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Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Sample Physician Report

Turn complex CMS data into a clear physician or market report. This page shows the layout, metrics, explanations and limitations of a Physician Report ($19) for a physician who does not exist. A real report is prepared from the CMS public use files for the one physician you choose. 12 months of access from payment. One-time payment; it does not renew.

Sources and methodology are free to read. A purchase pays for ClaimLight's preparation, analysis, presentation and access to the report. Methodology · Pricing · See available data

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Physician Report (sample)

Avery Example, MD

Internal Medicine · Sample City, ST · Sample City metro (fictional) · NPI: none, fictional physician

Data years in this report: 2021, 2022, 2023, 2024 (4 of 5 published). Source: CMS Medicare Physician & Other Practitioners public use files, 2020–2024.

Printable report

Avery Example, MD is at the 69th percentile among Internal Medicine clinicians in Sample City metro by Medicare work RVUs calculated, 2024: rank 65 of 212 peers. In the data 2021-2024 (4 years).

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Medicare work RVUs
5,488
Medicare work RVUs, 2024: 69th percentile (band: 50th–75th percentile), rank 65 of 212 peers, same specialty: Internal Medicine, in Sample City metro. · 2024
Medicare payment
$348,000
Medicare payment, 2024: 69th percentile (band: 50th–75th percentile), rank 66 of 212 peers, same specialty: Internal Medicine, in Sample City metro. · 2024
Beneficiaries
1,150
Beneficiaries, 2024: 57th percentile (band: 50th–75th percentile), rank 92 of 212 peers, same specialty: Internal Medicine, in Sample City metro. · 2024
Services per beneficiary
5.6
Services per beneficiary, 2024: 46th percentile (band: 25th–50th percentile), rank 115 of 212 peers, same specialty: Internal Medicine, in Sample City metro. · 2024
Reported total services
6,400
5,900 disclosed line by line · 2024

Figures are traditional Medicare payments to the billing entity. They do not show what the clinician is paid.

69th percentileMedicare work RVUs, 2024 calculated

Rank 65 of 212 peers in Sample City metro · band 50th–75th percentile

Peers: same specialty: Internal Medicine, individual clinicians with at least one disclosed service line in 2024 · this clinician’s years in the data: 2021-2024

How ranks are computed

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Services behind the work RVUs, 2024

Reported total services
6,400
CMS by-Provider file, 2024
Disclosed services used for wRVU
5,900
sum of published service lines, 2024
Services not disclosed line by line
500
8% of reported services, on lines CMS suppresses (under 11 beneficiaries)
Codes with no work RVU
2
disclosed codes that add 0 work RVUs (drugs, supplies, some labs), 2024

Medicare work RVUs are calculated from disclosed service lines using the physician fee schedule work RVUs for that year, so they are a floor: services on suppressed lines are not in them.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Medicare work RVUs of Internal Medicine providers in Sample City metro, 2024

