MD Ranger Sample Report ® For the Standard Benchmark Report Series: •Call Coverage •Medical Direction, Administrative, and Leadership Services •Hospital-Based Physician Services •Diagnostic Testing and Other Services The premier source for physician contract benchmarks www.mdranger.com Introduction Welcome to MD Ranger®, the premier source for comprehensive physician contract benchmarks. MD Ranger reports deliver the information your organization needs to negotiate competitive contracts and maintain a cost-effective compliance program. Our team produces the most comprehensive set of reports available on covering dozens of types of physician contracts. Benchmarks are derived from our robust database of more than 5,000 physician contracts from 200+ health care organizations across the United States. This Sample Report provides a preview of the tables contained in MD Ranger’s annual standard reports (the data contained in this report are not real and are for illustration purposes only). The Standard Report series of comprehensive benchmarks includes reports for Call Coverage; Medical Direction, Leadership, and Administrative Services; Hospital-based Physician Services; and Diagnostic Testing and Other Services. The benchmarks in the following pages give you a glimpse at the breadth and depth of MD Ranger’s data, using hypothetical values. Top-level data for all specialties summarizes the distribution of payment types for each service (including services provided without compensation), unsponsored payment rates, annual hours required of medical directors, in addition to hourly and annual payment rates for medical directors, medical staff leaders and administrative positions, and a variety of information for hospital-based services. The reports drill down into each specialty to show a comprehensive picture of payment rates by various facility characteristics. Our Hospital-Based Services and Diagnostic Testing and Other Services Reports include contracting details previously unavailable without engaging a consultant, such as billing party, incentive compensation and criteria, and retention of professional fees. The full report series includes dozens of specialties, data elements and statistical analyses based on subscriber survey results. Custom Reports are available to subscribers for special studies at an additional cost. We invite you to visit our website at www.mdranger.com for more detailed information and to sign up for email updates about trends in physician contracting. Or, please give us a call or drop us a line if you have questions or if you would like a demonstration at [email protected] or 650.692.8873. © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report 1 Call Coverage Arrangements 2 Emergency On-Call Coverage Per Diem Payments Specialty Mean 25th Percentile Median 75th Percentile Anesthesia $800 $500 $1,000 $1,500 Anesthesia - OB $450 $348 $500 $567 Cardiology $730 $426 $608 $1,034 Cardiology-Interventional $450 $236 $425 $804 Cardiovascular Surgery $653 $381 $544 $925 Critical/Intensive Care $675 $345 $597 $838 Emergency $990 $578 $825 $1,403 Gastroenterology -$300 $125 $350 $700 General and Vascular Surgery $364 $200 $350 $600 General Surgery $100 $50 $0 $250 Gynecology $314 $183 $261 $444 Internal Medicine/Family Practice $75 $50 $100 $200 Neurosurgery $863 $503 $719 $1,222 $1,197 $698 $998 $1,696 Ophthalmology $178 $104 $148 $252 Orthopedic Surgery $800 $500 $843 $1,500 Otolaryngology $815 $400 $800 $1,000 Pediatrics $817 $558 $1,200 $1,513 Plastic/Maxillofacial Surgery $651 $380 $543 $922 Psychiatry $121 $52 $138 $322 Pulmonary/Respiratory $743 $502 $600 $813 Trauma Surgery $206 $120 $172 $292 Urology $815 $400 $800 $1,000 Vascular Surgery $250 $100 $450 $500 Obstetrics/Gynecology These numbers do not represent real data from the MD Ranger database. Services included in final report may differ. © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report Neurosurgery 3 Call Coverage Payment Type for Coverage Services Unpaid Activation Fee Annual Case Rate Per Diem Unit Guarantee 20% 1% 6% 1% 92% 0% These numbers do not represent real data from the MD Ranger database. Services included in final report may differ. All Hospitals All Hospitals Mean 25th Percentile Median 75th Percentile $852 $393 $500 $843 Trauma vs. Non-Trauma Hospitals Non-Trauma Trauma Mean 25th Percentile Median 75th Percentile $825 $2,101 $405 $1,057 $926 $1,995 $1,075 $1,615 Mean 25th Percentile Median 75th Percentile $1,994 $1,116 $752 $518 $1,632 $1,400 $1,860 $1,506 Urban vs. Rural Hospitals Urban/Suburban Rural Number of General Acute Care Beds Under 150 Beds 150 and Over Mean 25th Percentile Median 75th Percentile $69 $1,298 $17 $933 $45 $1,274 $70 $617 General Acute Care Average Daily Census Under 150 150 and Over Mean 25th Percentile Median 75th Percentile $52 $1,219 $0 $886 $25 $965 $100 $1,110 Disproportionate Share Percentage 0-29.9% 30% and Over Mean 25th Percentile Median 75th Percentile $1,032 $1,235 $994 $681 $1,128 $862 $1,366 $1,050 Medicare Days as a Percent of Total 0-39.9% 40% and Over Mean 25th Percentile Median 75th Percentile $1,384 $1,152 $822 $565 $856 $937 $1,377 $1,223 © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report Medical Direction, Leadership, and Administrative Services Medical Directors and Administrative Services 4 Medical Director, Leadership, and Administrative Positions Specialty Anesthesia Mean 25th Percentile Median 75th Percentile $143,236 $83,554 $119,364 $202,918 Cardiology $33,284 $19,416 $27,737 $47,153 Cardiovascular Surgery $80,309 $46,847 $66,924 $113,770 Chief of Staff $141,249 $82,395 $117,708 $200,103 Critical/Intensive Care $96,404 $56,235 $80,336 $136,572 Emergency $38,350 $22,371 $31,958 $54,329 General Surgery $56,669 $33,057 $47,224 $80,281 Hospitalists $89,017 $51,927 $74,181 $126,108 Infectious Disease $48,567 $28,330 $40,472 $68,803 Internal Medicine $31,884 $18,599 $26,570 $45,168 Interventional Cardiology $47,856 $27,916 $39,880 $67,796 Medical Staff Officers $28,648 $22,054 $25,000 $54,285 Neonatology $150,891 $88,020 $125,743 $213,763 Neurosurgery $307,424 $179,330 $256,186 $435,517 Obstetrics/Gynecology $153,929 $89,792 $128,274 $218,066 Oncology/Hematology $76,127 $44,407 $63,439 $107,847 Orthopedics $307,972 $179,650 $256,643 $436,294 Other Ambulatory Services Pathology and Clinical Laboratory $1,929 $1,125 $1,608 $2,733 $129,472 $75,525 $107,893 $183,418 Physicial Medicine/Rehabilitation $327,844 $191,243 $273,204 $464,446 Plastic Surgery $285,271 $166,408 $237,726 $404,134 Psychiatry $270,037 $157,521 $225,031 $382,552 Pulmonary/Respiratory $331,349 $193,287 $276,124 $469,412 Quality Initiatives $180,074 $105,043 $150,061 $255,104 Radiology $217,794 $127,046 $181,495 $308,541 Trauma Surgery $295,773 $172,534 $246,478 $419,012 These numbers do not represent real data from the MD Ranger database. Services included in final report may differ. © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report Cardiovascular Surgery 5 Medical Direction Distribution of Payment Methods All Hospitals Unpaid Hourly 43% 26% Calendar (Annual/Monthly/Daily) 26% Other 5% These numbers do not represent real data from the MD Ranger database. Services included in final report may differ. Annual Hours of Service All Hospitals Mean 25th Percentile Median 75th Percentile 246 153 285 490 Mean 25th Percentile Median 75th Percentile $111 $104 $126 $463 Mean 25th Percentile Median 75th Percentile $55,467 $34,867 $59,216 $146,280 Hourly Payment Ranges All Hospitals Annual Payment Ranges All Hospitals Trauma vs. Non-Trauma Hospitals Trauma Non-Trauma Mean 25th Percentile Median 75th Percentile $136,777 $70,898 $20,220 $19,023 $138,940 $73,333 $205,000 $149,670 Urban vs. Rural Hospitals Urban/Suburban Rural Mean 25th Percentile Median 75th Percentile $125,423 $344,666 $77,898 $119,821 $131,739 $363,672 $136,026 $464,464 Number of General Acute Care Beds Under 150 150 and Over Mean 25th Percentile Median 75th Percentile $244,657 $333,890 $204,976 $246,411 $264,251 $358,188 $296,235 $494,630 General Acute Average Daily Census Under 150 150 and Over Mean 25th Percentile Median 75th Percentile $256,876 $189,766 $167,804 $75,854 $262,311 $181,365 $296,515 $267,233 Disproportionate Share Percentage 0-29.9% 30% and Over Mean 25th Percentile Median 75th Percentile $54,321 $165,898 $12,847 $18,042 $57,228 $130,924 $170,386 $284,681 Medicare Days as a Percent of Total Acute Care Days 0-39.9% Over 40% Mean 25th Percentile Median 75th Percentile $409,878 $66,789 $310,540 $19,415 $406,906 $77,102 $417,803 $263,953 © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report Hospital-Based Services 6 Annual Payments for Hospital-Based Contracts (all components) Services Mean 25th percentile Median 75th percentile