decisionhealth Newsletters, Part B News - 2025 Issue 5 (May)
Claims jump 17% for PA established office visits over 5 years
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Article Overview
This benchmark article examines multi-year Medicare claims data for physician associates and highlights changes in overall billing volume, payment totals, and the most frequently reported office visit and procedure services. It is useful for coding professionals, practice managers, and reimbursement analysts who want a high-level view of service mix trends and utilization patterns in physician associate billing.
Why This Topic Matters
Understanding shifts in physician associate billing patterns can help readers monitor service utilization, compare claim volume over time, and place common E/M and procedure reporting in a broader claims context.
Article Sections
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Benchmark of the week
Introduces the claims trend topic and frames the article as a Medicare data benchmark focused on physician associate billing.
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Physician associate billing trends, 2019-2023
Summarizes overall claim and payment changes across the five-year period and identifies the most-reported service categories in the data.
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Physician associate utilization of established E/M office visits, 2019-2023
Presents a focused look at established office visit utilization over time and compares reporting patterns across the years covered.
What You Will Learn
- How physician associate Medicare billing changed over a five-year period
- Which service categories were most frequently reported by physician associates
- What the article highlights about established office visit utilization trends
- How the benchmark uses Medicare claims data to illustrate broader billing patterns
Who Should Read This
- Physician associates
- Medical coders
- Billing and reimbursement staff
- Practice managers
- Healthcare analysts
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