010200 providers, 0–593 Medicare work RVUs26 providers, 593–1,187 Medicare work RVUs26 providers, 1,187–1,780 Medicare work RVUs20 providers, 1,780–2,373 Medicare work RVUs17 providers, 2,373–2,967 Medicare work RVUs15 providers, 2,967–3,560 Medicare work RVUs14 providers, 3,560–4,153 Medicare work RVUs13 providers, 4,153–4,747 Medicare work RVUs13 providers, 4,747–5,340 Medicare work RVUs13 providers, 5,340–5,933 Medicare work RVUs11 providers, 5,933–6,527 Medicare work RVUs11 providers, 6,527–7,120 Medicare work RVUs10 providers, 7,120–7,713 Medicare work RVUs10 providers, 7,713–8,307 Medicare work RVUs13 providers, 8,307–8,900+ Medicare work RVUsmedian 3,62605,000010200 providers, 0–593 Medicare work RVUs26 providers, 593–1,187 Medicare work RVUs26 providers, 1,187–1,780 Medicare work RVUs20 providers, 1,780–2,373 Medicare work RVUs17 providers, 2,373–2,967 Medicare work RVUs15 providers, 2,967–3,560 Medicare work RVUs14 providers, 3,560–4,153 Medicare work RVUs13 providers, 4,153–4,747 Medicare work RVUs13 providers, 4,747–5,340 Medicare work RVUs13 providers, 5,340–5,933 Medicare work RVUs11 providers, 5,933–6,527 Medicare work RVUs11 providers, 6,527–7,120 Medicare work RVUs10 providers, 7,120–7,713 Medicare work RVUs10 providers, 7,713–8,307 Medicare work RVUs13 providers, 8,307–8,900+ Medicare work RVUsmedian 3,62602,5005,0007,500010200 providers, 0–593 Medicare work RVUs26 providers, 593–1,187 Medicare work RVUs26 providers, 1,187–1,780 Medicare work RVUs20 providers, 1,780–2,373 Medicare work RVUs17 providers, 2,373–2,967 Medicare work RVUs15 providers, 2,967–3,560 Medicare work RVUs14 providers, 3,560–4,153 Medicare work RVUs13 providers, 4,153–4,747 Medicare work RVUs13 providers, 4,747–5,340 Medicare work RVUs13 providers, 5,340–5,933 Medicare work RVUs11 providers, 5,933–6,527 Medicare work RVUs11 providers, 6,527–7,120 Medicare work RVUs10 providers, 7,120–7,713 Medicare work RVUs10 providers, 7,713–8,307 Medicare work RVUs13 providers, 8,307–8,900+ Medicare work RVUsmedian 3,62602,0004,0006,0008,000010200 providers, 0–593 Medicare work RVUs26 providers, 593–1,187 Medicare work RVUs26 providers, 1,187–1,780 Medicare work RVUs20 providers, 1,780–2,373 Medicare work RVUs17 providers, 2,373–2,967 Medicare work RVUs15 providers, 2,967–3,560 Medicare work RVUs14 providers, 3,560–4,153 Medicare work RVUs13 providers, 4,153–4,747 Medicare work RVUs13 providers, 4,747–5,340 Medicare work RVUs13 providers, 5,340–5,933 Medicare work RVUs11 providers, 5,933–6,527 Medicare work RVUs11 providers, 6,527–7,120 Medicare work RVUs10 providers, 7,120–7,713 Medicare work RVUs10 providers, 7,713–8,307 Medicare work RVUs13 providers, 8,307–8,900+ Medicare work RVUsmedian 3,62602,0004,0006,0008,000
providers (212)middle 50% (25th–75th percentile)this provider

The chart shows peer values only; no other physician is named.

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data year 2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Position among Internal Medicine providers, 2024

MeasureThis providerRank among peersMedian, Sample City metroMedian, Sample StateMedian, United States
Medicare work RVUs, 20245,488Medicare work RVUs, 2024: 69th percentile (band: 50th–75th percentile), rank 65 of 212 peers, same specialty: Internal Medicine, in Sample City metro.3,6264,1504,050
Medicare payment, 2024$348,000Medicare payment, 2024: 69th percentile (band: 50th–75th percentile), rank 66 of 212 peers, same specialty: Internal Medicine, in Sample City metro.$265,000$259,000$251,000
Beneficiaries, 20241,150Beneficiaries, 2024: 57th percentile (band: 50th–75th percentile), rank 92 of 212 peers, same specialty: Internal Medicine, in Sample City metro.980940920
Services per beneficiary, 20245.6Services per beneficiary, 2024: 46th percentile (band: 25th–50th percentile), rank 115 of 212 peers, same specialty: Internal Medicine, in Sample City metro.not computednot computednot computed

Each rank uses the first of metro, state and nation with at least 20 peers (individual Internal Medicine providers with at least one disclosed service line in 2024); rank 1 is the highest. How ranks are computed

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data year 2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Service mix and panel, 2024

MeasureThis providerMedian, Sample City metroMedian, Sample State
E/M share of payment90%86%85%
Procedure share of payment2%4%5%
Drug share of payment0%1%1%
Office share of services86%78%76%
Distinct codes72426
Average beneficiary age72.673.072.8
Average risk score1.361.291.27
Dual-eligible share17%16%17%

E/M, procedure and office shares are computed over the code-level lines (see code-level coverage); service categories are defined on the methodology page.

