Table 4. Average Medicare and PPO Payments per RVU for Broad Categories of Physician Services by Private Payer: 1993.
Type of Service Categories | Payer 1 | Payer 2 | ||||
---|---|---|---|---|---|---|
|
|
|||||
Medicare | PPO | Differential (Percent) |
Medicare | PPO | Differential (Percent) |
|
All Physician Services | $30.11 | $46.48 | 35.2 | $29.58 | $44.29 | 33.2 |
Evaluation and Management | 28.57 | 33.75 | 15.3 | 28.21 | 37.24 | 24.2 |
Procedures | 30.93 | 57.96 | 46.6 | 31.18 | 55.81 | 44.1 |
Imaging | 32.78 | 55.35 | 40.8 | 33.58 | 57.53 | 41.6 |
Tests | 29.79 | 48.19 | 38.2 | 29.94 | 46.25 | 35.3 |
NOTE: PPO is preferred provider organization. RVU is relative value unit.
SOURCE: Urban Institute analysis of 1993 claims from the Medicare National Claims History System and two large private payers.