The following two
tables show a representative sample of CPT codes for the OBGYN specialty
across a 5-region comparison. In this analysis, table 1 shows actual dollar
comparisons between the cities, while table 2 compares all values
relative to that received in City D.
Payer
CPT
Code
City
A
City
B
City
C
City
D
City
E
All
58150
$1,133.25
$1,177.08
$1,137.14
$1,024.81
$1,052.70
All
59510
$2,066.82
$1,933.80
$2,002.35
$2,001.70
$2,108.24
All
59610
$2,053.82
$1,841.00
$1,873.38
$1,905.43
$2,014.70
All
99204
$159.42
$113.40
$134.52
$127.18
$134.87
All
99386
$163.47
$134.99
$138.14
$131.41
$139.09
All
99395
$114.81
$95.66
$97.33
$91.72
$100.72
Table
1
Payer
CPT
Code
City
A
City
B
City
C
City
D
City
E
All
58150
1.11
1.15
1.11
1.00
1.03
All
59510
1.03
0.97
1.00
1.00
1.05
All
59610
1.08
0.97
0.98
1.00
1.04
All
99204
1.25
0.89
1.06
1.00
1.06
All
99386
1.24
1.03
1.05
1.00
1.06
All
99395
1.25
1.04
1.06
1.00
1.10
Table
2
The preceding tables
demonstrate an analysis to highlight variance across markets. However,
this information can also be analyzed to determine many other aspects
including:
Changes to
reimbursement over time
Changes in
reimbursement relative to changes in practice expenses
Changes in
private reimbursement relative to Medicare