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data year 2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Services by HCPCS code, 2024

calculated reported calculated reported calculated
99214Evaluation and management serviceOffice1,800820$212,4001.923,456.0
99213Evaluation and management serviceOffice900510$76,5001.301,170.0
99232Evaluation and management serviceFacility28060$22,4001.59445.2
G2211Evaluation and management serviceOffice1,200700$19,2000.33396.0
36415Laboratory testOffice900450$2,7000.000.0
93000ProcedureOffice12095$2,0400.1720.4
J1100DrugOffice700140$8400.000.0

One row per code and place of service, disclosed lines only (each with at least 11 beneficiaries). 2 codes have no work RVU in the 2024 fee schedule (drugs, supplies, some labs) and add 0. Five-digit CPT codes: ClaimLight category; the code descriptor is not shown.

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data year 2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Trend, 2021–2024

02,5005,0002021: 4,620 Medicare work RVUs20212022: 4,981 Medicare work RVUs20222023: 5,231 Medicare work RVUs20232024: 5,488 Medicare work RVUs20245,48802,5005,0002021: 4,620 Medicare work RVUs20212022: 4,981 Medicare work RVUs20222023: 5,231 Medicare work RVUs20232024: 5,488 Medicare work RVUs20245,48802,5005,0002021: 4,620 Medicare work RVUs20212022: 4,981 Medicare work RVUs20222023: 5,231 Medicare work RVUs20232024: 5,488 Medicare work RVUs20245,48802,5005,0002021: 4,620 Medicare work RVUs20212022: 4,981 Medicare work RVUs20222023: 5,231 Medicare work RVUs20232024: 5,488 Medicare work RVUs20245,488
Medicare work RVUs4,6204,9815,2315,488
Medicare payment$279,000$308,000$326,000$348,000
Beneficiaries9601,0401,1001,150
Reported total services5,2005,7006,1006,400
Disclosed services used for wRVU4,7005,2005,6005,900
Services per beneficiary5.45.55.55.6

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2021–2024.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Limitations

  • Not in the CMS file for 2020.
  • CMS suppresses code lines with fewer than 11 beneficiaries, so calculated work RVUs are a floor.
  • Original Medicare Part B fee-for-service only: Medicare Advantage, other payers and facility payments are not included.
  • Payments go to the billing entity, not to the clinician.

Known limitations · Methodology · How ranks are calculated

Medicare work RVUs, 2024: 69th percentile (band: 50th–75th percentile), rank 65 of 212 peers, same specialty: Internal Medicine, in Sample City metro. Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service), data year 2024; rank calculated by ClaimLight.

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service).

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

What a Market Comparison adds ($79)

A Market Comparison covers one specialty in one market (Internal Medicine, Sample City metro (fictional), 212 clinicians in 2024): every cohort member’s figures and rank in that market, the market’s percentiles and trend, and the full Physician Report of the one physician from that market you select at checkout. An excerpt:

First rows of the cohort table, Internal Medicine, Sample City metro (fictional), 2024, ordered by Medicare work RVUs (illustrative)
ClinicianCityMedicare work RVUsMedicare paymentBeneficiariesRank among peers
Clinician ASample City9,069$607,6201,890Medicare work RVUs, 2024: 100th percentile (band: 95th percentile and above), rank 1 of 212 peers, same specialty: Internal Medicine, in Sample City metro.
Clinician BSample City9,007$603,4701,880Medicare work RVUs, 2024: 99th percentile (band: 95th percentile and above), rank 2 of 212 peers, same specialty: Internal Medicine, in Sample City metro.
Clinician CSample East8,945$599,3201,860Medicare work RVUs, 2024: 99th percentile (band: 95th percentile and above), rank 3 of 212 peers, same specialty: Internal Medicine, in Sample City metro.
Clinician DSample City8,883$595,1601,850Medicare work RVUs, 2024: 98th percentile (band: 95th percentile and above), rank 4 of 212 peers, same specialty: Internal Medicine, in Sample City metro.
Clinician ESample West8,822$591,0701,840Medicare work RVUs, 2024: 98th percentile (band: 95th percentile and above), rank 5 of 212 peers, same specialty: Internal Medicine, in Sample City metro.

