100 statistics for gastroenterologists to know

Gastroenterology by the numbers — here are 100 statistics on GI compensation, physician employment, revenue, reimbursement and more.

Compensation

1.    2013 average salary: $348,000
2.    Change from 2012 to 2013: up 2 percent
3.    Average salary for male gastroenterologists: $350,000
4.    Average salary for female gastroenterologists: $331,000
5.    Highest average salary by region: Great Lakes ($382,000)
6.    Lowest average salary by region: Mid-Atlantic ($319,000)
7.    Average employed salary: $300,000
8.    Average self-employed salary: $395,000
9.    Highest average salary by practice setting: Office-based multispecialty group practice ($404,000)
10.    Lowest average salary by practice setting: Academic (non-hospital), research, military, government ($239,000)

Medscape Gastroenterologist Compensation Report 2014

GI demand

11.    In 2013, general gastroenterology, followed by pediatric and hepatology were the most in-demand specialties.
12.    Job postings for general gastroenterology rose 2 percent from 2012 to 2013.
13.    Though not typically a high in-demand specialty, job posting for gastroenterology surgery rose 50 percent from 2012 to 2013.
14.     Between 2012 and 2013, job postings in South Carolina rose 78 percent, 73 percent in Ohio, 57 percent in Indiana, 27 percent in California and 25 percent in Illinois.
15.    21 percent of physicians in all specialties are employed by a hospital.
16.    According to projections by the Association of American Medical Colleges, the nation will be short more than 90,000 total physicians by 2020 and 130,000 physicians by 2025.

American Gastroenterological Association and HealtheCAREERs 2014 Gastroenterology Employment Fact Sheet
The Second Annual Practice Profitability Index: 2014 Edition

Payment models participation

17.    Participating in an accountable care organization: 24 percent
18.    Plan to join an ACO within the next year: 12 percent
19.    Operate a cash-only practice: 4 percent
20.    Operate a concierge practice: 2 percent

Medscape Gastroenterologist Compensation Report 2014

GI/endoscopy ASC case revenue

Regional net revenue per case

21.    West: $787
22.    Southwest: $949
23.    Midwest: $820
24.    Southeast: $663
25.    Northeast: $816

Net revenue per case by ASC size

26.    One to two operating rooms: $668
27.    Three to four ORs: $790   
28.    More than four ORs: $872

Net revenue per case by case volume

29.    Less than 3,000 cases per year: $740
30.    3,000 to 5,999 cases per year: $809
31.    More than 5,999 cases per year: $802

Net revenue per case by overall revenue

32.    Less than $4.5 million in revenue: $674
33.    $4.5 million to $6.9 million in revenue: $750
34.    More than $6.9 million in revenue: $962

VMG Health's 2012 Intellimarker Ambulatory Surgical Center Financial & Operational Benchmarking Study.

GI/endoscopy ASC case volume as a percentage of total case volume

Regional case volume

35.    West: 18 percent
36.    Southwest: 25 percent
37.    Midwest: 27 percent
38.    Southeast: 30 percent
39.    Northeast: 32 percent

Case volume by ASC size

40.    One to two ORs: 29 percent
41.    Three to four ORs: 30 percent
42.    More than four ORs: 16 percent

Case volume by overall volume

43.    Less than 3,000 cases per year: 24 percent
44.    3,000 to 5,999 cases per year: 24 percent
45.    More than 5,999 cases per year: 29 percent

Case volume by overall revenue

46.    Less than $4.5 million: 29 percent
47.    $4.5 million to $6.9 million: 23 percent
48.    More than $6.9 million: 24 percent

VMG Health's 2012 Intellimarker Ambulatory Surgical Center Financial & Operational Benchmarking Study.

Colorectal cancer

New cases in 2014

49.    Male: 71,830
50.    Female: 65,000

Deaths in 2014

51.    Male: 26,270
52.    Female: 24,040

American Cancer Society: Colorectal Cancer Statistics 2014

GI conditions and cost of care

53.    Gastrointestinal diseases generate approximately $142 billion in direct and indirect costs each year in the United States.
54.    Hospitalizations and mortality associated with C. difficile infections have doubled in the last decade.
55.    Colorectal cancer is the leading cause of GI-related mortality.
56.    In 2009, 6.9 million upper endoscopies, 11.5 million lower endoscopies and 228,000 biliary endoscopies were performed.
57.    In 2009, outpatient GI endoscopy examinations reached a total cost of $32.4 billion.

Gastrointestinal infections (indirect costs 2004)

58.    Hospital stay: $165.6 million
59.    Ambulatory care: $65.8 million

Viral hepatitis

60.    Hospital stay: $61.3 million
61.    Ambulatory care: $68 million

Digestive cancers

62.    Hospital stay: $555.3 million
63.    Ambulatory care: $67.7 million

Functional intestinal disorders

64.    Hospital stay: $154.2 million
65.    Ambulatory care: $137.7 million

Inflammatory bowel disease

66.    Hospital stay: $141.5 million
67.    Ambulatory care: $36.6 milloin

All digestive disease

68.    Hospital stay: $5.7 billion
69.    Ambulatory care: $1.8 billion

Burden of Digestive Disease in the United States
National Institute of Diabetes and Digestive and Kidney Diseases' Burden of Digestive Diseases in the United States

Reimbursement

Medicare facility fee and fee schedule physician payments for colonoscopy in 2013

Diagnostic colonoscopy (HCPCS 45378)

70.    ASC: $380.16
71.    HOPD: $677.49
72.    Physician: $216.15

Colonoscopy and biopsy (HCPCS 45380)

73.    ASC: $380.16
74.    HOPD: $677.49
75.    Physician: $258. 51

Colonoscopy and submucous inj. (HCPCS 45831)

76.    ASC: $380.16
77.    HOPD: $677.49
78.    Physician: $245.18

Colonoscopy/control bleeding (HCPCS 45382)

79.    ASC: $370.50
80.    HOPD: $677.49
81.    Physician: $329.23

Lesion removal colonoscopy (HCPCS 45383)

82.    ASC: $380.16
83.    HOPD: $677.49
84.    Physician: $334.24

Lesion removal colonoscopy (HCPCS 45384)

85.    ASC: $380.16
86.    HOPD: $677.49
87.    Physician: $269.52

Lesion removal colonoscopy (HCPCS 45385)

88.    ASC: $380.16
89.    HOPD: $677.49
90.    Physician: $306.55

American College of Gastroenterology: 2013 GI Reimbursement Grid

GI device market

91.    The global market for endoscopy equipment is expected to reach a value of $37.9 billion by 2018.
92.    The market is expected grow at a compound annual growth rate of 6.1 percent from 2013 to 2018.
93.    North America holds the largest share of the global endoscopy equipment market.
94.    Europe and Asia are the second and third largest shareholders in the global endoscopy equipment market.

GI endoscopic video system purchase and service prices

Purchase price

95.    Low: $31,072
96.    Average: $66,030
97.    High: $104,238

System service support price

98.    Low: $20,696
99.    Average: $66,542
100. High: $140,000

Fast Facts for Purchasers: The Expanding Market for Endoscopic Surgery Video Systems
Markets and Markets: Endoscopy Devices Market

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