Medicare’s 2015 Physician Utilization Database

The Physician and Other Supplier Public Use File (PUF) provides information on services and procedures provided to Medicare beneficiaries by physicians and other healthcare professionals. The Physician and Other Supplier PUF contains information on utilization, payment (allowed amount and Medicare payment), and submitted charges organized by National Provider Identifier (NPI), Healthcare Common Procedure Coding System (HCPCS) code, and place of service. This PUF is based on information from CMS administrative claims data for Medicare beneficiaries enrolled in the fee-for-service program. The data in the PUF covers calendar year 2015. The interactive database can be found at:

Interactive Dataset: Medicare Physician and Other Supplier PUF, CY2015, Interactive Dataset

HBP also creates customized reports for pathology and other specialties based on the twenty-six fields of the database, including HCPCS code, state and place of service. Interested in what others in your city/state are charging? This information is available by procedure code.

Contact us for additional information and a sample report.

HBP Practice Mergers – Due Diligence Checklist

Following Bob Tessier’s successful CAP webinar with Dr. Karim Sirgi titled “What to expect during and after the merger or acquisition of a Pathology group,” HBP compiled a tailored checklist for Pathology practice mergers. The list includes input and advice from more than half a dozen expert advisors.

Checklist highlights include:

  • Fee schedules
  • Billing systems
  • Third party reimbursements
  • Retirement planning
  • Compliance and governance
  • Insurance issues
  • Personnel policies
  • …and much more!

For a complete list of topics or more information on how to merge your practice, contact us here.

APF Webinar: “Creating a Positive Laboratory Employee Environment”

On June 29, 2017, HBP sponsored an American Pathology Foundation webinar on the above topic. We asked Joyce Hain, the retired Lab Administrator at Thunderbird Hospital, part of Banner Health in Phoenix, to present her experience.

Topics included:

  • Getting to Know Your Staff
  • Daily Rounds with Medical Director/Pathologists
  • Developing Recognition Cards/Newsletters
  • Monthly Staff Meetings
  • Department Teams – Shared Leadership
  • The Keys to Success