Table 2. Industry payments to allopathic and osteopathic physicians by specialty type and by specialty, August 1, 2013 to December 31, 2013.
| All identified paymentsb | Identified general paymentsb | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Specialty | Total payment records, No. | Total value, USD | Active physiciansc, No. | Physicians receiving paymentd, No. (%) | Total general payment records, No. | Total value of general paymentse, USD | Per-physician median value of general payments, USD (IQR) | Per-physician mean value of general payments, USD (SD) | Largest general payment, USD |
| All allopathic and osteopathic specialtiesf | 2,428,437 | $474,676,057 | 813,123 | 324,523 (40%) | 2,415,449 | $429,889,790 | $100 ($31-$273) | $1,407 ($23,766) | $7,356,000 |
| Specialty typef | |||||||||
| Medical specialties | 1,646,144 | $206,179,711 | 417,130 | 187,354 (45%) | 1,636,765 | $176,013,917 | $100 ($31-$268) | $976 ($9,797) | $2,150,000 |
| Surgical specialties | 428,475 | $197,131,503 | 167,314 | 81,444 (49%) | 426,497 | $188,814,432 | $99 ($32-$286) | $2,383 ($43,742) | $7,356,000 |
| Other specialties | 353,818 | $71,364,843 | 228,679 | 55,725 (24%) | 352,187 | $65,061,441 | $83 ($25-$216) | $1,195 ($7,953) | $687,600 |
| Medical specialties | |||||||||
| Allergy & immunology | 17,394 | $3,947,834 | 4,413 | 2,426 (55%) | 17,170 | $2,885,335 | $107 ($39-$259) | $1,194 ($5,074) | $88,000 |
| Cardiovascular disease | 208,107 | $35,606,531 | 23,085 | 18,114 (78%) | 205,392 | $33,755,702 | $175 ($61-$519) | $1,866 ($8,489) | $445,000 |
| Dermatology | 54,295 | $8,130,678 | 11,772 | 7,441 (63%) | 54,143 | $7,294,757 | $106 ($32-$283) | $980 ($4,624) | $93,930 |
| Family medicine & general practice | 468,331 | $21,408,772 | 98,365 | 53,781 (55%) | 467,216 | $18,064,870 | $80 ($25-$206) | $336 ($6,099) | $734,600 |
| Gastroenterology | 93,205 | $15,623,526 | 13,826 | 9,406 (68%) | 92,737 | $14,732,864 | $149 ($56-$373) | $1,569 ($19,167) | $1,716,000 |
| Internal medicine | 748,420 | $111,148,259 | 182,540 | 77,515 (42%) | 744,183 | $92,322,945 | $103 ($32-$280) | $1,152 ($11,148) | $2,150,000 |
| Pediatrics | 55,283 | $9,843,206 | 80,822 | 18,324 (23%) | 54,838 | $6,585,667 | $38 ($17-$91) | $358 ($3,553) | $232,300 |
| Pediatric cardiology | 1,109 | $470,905 | 2,307 | 347 (15%) | 1,086 | $371,777 | $76 ($23-$196) | $1,087 ($4,402) | $51,320 |
| Surgical specialties | |||||||||
| Colorectal surgery | 5,330 | $1,529,758 | 1,568 | 857 (55%) | 5,324 | $1,501,093 | $141 ($47-$618) | $1,754 ($5,886) | $86,000 |
| Neurosurgery | 26,382 | $17,871,297 | 6,041 | 4,632 (77%) | 26,327 | $17,406,424 | $88 ($30-$391) | $3,763 ($30,761) | $1,253,000 |
| Obstetrics & gynecology | 82,349 | $10,241,341 | 43,527 | 18,621 (43%) | 82,042 | $9,070,036 | $62 ($24-$138) | $488 ($4,383) | $337,300 |
| Ophthalmology | 56,874 | $14,218,156 | 18,805 | 9,894 (53%) | 56,121 | $10,970,900 | $113 ($36-$250) | $1,111 ($8,111) | $397,800 |
| Oral/maxillofacial surgery | 655 | $268,380 | 455 | 277 (61%) | 654 | $264,455 | $64 ($23-$146) | $955 ($6,252) | $80,020 |
| Orthopedic surgery | 80,951 | $110,704,56 | 25,670 | 15,459 (60%) | 80,784 | $109,885,624 | $120 ($35-$612) | $7,114 ($94,658) | $7,356,000 |
| Otolaryngology | 15,732 | $2,990,801 | 10,466 | 4,625 (44%) | 15,708 | $2,611,438 | $71 ($26-$160) | $565 ($2,770) | $60,680 |
| Plastic surgery | 12,207 | $4,330,005 | 7,726 | 2,865 (37%) | 11,877 | $3,880,534 | $114 ($34-$326) | $1,363 ($8,848) | $341,400 |
| Surgery (general) | 70,603 | $21,811,190 | 37,739 | 15,387 (41%) | 70,396 | $20,342,511 | $99 ($30-$306) | $1,324 ($20,713) | $2,305,000 |
| Thoracic surgery | 15,259 | $4,562,545 | 4,544 | 2,499 (55%) | 15,204 | $4,417,545 | $181 ($60-$840) | $1,771 ($7,664) | $159,400 |
| Urology | 62,133 | $8,603,467 | 10,773 | 6,328 (59%) | 62,060 | $8,463,872 | $169 ($59-$503) | $1,339 ($6,449) | $250,900 |
| Other specialties | |||||||||
| Anesthesiology | 37,252 | $6,297,362 | 44,555 | 9,855 (22%) | 37,208 | $6,089,848 | $43 ($16-$123) | $618 ($4,508) | $202,100 |
| Emergency medicine | 13,780 | $2,904,024 | 35,937 | 6,271 (17%) | 13,732 | $2,679,681 | $28 ($14-$100) | $428 ($4,324) | $191,800 |
| Neurology | 101,371 | $20,609,422 | 16,810 | 8,282 (49%) | 100,995 | $19,335,051 | $147 ($51-$508) | $2,342 ($9,800) | $278,700 |
| Pathology | 3,731 | $2,219,969 | 18,922 | 1,614 (9%) | 3,701 | $2,030,903 | $60 ($20-$125) | $1,264 ($8,220) | $193,200 |
| Psychiatry | 136,358 | $22,018,887 | 47,833 | 16,399 (34%) | 135,421 | $21,077,442 | $110 ($57-$260) | $1,288 ($7,478) | $212,000 |
| Radiology | 22,428 | $9,947,863 | 40,922 | 7,034 (17%) | 22,273 | $7,022,774 | $66 ($22-$180) | $1,003 ($10,933) | $687,600 |
| Other | 38,898 | $7,367,316 | 23,700 | 6,270 (26%) | 38,857 | $6,825,742 | $75 ($24-$197) | $1,091 ($8,316) | $286,300 |
a
abbreviations: IQR=Interquartile range, No.= Number, SD=Standard Deviation, USD=2013 United States Dollars
b
All identified payments includes payments to an identified recipient physician, regardless of the type of payment (research or general). All identified general payments include the subset of payments made for any reason other than for research.
c
Calculated using the number of active physicians for each specialty in 2012 obtained from AMA masterfile data (American Medical Association,17 2013).
d
The proportion of physicians paid differed significantly between specialty types and across specialties within each type (Pearson's chi-squared test, P < .001 for all comparisons)
e
The value of general payments differed significantly between specialty types and across specialties within each type (Kruskal-Wallis test, P < .001 for all comparisons)
f
Due to rounding, some of the totals may not correspond to the sum of the subtotals.