Levin David C, Rao Vijay M, Parker Laurence, Maitino Andrea J, Sunshine Jonathan H
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
J Am Coll Radiol. 2004 Dec;1(12):931-5. doi: 10.1016/j.jacr.2004.06.001.
To determine the apportionment of Medicare Part B payments for noninvasive diagnostic imaging among radiologists and other specialists and to ascertain the trends in these payments over a recent 5-year period.
Using the nationwide Medicare Part B databases for 1997 through 2002, all payments were calculated for physician services for noninvasive diagnostic imaging codes in the 70,000 Current Procedural Terminology, Version 4 series and those codes in the 90,000 series pertaining to echocardiography and vascular ultrasound. Imaging studies were grouped into 26 different categories depending on type and modality. The 108 Medicare physician specialty codes were used to group payments into 20 different specialist categories. The percentage shares for each specialty group in 1997 and 2002 were calculated. Percentage changes in payments between 1997 and 2002 were determined.
In 2002, Medicare Part B paid almost $7.7 billion for noninvasive diagnostic imaging services. Radiologists received 48.3% of these payments, and cardiologists received 22.8%. Between 1997 and 2002, overall payments to physicians for noninvasive diagnostic imaging rose by 78%. Payments to radiologists increased by 65%, while payments to cardiologists increased by 105%. Primary-care physicians received 8.3% of 2002 payments, while 10.2% went to independent diagnostic testing facilities or multispecialty groups. For the latter two entities, the specialties of the physician providers could not be determined.
Radiologists receive only about half of all Medicare Part B reimbursements for noninvasive diagnostic imaging. Cardiologists receive almost one-quarter. Payments to cardiologists are rising more rapidly then to any other specialty group and considerably more rapidly than payments to radiologists.
确定医疗保险B部分对非侵入性诊断成像向放射科医生及其他专科医生的支付分配情况，并查明最近5年期间这些支付的趋势。
利用1997年至2002年全国医疗保险B部分数据库，计算了70000个现行程序术语第4版系列中有关非侵入性诊断成像代码以及90000系列中有关超声心动图和血管超声代码的医生服务的所有支付。根据类型和方式将成像研究分为26个不同类别。使用108个医疗保险医生专科代码将支付分为20个不同的专科类别。计算了1997年和2002年每个专科组的百分比份额。确定了1997年至2002年期间支付的百分比变化。
2002年，医疗保险B部分为非侵入性诊断成像服务支付了近77亿美元。放射科医生获得了这些支付的48.3%，心脏病专家获得了22.8%。1997年至2002年期间，医生的非侵入性诊断成像总体支付增长了78%。放射科医生的支付增长了65%，而心脏病专家的支付增长了105%。初级保健医生获得了2002年支付的8.3%，而10.2%支付给了独立诊断检测机构或多专科组。对于后两个实体，无法确定医生提供者的专科。
放射科医生仅获得医疗保险B部分对非侵入性诊断成像所有报销的约一半。心脏病专家获得了近四分之一。心脏病专家的支付增长速度比任何其他专科组都快，而且比放射科医生的支付增长速度快得多。
