Note: Billing relationships are defined as an instance of an EP billing under a given TIN. Each EP can have multi

Table 5. EP Specialty Composition of Each Cost Range for TINs with 1+ EPs and 20+ Beneficiaries - Specialty Wei

Low Medium

Medical oncology 94% 3,709 0.2% 55.2%

Hematology/oncology 90% 10,156 0.4% 63.7%

Radiation oncology 56% 3,666 1.8% 71.5%

Gynecologist/oncologist 76% 1,038 1.7% 75.5%

Hematology 92% 1,100 0.4% 77.5%

Geriatric medicine 93% 2,593 0.4% 79.1%

Surgical oncology 81% 832 0.8% 79.4%

Geriatric Psychiatry 44% 57 0.0% 82.5%

Neurosurgery 67% 3,729 0.9% 83.3%

Unknown physician specialty 54% 167 0.6% 83.8%

Pain Management 56% 1,011 1.1% 85.5%

Certified clinical nurse specialist 43% 1,275 2.5% 84.9%

Hospice and Palliative Care 81% 323 0.3% 87.6%

Internal medicine 83% 111,221 1.0% 87.3%

Nurse practitioner 71% 51,908 5.3% 83.6%

Physical medicine and rehabilitation 57% 5,590 1.4% 87.9%

Single or Multispecialty clinic or group practice 36% 3,142 6.8% 83.3%

Clinical psychologist (billing indepedently) 4% 31 9.7% 80.6%

Licensed clinical social worker 13% 4,724 7.4% 83.4%

General practice 64% 8,279 4.7% 86.2%

Interventional Pain Management 58% 1,893 2.1% 89.1%

General surgery 63% 17,133 1.3% 90.1%

Physician assistant 70% 42,071 3.9% 87.9%

Clinical psychologist 15% 4,583 3.2% 88.7%

Thoracic surgery 62% 1,889 0.1% 91.9%

Certified Registered Nurse Anesthetists (CRNA) 31% 16,191 1.0% 91.1%

Osteopathic manipulative therapy 57% 457 3.9% 88.2%

Chiropractic 2% 843 2.6% 89.6%

Nuclear medicine 46% 494 2.2% 90.1%

Colorectal surgery 59% 953 2.9% 89.4%

Diagnostic radiology 29% 15,926 0.6% 92.0%

Emergency medicine 37% 23,335 3.4% 89.3%

Podiatry 16% 3,303 1.9% 91.0%

Infectious disease 70% 4,747 2.1% 90.9%

Cardiac surgery 59% 1,527 0.5% 92.6%

Family practice 85% 93,888 1.1% 92.2%

Peripheral vascular disease 69% 90 0.0% 93.3%

Neuropsychiatry 36% 75 4.0% 89.3%

Pathology 39% 6,033 3.1% 90.3%

Specialty

Total Billing 

Relationships 

Captured

Cost Range Composition for EPs of ea

Original per Capita Cost Anal

 (rows sum to 100% )