Market percentiles of Medicare work RVUs, 2024: 25th percentile 1,806, median 3,626, 75th percentile 6,049, 90th percentile 7,799. Median by year: 2020 3,150, 2021 3,250, 2022 3,350, 2023 3,420, 2024 3,626.

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Illustrative figures for a fictional market.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Offer evaluator, a worked example (fictional numbers)

Inside a Market Comparison, you enter an offer’s base pay, any bonus terms and how many patients you would see; the evaluator turns that workload into estimated work RVUs with the market’s work RVUs per encounter. Here: $280,000 base pay plus $45 per wRVU above 5,000 wRVU, 20 patients a day, 4 days a week, 46 weeks a year, 80% office and 20% hospital, in a fictional market.

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Pay per estimated wRVU under this offer (scenario)
$53$52 to $53 across the cases
scenario, median case · 2024
Estimated work RVUs a year at your workload (scenario)
7,0666,477 to 7,654
3,680 encounters a year × 1.92 wRVU each · 2024
Pay per patient seen (scenario)
$101
$2,027 per day worked
Where this workload falls among the market's clinicians
85th percentile
about; estimated all-payer work RVUs, Internal Medicine, Sample City metro (fictional)
Patients a day or shift to reach the bonus threshold (scenario)
14.2
a day, to reach 5,000 wRVU; you entered 20.0

Sample report: a fictional physician with illustrative figures. Not CMS data for any real person.

Your offer at your workload: Internal Medicine, Sample City metro (fictional), 2024 (fictional example)

This offer pays about $53 per estimated wRVU at your workload, $372,952 a year including the bonus.

Your terms: $280,000 salary plus $45 per wRVU above 5,000 wRVU. Your workload: 20 patients a day, 4 days a week, 46 weeks a year (3,680 patient encounters a year), 80% office and outpatient, 20% hospital. The salary alone is $40 per estimated wRVU at the median case.

Scenario: your terms and workload at the Internal Medicine work RVUs per encounter, 2024 (25th percentile, median and 75th percentile across clinicians).
estimated scenario scenario scenario scenario scenario scenario
Low (25th percentile)1.766,477$346,456$53$94$1,88315.4
Median1.927,066$372,952$53$101$2,02714.2
High (75th percentile)2.087,654$399,448$52$109$2,17113.1

Work RVUs per encounter used

  • Office and outpatient visits (office and outpatient visit codes, including visits in hospital outpatient clinics): median 1.85, 25th percentile 1.70, 75th percentile 2.00 E/M work RVUs per visit, among 140 Internal Medicine clinicians with these visits in Sample City metro (fictional).
  • Hospital inpatient, observation, emergency department and critical care (inpatient and observation care, inpatient consults, emergency department visits and critical care): median 2.20, 25th percentile 2.00, 75th percentile 2.40 E/M work RVUs per visit, among 90 Internal Medicine clinicians with these visits in Sample City metro (fictional).

At the median case, 7,066 work RVUs a year is about the 85th percentile of estimated all-payer work RVUs among 212 Internal Medicine clinicians in Sample City metro (fictional) (median 4,600). That distribution is the Market Comparison's own estimate: each clinician's Medicare work RVUs ÷ the Original Medicare share of their practice county ÷ the Medicare share of work (an illustrative figure for the example). It counts all billed work, procedures included, while this estimate counts visit (E/M) work only, so the position is lower than it would be with procedure work; tick the procedure add-on to include it.

Scenario, not reported and not anyone's pay. Each E/M visit code billed counts as one patient encounter (CMS counts services, not visits); the work RVUs per encounter come from Original Medicare claims and are applied to all your patients; call, teaching, administration and other unbilled work are not counted (how it is built).