Ophthalmology 58 72 -14

Speech-language pathologist 30 43 -13

Hematology/oncology 2 10 -8

Gynecologist/oncologist 8 16 -8

Optometry 59 65 -6

Hematology 7 13 -6

Vascular surgery 39 44 -5

Plastic and Reconstructive surgery 44 48 -4

Otolaryngology 65 68 -3

Dermatology 70 73 -3

Gastroenterology 66 69 -3

Osteopathic manipulative therapy 18 21 -3

Certified Registered Nurse Anesthetists (CRNA) 25 28 -3

Radiation oncology 5 8 -3

Cardiology 55 57 -2

Neurology 62 64 -2

Pulmonary disease 49 51 -2

Certified nurse midwife 53 55 -2

Clinical psychologist 22 24 -2

General practice 17 18 -1

General surgery 21 22 -1

Interventional Pain Management 28 29 -1

Obstetrics/gynecology 57 58 -1

Single or Multispecialty clinic or group practice 19 20 -1

Neuropsychiatry 48 49 -1

Medical oncology 1 2 -1

Physician assistant 24 25 -1

Orthopedic surgery 47 47 0

Pathology 38 38 0

Colorectal surgery 26 26 0

Diagnostic radiology 34 34 0

Anesthesiologist Assistant 76 76 0

Thoracic surgery 27 27 0

Hand surgery 74 74 0

Infectious disease 33 33 0

Audiologist 71 71 0

Rheumatology 63 63 0

Peripheral vascular disease 46 46 0

Cardiac surgery 35 35 0

Table 7A. Rank Comparison for TINs with 1+ EPs - Weighted by Specialty Charges

Rank by % of Relationships in High Cost TINs

Specialty Rank in without EP 

Adjustment

Rank with EP 

Adjustment

Difference in Rank 

(w/o EP - w/EP 

Adjustment)
Addiction medicine 75 75 0

Maxillofacial surgery 52 52 0

Emergency medicine 31 31 0

Anesthesiology 51 50 1

Internal medicine 12 11 1

Oral surgery (dentists only) 43 42 1

Physical medicine and rehabilitation 16 15 1

Urology 61 60 1

Podiatry 37 36 1

Nurse practitioner 15 14 1

Clinical psychologist (billing indepedently) 20 19 1

Physical therapist 54 53 1

Certified clinical nurse specialist 13 12 1

Surgical oncology 4 3 1

Allergy/immunology 69 67 2

Cardiac Electrophysiology 68 66 2

Geriatric Psychiatry 3 1 2

Nuclear medicine 32 30 2

Pediatric medicine 41 39 2

Registered Dietician/Nutrition Professional 56 54 2

Interventional radiology 42 40 2

Unknown physician specialty 6 4 2

Geriatric medicine 9 6 3

Endocrinology 73 70 3

Critical care (intensivists) 40 37 3

Family practice 36 32 4

Psychiatry 45 41 4

Occupational therapist 60 56 4

Pain Management 11 7 4

Neurosurgery 10 5 5

Hospice and Palliative Care 14 9 5

Nephrology 64 59 5

Preventive medicine 50 45 5

Sports Medicine 67 61 6

Chiropractic 29 23 6

Licensed clinical social worker 23 17 6

Mass Immunization Roster Biller 72 62 10

*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 7B. Quintile Stability - Values

1 2 3 4 5

1 14 1 - - -

2 1 13 1 - -

3 - 1 13 1 -

4 - - 1 12 2

5 - - - 2 14

Table 7C. Quintile Stability - Percent

1 2 3 4 5

1 93% 7% 0% 0% 0% 100%

2 7% 87% 7% 0% 0% 100%

3 0% 7% 87% 7% 0% 100%

4 0% 0% 7% 80% 13% 100%

5 0% 0% 0% 13% 88% 100%

Quintile w/EP Adjustment

Quintile w/EP Adjustment Total

Quintile w/o 

EP 

Adjustment

Quintile w/o 

EP 

Adjustment