Physician compare data can help you set prices for preventive services

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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 explains how CMS physician compare data can be used to examine preventive service volume and average charges in a geographic area. It presents a 2009 ranking of common preventive care services billed in physician offices and notes the reporting context, including how national claims data and payment fields are summarized for comparison purposes. It is aimed at coders, billing staff, and practices evaluating preventive service pricing and utilization trends.

Why This Topic Matters

Understanding local utilization and charge patterns can help practices compare their preventive service offerings against peers and interpret CMS payment-related data in context.

Article Sections

  1. CMS physician office billing data for preventive services

    Introduces the CMS data source and explains that it can be used to review preventive service activity and payment information at national, state, and locality levels.

  2. 2009 top preventive care services billed in physician office setting

    Presents a ranked table of frequently billed preventive services in physician offices along with utilization and payment-related summary fields for comparison.

  3. Source and table notes

    Provides the reporting source, date context, and notes about how the data fields are summarized for the table.

What You Will Learn

  • How CMS physician compare data is organized for preventive services
  • What kinds of comparative billing information are included in the report
  • How the article frames preventive care utilization in physician office settings
  • What context is provided for the summarized 2009 claims data

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Revenue cycle professionals
  • Physician office administrators

Codes Discussed


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