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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 inquiries@mdranger.com 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: inquiries@mdranger.com · Www.mdranger.com