10 Statistics on Average Percent of Medicare Rates for Best Payors

Here are 10 statistics on payor reimbursement as a percent of Medicare, based on Medscape’s Insurer Ratings Report 2011. In this survey, physicians reported what percentage of Medicare their best payor reimbursed. The statistics can vary based on location and specialty.

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1. 9 percent reported their best payor reimbursed less than Medicare.

2. 8 percent reported their best payor reimbursed 100 percent of Medicare.

3. 8 percent reported their best payor reimbursed 100 percent to 105 percent of Medicare.

4. 10 percent reported their best payor reimbursed 106 percent to 110 percent of Medicare.

5. 20 percent reported their best payor reimbursed more than 110 percent of Medicare.

6. 38 percent of anesthesiologists reported their best payor reimbursed more than 110 percent of Medicare.

7. 38 percent of orthopedists reported their best payor reimbursed more than 110 percent of Medicare.

8. 36 percent of plastic surgeons reported their best payor reimbursed more than 110 percent of Medicare.

9. 33 percent of gastroenterologists reported their best payor reimbursed more than 110 percent of Medicare.

10. 32 percent of general surgeons reported their best payor reimbursed more than 110 percent of Medicare.

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