Ophthalmology 61 73 -12

Vascular surgery 39 46 -7 Interventional Pain Management 24 30 -6 Pathology 37 42 -5 Hematology 7 12 -5 Hematology/oncology 2 7 -5 Radiation oncology 3 8 -5 Gastroenterology 65 69 -4 Osteopathic manipulative therapy 17 21 -4 Colorectal surgery 27 31 -4 Gynecologist/oncologist 5 9 -4 Cardiology 56 59 -3 Dermatology 71 74 -3 Obstetrics/gynecology 55 58 -3 Thoracic surgery 26 28 -2 Single or Multispecialty clinic or group practice 18 20 -2 Anesthesiology 49 50 -1 Neurology 63 64 -1 Plastic and Reconstructive surgery 46 47 -1 Pulmonary disease 50 51 -1 Diagnostic radiology 33 34 -1 Optometry 59 60 -1
Infectious disease 35 36 -1 Cardiac surgery 36 37 -1 Certified clinical nurse specialist 13 14 -1 General surgery 22 22 0 Otolaryngology 68 68 0 Oral surgery (dentists only) 45 45 0 Orthopedic surgery 48 48 0 Physical medicine and rehabilitation 16 16 0
Nuclear medicine 32 32 0 Hand surgery 75 75 0
Certified nurse midwife 54 54 0 Podiatry 40 40 0 Nurse practitioner 15 15 0 Physical therapist 52 52 0 Clinical psychologist 23 23 0
Addiction medicine 76 76 0 Maxillofacial surgery 53 53 0 Table 8A. Rank Comparison for TINs with 1+ EPs - Weighted by Specialty Eps

Specialty Rank in without EP

Adjustment Rank with EP

Adjustment Difference in Rank

(w/o EP - w/EP Adjustment) Rank by % of Relationships in High Cost TINsMedical oncology 1 1 0

Interventional radiology 43 43 0 Physician assistant 25 25 0
Internal medicine 14 13 1 Hospice and Palliative Care 12 11 1 Sports Medicine 66 65 1 Urology 62 61 1 Endocrinology 73 72 1 Clinical psychologist (billing indepedently) 20 19 1 Rheumatology 64 63 1 Pain Management 11 10 1 Surgical oncology 4 3 1 Emergency medicine 34 33 1 General practice 19 17 2 Anesthesiologist Assistant 57 55 2 Chiropractic 31 29 2 Registered Dietician/Nutrition Professional 58 56 2
Mass Immunization Roster Biller 72 70 2
Preventive medicine 51 49 2 Allergy/immunology 70 67 3 Family practice 38 35 3 Speech-language pathologist 30 27 3 Cardiac Electrophysiology 69 66 3 Psychiatry 47 44 3
Pediatric medicine 44 41 3
Geriatric medicine 9 6 3 Certified Registered Nurse Anesthetists (CRNA) 29 26 3 Audiologist 74 71 3 Occupational therapist 60 57 3 Peripheral vascular disease 41 38 3
Licensed clinical social worker 21 18 3 Critical care (intensivists) 42 39 3 Geriatric Psychiatry 6 2 4 Neuropsychiatry 28 24 4 Unknown physician specialty 8 4 4 Neurosurgery 10 5 5 Nephrology 67 62 5

*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

- 14 1

- - 3

- 1 13 1

- 4

- - 1 14

- 5

- - - - 16

Table 8C. Quintile Stability - Percent

1 2 3 4 5
1 100% 0% 0% 0% 0% 100%
2 0% 93% 7% 0% 0% 100%
3 0% 7% 87% 7% 0% 100%
4 0% 0% 7% 93% 0% 100%
5 0% 0% 0% 0% 100% 100%

Quintile w/EP Adjustment

Quintile w/o

EP Adjustment

Quintile w/EP Adjustment Total

Quintile w/o

EP Adjustment