology 63 64 -1 Single or Multispecialty clinic or group practice 17 18 -1 Cardiac surgery 35 36 -1 Certified clinical nurse specialist 12 13 -1 Gynecologist/oncologist 4 5 -1 Table 8A. Rank Comparison for TINs with 1+ EPs - Specialty-Adjusted (weighted by NPIs in each Specialty)

Specialty Rank in Original

Analysis Rank in SpecialtyAdjusted Analysis Difference in Rank

(Original - Adjusted) Rank by % of Relationships in High Cost TINsGeneral surgery 22 22 0

Internal medicine 14 14 0 Obstetrics/gynecology 55 55 0 Physical medicine and rehabilitation 16 16 0
Certified nurse midwife 54 54 0 Nurse practitioner 15 15 0 Audiologist 74 74 0 Pain Management 11 11 0 Critical care (intensivists) 42 42 0 Hematology/oncology 2 2 0 Medical oncology 1 1 0 Radiation oncology 3 3 0 General practice 20 19 1 Allergy/immunology 71 70 1 Hospice and Palliative Care 13 12 1 Oral surgery (dentists only) 46 45 1 Pulmonary disease 51 50 1 Nephrology 68 67 1 Physical therapist 53 52 1 Clinical psychologist 24 23 1 Vascular surgery 40 39 1 Otolaryngology 70 68 2 Gastroenterology 67 65 2 Pathology 39 37 2 Geriatric Psychiatry 8 6 2 Unknown physician specialty 10 8 2 Cardiology 59 56 3 Colorectal surgery 30 27 3 Maxillofacial surgery 56 53 3 Surgical oncology 7 4 3 Dermatology 75 71 4 Neuropsychiatry 37 28 9 Osteopathic manipulative therapy 27 17 10
Pediatric medicine 57 44 13 Speech-language pathologist 44 30 14 Optometry 73 59 14 Ophthalmology 76 61 15

*Note: green indicates that a specialty had higher rank (proportionally more high cost billing relationships) when evaluating overall per capita cost than when evaluating specialty-weighted per capita cost. Yellow indicates that a specialty had a lower rank when evaluating overall per capita cost than when evaluating specialty-weighted per capita cost.Table 8B. Quintile Stability - Values

1 2 3 4 5
1 15

- - - - 2

- 13 2

- - 3

- 2 11 2

- 4

- - 2 12 1
5

- - - 1 15

Table 8C. Quintile Stability - Percent

1 2 3 4 5
1 100% 0% 0% 0% 0% 100%
2 0% 87% 13% 0% 0% 100%
3 0% 13% 73% 13% 0% 100%

4 0% 0% 13% 80% 7% 100%
5 0% 0% 0% 6% 94% 100%

Specialty-Adjusted Quintile

Original Quintile

Specialty-Adjusted Quintile Total

Original Quintile