ClaimLight
Menu
Back to the sample report

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.

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).