Anesthesia $500,000 $40,000 $450,000 $525,000 Emergency $30,000 $15,000 $35,000 $75,000 $125,000 $45,000 $100,000 $145,000 Pathology/Clinical Laboratory Radiology Neonatology Perinatology/Maternal Medicine $50,000 $5,000 $45,000 $50,000 $250,000 $25,000 $175,000 $400,000 $75,000 $12,000 $60,000 $80,000 Critical/Intensive Care $425,000 $250,000 $500,000 $750,000 Hospitalists $375,000 $175,000 $300,000 $425,000 $40,000 $15,000 $50,000 $60,000 Radiation Oncology These numbers do not represent real data from the MD Ranger database. Services included in final report may differ. Hourly Payments for Medical Direction and Administrative Services As a component of hospital-based service contracts Services Anesthesia Mean 25th percentile Median 75th percentile $200 $175 $205 $245 Emergency $145 $120 $150 $200 Pathology/Clinical Laboratory $215 $150 $200 $225 Radiology $165 $150 $170 $225 Neonatology $180 $130 $180 $210 Perinatology/Maternal Medicine $180 $145 $185 $200 Critical/Intensive Care $175 $155 $180 $225 Hospitalists $125 $100 $125 $175 Radiation Oncology $110 $100 $120 $155 Note: Additional details available in Medical Direction, Leadership, and Administrative Services Report © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report Pathology/Clinical Laboratory Hospital-Based Services 7 Contract and Service Characteristics Functions Included in Contract (% of Hospitals) Scope of Specified Services in Contract (% of Hospitals) Medical Direction Call Coverage Teaching Other Administrative Clinical Lab Anatomic Pathology Outreach Lab Histology Autopsy Other 55% 10% 15% 90% 98% 100% 50% 95% 10% 5% Payment Type Specified in Contract Stipend for Multiple Services 65% Hourly Per Unit of Service Per Diem Unit Guarantee Multiple/ Other 25% 5% 0% 90% Unsponsored Care 10% 20% Professional Fees Retained By Billing Arrangement Billing Party 15% Unpaid Hospital Physician Not Billed Technical Fees 90% 10% 0% Professional Fees 60% 35% 5% Hospital Physician Other 25% 70% 5% Performance Criteria Characteristics Payment Incentive Type of Criteria (For contracts with incentive pay) Incentive Pay Amount None Quality Cost Patient/MD Satisfaction Other Maximum % of Base Pay 80% 50% 55% 90% 10% 15% These numbers do not represent real data from the MD Ranger database. Services included in final report may differ. © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report Pathology/Clinical Laboratory Hospital-Based Services (continued) Annual Payment Information 8 Analysis of Payment Terms Maximum Annual Payment (All Contract Components) Payments per Bed by Type of Hospital Mean 25th Percentile Median 75th Percentile All Hospitals $50,000 $40,000 $85,000 $100,000 All Hospitals Non-Trauma $40,000 $25,000 $45,000 $60,000 Non-Trauma Centers Trauma $55,000 $40,000 $60,000 $125,000 Trauma Centers Rural $20,000 $15,000 $25,000 $30,000 Rural Urban Urban $50,000 $45,000 $55,000 $110,000 Multi-campus $60,000 $45,000 $65,000 $125,000 Single Campus $45,000 $30,000 $50,000 $90,000 Number of General Acute Care Beds Under 100 $15,000 $10,000 $20,000 $35,000 100-250 $40,000 $30,000 $50,000 $70,000 Over 250 $60,000 $55,000 $80,000 $150,000 Medical Direction and Administrative Services* Mean 25th Percentile Median 75th Percentile $700 $400 $650 $900 $300 $100 $300 $400 $750 $500 $800 $1,200 $100 $50 $125 $200 $800 $450 $750 $900 Payment per Bed by Hospital Size Under 100 $50 $25 $55 $200 100-250 $125 $50 $150 $300 Over 250 $150 $100 $160 $300 $5.00 $1.25 $2.00 Payment per Surgical Case Per case $1.25 Annual Hours of Service All Hospitals 400 225 425 600 $150 $185 Hourly Payment Ranges: All Hospitals All Hospitals $145 $100 *See Medical Direction Report for more details These numbers do not represent real data from the MD Ranger database. Services included in final report may differ. © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report Diagnostic Testing and Other Services Summary 9 Professional Fee Billing Arrangements % Billed by Hospital Physician allowed to bill* (%) Cardiovascular stress test (treadmill test, etc.) 55% 10% Echocardiogram (Acute, in hospital) 35% 65% Electrocardiogram (ECG or EKG) 55% 70% Electroencephalogram (EEG) 75% 90% Hearing / Audiology Test 85% 15% Pulmonary Function Test 45% 95% Retinopathy of Prematurity 90% 90% Service These numbers do not represent real data from the MD Ranger database. Services included in final report may