Abstract 13092: Cardiac MRI Practice: An Analysis of 2012 and 2013 Medicare Provider Utilization and Payment Data
Introduction: The Centers for Medicare and Medicaid Services (CMS) recently released detailed information on services provided to Medicare beneficiaries by physicians for 2012 and 2013. The information provides individual provider information based on HCPCS code, number of services and payment. Additionally, demographic information is provided for each physician. We analyzed these databases to determine the number of cardiac MRI services provided, physician payment, characteristics of providers and changes over time to provide insight into the practice of cardiac MRI in the United States.
Methods: The 2012 and 2013 Medicare Provider Utilization and Payment Data: Physician and other Supplier Public Use File (PUF) was downloaded and searched for cardiac MRI HCPCS codes (75557-75564). Statistics were calculated for the number of providers, number of services, payment, geographic location and type of facility. Additionally, provider degree, gender and clinical specialty were analyzed. Changes from 2012 to 2013 were statistically compared.
Results: In 2012, there were 311 (84% male) providers with 11,473 cardiac MR scans. The number of MRI scans per provider (36.9±39.2; range: 11-260) varied widely. In 2013, the number of providers increased to 337 (85% male) with 12,076 cardiac MR scans (35.8±36.7; range: 11-246). Physician identified specialty was 48% Cardiology and 46% Diagnostic Radiology. Payment (2013) was less (p<0.001) in facilities ($125.8±8.6; n=10,107) compared to non-facilities ($451.75±123.3; n=1,969). In Figure 1, the number of MR scans (2013) are displayed geographically and by HCPCS code.
Conclusions: Cardiac MR utilization slightly increased and payment decreased from 2012 to 2013. Usage was split evenly between Cardiology and Diagnostic Radiology, but providers were predominantly male.
Author Disclosures: J.W. Goldfarb: None.
- © 2015 by American Heart Association, Inc.