Skip to main content
. 2021 May 14;2(5):e210527. doi: 10.1001/jamahealthforum.2021.0527

Table 2. Annual Time Spent (hours per year) on Activities Related to the Medicare Merit-based Incentive Payment System (MIPS), by Physician Practice Type and Position, 2019.

Practice type Hours per year, by position, mean
Administrators Physicians APPs MAs, LPNs, RNs Total hours
Executivea Otherb Leadersc Otherd
Overall 28.6 11.0 0.7 53.6 8.6 99.2 201.7
APM status
APM 30.6 14.0 1.0 68.2 15.4 104.2 233.4
Non–APM 26.8 8.4 0.3 40.9 2.7 94.8 173.9
Primary care practice
Small 44.8 18.0 0.7 100.9 17.4 106.1 287.9
Medium 44.0 0 1.4 76.5 2.4 28.4 152.6
General surgery practice
Small 28.8 1.8 0.4 45.5 10.3 155.1 241.8
Medium 17.8 10.9 1.1 27.8 6.7 97.0 161.4
Large multispecialty practice 4.9 16.4 0.1 1.4 0.6 84.1 107.6

Abbreviations: APM, alternative payment model; APPs, advanced practice practitioners; LPNs, licensed practical nurses; MAs, medical assistants; RN, registered nurses.

Standard deviations are shown in the Supplement.

a

Executive administrators are executive-level administrative staff (eg, chief executive officers, practice administrators, staff managers).

b

Other administrators are all nonexecutive administrative staff.

c

Leaders indicates physician-leaders’ additional time spent on MIPS-related activities beyond time spent on MIPS-related activities as practicing physicians.

d

Other physicians indicates practicing physicians’ time spent on MIPS-related activities, excluding physician-leaders’ additional time beyond time spent on MIPS-related activities as practicing physicians.

HHS Vulnerability Disclosure