Percent Billing 

Relationships 

Captured
Vascular surgery 68% 2,999 0.5% 92.8%

Interventional radiology 37% 820 0.9% 92.7%

Critical care (intensivists) 75% 2,887 1.6% 92.1%

Psychiatry 35% 13,202 4.8% 89.4%

Speech-language pathologist 28% 364 6.3% 87.9%

Plastic and Reconstructive surgery 32% 1,979 5.2% 89.1%

Oral surgery (dentists only) 14% 456 0.9% 93.4%

Orthopedic surgery 76% 21,086 2.4% 92.2%

Anesthesiology 30% 14,039 1.5% 93.5%

Preventive medicine 76% 532 2.6% 92.5%

Anesthesiologist Assistant 29% 372 0.0% 95.4%

Pulmonary disease 78% 10,840 2.8% 92.7%

Registered Dietician/Nutrition Professional 63% 2,080 2.9% 92.9%

Physical therapist 16% 7,468 2.1% 93.7%

Certified nurse midwife 72% 1,953 1.9% 94.2%

Obstetrics/gynecology 54% 21,006 7.7% 88.7%

Maxillofacial surgery 12% 226 0.9% 95.6%

Pediatric medicine 73% 8,540 1.1% 95.6%

Occupational therapist 28% 1,623 2.5% 94.1%

Cardiology 77% 34,291 4.0% 92.7%

Urology 82% 10,250 4.9% 92.3%

Sports Medicine 96% 305 0.0% 97.4%

Neurology 74% 13,147 4.8% 92.5%

Rheumatology 85% 4,771 3.7% 93.9%

Addiction medicine 48% 85 4.7% 92.9%

Mass Immunization Roster Biller 0% 153 2.0% 96.1%

Cardiac Electrophysiology 85% 1,229 1.5% 96.5%

Gastroenterology 75% 12,363 4.1% 93.9%

Nephrology 82% 8,983 14.5% 83.6%

Endocrinology 88% 5,987 9.8% 88.6%

Otolaryngology 73% 8,238 18.6% 79.8%

Allergy/immunology 48% 2,078 8.3% 90.3%

Hand surgery 76% 1,290 2.0% 96.7%

Optometry 13% 4,771 21.1% 78.0%

Audiologist 48% 3,636 19.1% 80.0%

Dermatology 74% 9,866 49.5% 49.7%

Ophthalmology 53% 12,933 24.3% 75.0%

Total 696,830

*Note: red indicates that a specialty has a high proportion of its billing relationships in high cost TINs. Blue indi
 Each EP can have multiple billing relationships, as can each TIN.

eficiaries - Specialty Weighted by Percent of TIN NPIs

High Total Low Medium High Total

44.6% 100.0% 0.2% 70.8% 29.0% 100.0%

35.9% 100.0% 0.7% 77.0% 22.3% 100.0%

26.7% 100.0% 2.6% 78.3% 19.1% 100.0%

22.7% 100.0% 1.8% 80.1% 18.1% 100.0%

22.1% 100.0% 0.6% 82.8% 16.5% 100.0%

20.5% 100.0% 1.2% 83.2% 15.7% 100.0%

19.7% 100.0% 1.3% 80.6% 18.1% 100.0%

17.5% 100.0% 0.0% 82.5% 17.5% 100.0%

15.8% 100.0% 1.4% 84.2% 14.4% 100.0%

15.6% 100.0% 0.6% 83.2% 16.2% 100.0%

13.5% 100.0% 1.5% 85.6% 13.0% 100.0%

12.5% 100.0% 2.9% 85.4% 11.7% 100.0%

12.1% 100.0% 0.3% 87.9% 11.8% 100.0%

11.7% 100.0% 1.5% 87.1% 11.4% 100.0%

11.1% 100.0% 5.7% 83.7% 10.5% 100.0%

10.7% 100.0% 2.3% 87.5% 10.2% 100.0%

9.8% 100.0% 5.7% 84.6% 9.7% 100.0%

9.7% 100.0% 12.5% 78.1% 9.4% 100.0%

9.2% 100.0% 8.7% 82.0% 9.2% 100.0%

9.2% 100.0% 6.2% 84.1% 9.7% 100.0%

8.8% 100.0% 2.8% 89.0% 8.2% 100.0%

8.6% 100.0% 1.6% 89.3% 9.0% 100.0%

8.3% 100.0% 3.6% 88.2% 8.2% 100.0%

8.1% 100.0% 3.7% 88.0% 8.4% 100.0%

8.0% 100.0% 0.2% 91.8% 8.0% 100.0%

7.9% 100.0% 1.1% 90.9% 8.0% 100.0%

7.9% 100.0% 5.0% 84.9% 10.1% 100.0%

7.8% 100.0% 3.3% 88.8% 7.8% 100.0%

7.7% 100.0% 2.2% 90.1% 7.7% 100.0%

7.7% 100.0% 3.1% 88.8% 8.0% 100.0%

7.4% 100.0% 0.6% 91.8% 7.5% 100.0%

7.3% 100.0% 4.0% 88.5% 7.5% 100.0%

7.1% 100.0% 2.2% 91.0% 6.8% 100.0%

7.0% 100.0% 2.4% 90.4% 7.2% 100.0%

6.9% 100.0% 0.5% 92.3% 7.1% 100.0%

6.7% 100.0% 1.5% 91.6% 6.9% 100.0%

6.7% 100.0% 0.0% 93.3% 6.7% 100.0%

6.7% 100.0% 4.0% 88.0% 8.0% 100.0%

6.6% 100.0% 2.4% 90.7% 6.9% 100.0%

omposition for EPs of each Specialty

nal per Capita Cost Analysis

 (rows sum to 100% )

