DecisionHealth, DecisionHealth - 2011 Issue 8 (August)

NPP Benchmark: NP vs. PA E/M code levels by place of service, 2009

These charts examine E/M code level selection by nurse practitioners (NPs) and physician assistants (PAs) based on the two biggest place of service (POS) settings. NOTE: The percentage values in parentheses above the bars indicate what share that particular code level had out of all E/Ms billed by NPs or PAs. Because the bars were graphed based on utilization by volume, the percentages don’t always match (e.g. for level 3 E/Ms in the office setting, the NP bar is higher despite the percentage being lower). NOTE: Code levels reflect a combination of new and established patient visits on the office side and a combination of observation and hospital care on the inpatient side. Graphs derived from the latest 2009 CMS claims data.

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