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