Cost Range Composition for EPs of each Specialty

Specialty-Adjusted per Capita Cost Analysis

 (rows sum to 100% )
6.6% 100.0% 0.5% 92.7% 6.8% 100.0%

6.5% 100.0% 0.7% 92.7% 6.6% 100.0%

6.2% 100.0% 1.8% 91.6% 6.6% 100.0%

5.9% 100.0% 5.5% 88.5% 6.0% 100.0%

5.8% 100.0% 6.0% 86.2% 7.9% 100.0%

5.7% 100.0% 3.4% 90.6% 6.0% 100.0%

5.7% 100.0% 1.5% 92.4% 6.1% 100.0%

5.4% 100.0% 3.4% 91.0% 5.6% 100.0%

5.0% 100.0% 2.0% 92.8% 5.2% 100.0%

4.9% 100.0% 2.8% 92.1% 5.1% 100.0%

4.6% 100.0% 12.3% 83.7% 4.0% 100.0%

4.6% 100.0% 3.0% 92.0% 5.1% 100.0%

4.2% 100.0% 2.4% 93.6% 4.0% 100.0%

4.2% 100.0% 2.9% 92.6% 4.4% 100.0%

3.9% 100.0% 1.9% 93.8% 4.3% 100.0%

3.6% 100.0% 7.8% 88.2% 4.0% 100.0%

3.5% 100.0% 0.9% 94.7% 4.4% 100.0%

3.4% 100.0% 1.2% 92.3% 6.5% 100.0%

3.4% 100.0% 3.5% 92.8% 3.7% 100.0%

3.2% 100.0% 3.7% 92.3% 4.0% 100.0%

2.8% 100.0% 4.3% 92.6% 3.1% 100.0%

2.6% 100.0% 2.6% 94.8% 2.6% 100.0%

2.6% 100.0% 4.7% 92.3% 3.0% 100.0%

2.5% 100.0% 3.6% 93.5% 2.9% 100.0%

2.4% 100.0% 4.7% 94.1% 1.2% 100.0%

2.0% 100.0% 2.6% 95.4% 2.0% 100.0%

2.0% 100.0% 1.2% 96.3% 2.5% 100.0%

1.9% 100.0% 4.1% 93.3% 2.6% 100.0%

1.9% 100.0% 10.8% 86.5% 2.6% 100.0%

1.6% 100.0% 7.4% 90.7% 1.9% 100.0%

1.6% 100.0% 13.9% 83.5% 2.6% 100.0%

1.3% 100.0% 5.4% 92.2% 2.3% 100.0%

1.2% 100.0% 3.2% 95.5% 1.3% 100.0%

0.9% 100.0% 11.6% 84.5% 3.9% 100.0%

0.9% 100.0% 13.9% 84.3% 1.8% 100.0%

0.8% 100.0% 24.7% 73.2% 2.1% 100.0%

0.7% 100.0% 12.3% 84.1% 3.6% 100.0%

high cost TINs. Blue indicates that a specialty has a low proportion of its billing relationships in high cost TINs.
Low Medium High Low Medium High

0.0% 0.3% 3.0% 0.0% 0.4% 2.0%

0.1% 1.1% 6.7% 0.3% 1.3% 4.2%

0.2% 0.4% 1.8% 0.4% 0.5% 1.3%

0.1% 0.1% 0.4% 0.1% 0.1% 0.3%

0.0% 0.1% 0.4% 0.0% 0.1% 0.3%

0.0% 0.3% 1.0% 0.1% 0.3% 0.8%

0.0% 0.1% 0.3% 0.0% 0.1% 0.3%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

0.1% 0.5% 1.1% 0.2% 0.5% 1.0%

0.0% 0.0% 0.0% 0.0% 0.0% 0.1%

0.0% 0.1% 0.2% 0.1% 0.1% 0.2%

0.1% 0.2% 0.3% 0.1% 0.2% 0.3%

0.0% 0.0% 0.1% 0.0% 0.0% 0.1%

3.7% 15.9% 23.7% 6.3% 15.7% 23.5%

9.1% 7.1% 10.5% 11.2% 7.1% 10.2%

0.3% 0.8% 1.1% 0.5% 0.8% 1.1%

0.7% 0.4% 0.6% 0.7% 0.4% 0.6%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

