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 TINs
Medical 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