Anesthesiologist Assistant 50 76 -26

Addiction medicine 64 75 -11 Neuropsychiatry 37 48 -11 Peripheral vascular disease 37 46 -9 Interventional Pain Management 21 28 -7
Mass Immunization Roster Biller 65 72 -7 Sports Medicine 61 67 -6 Endocrinology 69 73 -4 Podiatry 33 37 -4 Registered Dietician/Nutrition Professional 52 56 -4
Licensed clinical social worker 19 23 -4 Gynecologist/oncologist 4 8 -4 Anesthesiology 48 51 -3 Diagnostic radiology 31 34 -3
Nuclear medicine 29 32 -3
Geriatric medicine 6 9 -3 Obstetrics/gynecology 55 57 -2 Cardiac Electrophysiology 66 68 -2 Psychiatry 43 45 -2 Thoracic surgery 25 27 -2 Hand surgery 72 74 -2 Clinical psychologist (billing indepedently) 18 20 -2 Occupational therapist 58 60 -2 Single or Multispecialty clinic or group practice 17 19 -2 Hematology 5 7 -2 Radiation oncology 3 5 -2 Neurosurgery 9 10 -1 Hospice and Palliative Care 13 14 -1 Urology 60 61 -1 Chiropractic 28 29 -1 Physical therapist 53 54 -1
Preventive medicine 49 50 -1 Certified clinical nurse specialist 12 13 -1 Interventional radiology 41 42 -1 Physician assistant 23 24 -1 Family practice 36 36 0 Neurology 62 62 0 Orthopedic surgery 47 47 0 Physical medicine and rehabilitation 16 16 0 Table 7A. Rank Comparison for TINs with 1+ EPs - Specialty-Adjusted (weighted by Charges in each Specialty) Rank by % of Relationships in High Cost TINs

Specialty Rank in Original

Analysis Rank in SpecialtyAdjusted Analysis Difference in Rank

(Original - Adjusted)Nurse practitioner 15 15 0

Rheumatology 63 63 0 Pain Management 11 11 0 Cardiac surgery 35 35 0 Hematology/oncology 2 2 0 Medical oncology 1 1 0 General surgery 22 21 1 Gastroenterology 67 66 1 Pathology 39 38 1 Plastic and Reconstructive surgery 45 44 1
Certified nurse midwife 54 53 1 Certified Registered Nurse Anesthetists (CRNA) 26 25 1
Infectious disease 34 33 1 Vascular surgery 40 39 1 Emergency medicine 32 31 1 Allergy/immunology 71 69 2
Internal medicine 14 12 2 Pulmonary disease 51 49 2 Clinical psychologist 24 22 2 Critical care (intensivists) 42 40 2 General practice 20 17 3 Oral surgery (dentists only) 46 43 3 Audiologist 74 71 3 Surgical oncology 7 4 3 Cardiology 59 55 4 Colorectal surgery 30 26 4 Nephrology 68 64 4 Maxillofacial surgery 56 52 4 Unknown physician specialty 10 6 4 Otolaryngology 70 65 5 Dermatology 75 70 5 Geriatric Psychiatry 8 3 5 Osteopathic manipulative therapy 27 18 9 Speech-language pathologist 44 30 14 Optometry 73 59 14
Pediatric medicine 57 41 16 Ophthalmology 76 58 18

*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 15

- - - - 2

- 14 1

- - 3

- 1 12 2

- 4

- - 2 11 2
5

- - - 2 14

Table 7C. 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% 80% 13% 0% 100%

4 0% 0% 13% 73% 13% 100%
5 0% 0% 0% 13% 88% 100%

Specialty-Adjusted Quintile

Specialty-Adjusted Quintile Total Original Quintile

Original Quintile