1.2% 0.6% 0.8% 1.6% 0.6% 0.8%

1.3% 1.2% 1.4% 1.9% 1.1% 1.5%

0.1% 0.3% 0.3% 0.2% 0.3% 0.3%

0.7% 2.5% 2.7% 1.1% 2.5% 2.9%

5.4% 6.0% 6.3% 5.7% 6.0% 6.4%

0.5% 0.7% 0.7% 0.6% 0.7% 0.7%

0.0% 0.3% 0.3% 0.0% 0.3% 0.3%

0.5% 2.4% 2.3% 0.7% 2.4% 2.4%

0.1% 0.1% 0.1% 0.1% 0.1% 0.1%

0.1% 0.1% 0.1% 0.1% 0.1% 0.1%

0.0% 0.1% 0.1% 0.0% 0.1% 0.1%

0.1% 0.1% 0.1% 0.1% 0.1% 0.1%

0.3% 2.4% 2.1% 0.4% 2.4% 2.2%

2.6% 3.4% 3.1% 3.5% 3.3% 3.2%

0.2% 0.5% 0.4% 0.3% 0.5% 0.4%

0.3% 0.7% 0.6% 0.4% 0.7% 0.6%

0.0% 0.2% 0.2% 0.0% 0.2% 0.2%

3.5% 14.1% 11.5% 5.4% 13.9% 12.0%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

0.6% 0.9% 0.7% 0.6% 0.9% 0.8%

Specialty Composition of Each Cost Range of TINs

Original per Capita Cost Analysis

 (columns sum to 100% )

Specialty Composition of Each Cost Range of TINs

Specialty-Adjusted per Capita Cost Analysis

 (columns sum to 100% )
0.1% 0.5% 0.4% 0.1% 0.5% 0.4%

0.0% 0.1% 0.1% 0.0% 0.1% 0.1%

0.2% 0.4% 0.3% 0.2% 0.4% 0.4%

2.1% 1.9% 1.4% 2.7% 1.9% 1.5%

0.1% 0.1% 0.0% 0.1% 0.1% 0.1%

0.3% 0.3% 0.2% 0.3% 0.3% 0.2%

0.0% 0.1% 0.0% 0.0% 0.1% 0.1%

1.7% 3.2% 2.1% 2.7% 3.1% 2.2%

0.7% 2.1% 1.3% 1.1% 2.1% 1.3%

0.0% 0.1% 0.0% 0.1% 0.1% 0.1%

0.0% 0.1% 0.0% 0.2% 0.1% 0.0%

1.0% 1.6% 0.9% 1.2% 1.6% 1.0%

0.2% 0.3% 0.2% 0.2% 0.3% 0.2%

0.5% 1.1% 0.6% 0.8% 1.1% 0.6%

0.1% 0.3% 0.1% 0.1% 0.3% 0.2%

5.4% 3.0% 1.4% 6.2% 3.0% 1.6%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

0.3% 1.3% 0.5% 0.4% 1.3% 1.0%

0.1% 0.2% 0.1% 0.2% 0.2% 0.1%

4.6% 5.2% 2.0% 4.8% 5.1% 2.6%

1.7% 1.5% 0.5% 1.6% 1.5% 0.6%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

2.1% 2.0% 0.6% 2.3% 2.0% 0.7%

0.6% 0.7% 0.2% 0.7% 0.7% 0.3%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

0.1% 0.2% 0.0% 0.1% 0.2% 0.1%

1.7% 1.9% 0.4% 1.9% 1.9% 0.6%

4.3% 1.2% 0.3% 3.7% 1.3% 0.4%

1.9% 0.9% 0.2% 1.7% 0.9% 0.2%

5.1% 1.1% 0.2% 4.3% 1.1% 0.4%

0.6% 0.3% 0.1% 0.4% 0.3% 0.1%

0.1% 0.2% 0.0% 0.2% 0.2% 0.0%

3.3% 0.6% 0.1% 2.1% 0.7% 0.3%

2.3% 0.5% 0.1% 1.9% 0.5% 0.1%

16.2% 0.8% 0.1% 9.2% 1.2% 0.4%

10.4% 1.6% 0.2% 6.0% 1.8% 0.9%

100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

n high cost TINs.