A Critical Analysis of the 2012 Centers for Medicare and Medicaid Services Provider Use and Payment Database

Plastic and Reconstructive Surgery
Krishna S VyasHenry C Vasconez

Abstract

On April 9, 2014, the Centers for Medicare and Medicaid Services released 10 million billing records of over 880,000 physicians and other health care providers and accounts for over $1 billion in Medicare payments distributed in 2012. This action was part of an effort to improve the transparency, accountability, and affordability of the U.S. health care system. This study was performed to mine this unprecedented data set to delineate patterns of billing and reimbursement for plastic surgeons. The Centers for Medicare and Medicaid Services Provider Utilization and Payment Database was accessed to analyze 2012 plastic surgery claims data with respect to providers and beneficiaries, services, and reimbursements. Pivot tables and other methods were used by means of Microsoft Excel. In 2012, a total of $133,472,772 was distributed to 3726 plastic surgery physician providers for 735 unique Healthcare Common Procedure Coding System codes for 1,399,404 procedure claims. Of specialty care, plastic surgery ranks twenty-sixth among 29 subspecialties for total Medicare payments. The average plastic surgeon was paid $35,821.58 by the Centers for Medicare and Medicaid Services in 2012. Forty-six percent of plastic surgeons did not receive re...Continue Reading

References

Jul 2, 2009·Plastic and Reconstructive Surgery·Emily S HuAmy K Alderman
Feb 28, 2014·Plastic and Reconstructive Surgery·Claudia R AlbornozEvan Matros
May 30, 2014·The New England Journal of Medicine·Patrick T O'Gara
May 30, 2014·The New England Journal of Medicine·Niall BrennanMarilyn Tavenner
Nov 22, 2014·Plastic and Reconstructive Surgery·Ian C SandoAdeyiza O Momoh
Dec 30, 2014·Plastic and Reconstructive Surgery·Jason S BarrPierre B Saadeh
Apr 2, 2015·The New England Journal of Medicine·David Blumenthal, William Hsiao

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Citations

Sep 1, 2016·Archives of Osteoporosis·Smita Jha, Timothy Bhattacharyya
Feb 21, 2018·The Journal of Bone and Joint Surgery. American Volume·Emma B HollidayJeremy S Somerson
Jul 26, 2018·Plastic and Reconstructive Surgery·Peter K FirouzbakhtVenkat K Rao
Nov 30, 2016·Clinical Orthopaedics and Related Research·Robert W WestermannStuart L Weinstein
Jun 27, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Stephanie J Youssef, Krishna S Vyas

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