Benchmark of the Week: Ratio of new to established patient visits

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a specialty comparison of office-visit mix using Medicare Part B claims data and evaluation and management visit counts. It is intended for coding, billing, and practice management audiences who want to understand how specialty visit patterns are summarized and how such benchmarks can be interpreted at a high level. The discussion focuses on the data source, the comparison method, the specialties included, and general takeaways about benchmarking office-visit utilization.

Why This Topic Matters

Understanding how new-patient and established-patient visit patterns compare across specialties can help practices place their own utilization trends in context. It is useful for teams evaluating office-visit volume, specialty benchmarks, and broader practice performance measures.

What You Will Learn

  • How a specialty-level office visit ratio benchmark is constructed
  • What data source and time period were used for the comparison
  • Which broad specialty groups appear at the high and low ends of the benchmark
  • Why office-visit mix can matter for practice benchmarking and analysis

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Physician groups
  • Health care analysts

Codes Discussed

Code Ranges Discussed


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