differ. * Percent of all contracts that allow the physician to bill for the professional component of the service Payment Types Medicare Fee Schedule Other Fee Schedule Physician Stipend Flat Fee per Test Other 60% 20% 5% 15% 0% Acute Dialysis 50% 45% 0% 5% 0% Echocardiogram (Acute, in hospital) 70% 5% 25% 0% 0% Service Cardiovascular stress test (treadmill test, etc.) Electrocardiogram (ECG or EKG) 90% 0% 0% 0% 5% Electroencephalogram (EEG) 70% 20% 5% 0% 5% Hearing / Audiology Test 50% 0% 10% 30% 10% Pulmonary Function Test 40% 30% 10% 10% 10% Retinopathy of Prematurity 55% 40% 5% 0% 0% Payment Rates (% of Medicare) Testing/Interpretation Service Mean 25th percentile Median 75th percentile Cardiovascular stress test (treadmill test, etc.) 110% 90% 115% 130% Echocardiogram (Acute, in hospital) 110% 95% 105% 125% Electrocardiogram (ECG or EKG) 115% 100% 110% 130% Electroencephalogram (EEG) 95% 80% 95% 125% Hearing / Audiology Test 100% 90% 95% 110% Pulmonary Function Test 110% 100% 110% 120% Retinopathy of Prematurity 95% 85% 90% 110% © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report MD Ranger® Standard Reports Benchmarks at your fingertips The MD Ranger Report Series delivers a comprehensive set of easy-to-use benchmarks for a wide range of call coverage, medical direction, leadership, administrative, hospital-based and diagnostic testing services. Our benchmarks are based on a robust database comprised of subscriber data and the founders’ proprietary data, encompassing more than 200 hospitals and 5,000 contracts from across the country. Reports include analysis for a variety of hospital characteristics such as trauma status, hospital size, and other factors that are statistically valid and meet antitrust guidelines, in addition to a number of contract characteristics. Emergency Call Coverage Report MD Ranger Emergency Call Coverage ® • • • • Mean, median, 25th percentile, and 75th percentile per diem payments Proportion of hospitals that do not compensate physicians for call coverage Types of payment methods (per diem, activation, unit guarantee, etc) Other elements including hospital size, payer mix, trauma status, number of sites, in-house vs. on-call, etc. ® The premier source for physician contract benchmarks WWW.MDRANGER.COM Medical Direction, Leadership and Administrative Services Report MD Ranger Medical Direction, Leadership and Administrative Services ® • • • • Hourly compensation rates Annual number of hours Total annual compensation Other elements including the relationship, if any, between compensation rate and physician specialty ® The premier source for physician contract benchmarks WWW.MDRANGER.COM Hospital-Based Services Report MD Ranger Hospital-Based Services ® ® The premier source for physician contract benchmarks WWW.MDRANGER.COM Information on contracts for physician groups that provide comprehensive coverage services for anesthesia, critical care/intensivists, neonatology, perinatology, radiology, hospital-based clinic physicians, hospitalists, and radiation oncology. Details include: • Scope of services • Billing and fee retention arrangements • Compensation methods • Incentive compensation terms • Amounts for stipends, medical direction and clinical services Diagnostic Testing and Other Services Report MD Ranger Diagnostic Testing and Other Services ® ® The premier source for physician contract benchmarks WWW.MDRANGER.COM Payment ranges and billing arrangements for diagnostic testing and interpretation services, such as: • Cardiac services: EKG, Echo, stress • Pulmonary function • Acute Dialysis • Hearing/Audiology • Retinopathy of Prematurity © 2010 MD Ranger, Inc. All rights reserved. | MD Ranger ® Physician Contract Benchmarks Report 10 MD Ranger, Inc. was founded by consultants with more than seventyfive years of experience in health care. We have rendered more than one thousand fair market value opinions, and consulted for a national client base of more than two hundred hospitals, health systems, and health care organizations. MD Ranger and our affiliated firms Cattaneo & Stroud, Inc. and HealthWorks, Inc. developed the MD Ranger® Report series to provide comprehensive market-based tools for physician contracting. 1601 Old Bayshore Highway, Suite 107, Burlingame, CA 94010 · T: 650.692.8873 · E: [email protected] · Www.mdranger.com
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