CY 2025 Malpractice Risk Index and Premium Amounts by Specialty									
									
Specialty Code	Specialty Name	2022 Service Risk Group	2022 Risk Index*	2022 Normalized Premium Rate	2023 Service Risk Group	2023 Risk Index**	2024 Risk Index**	2025 Risk Index**	2025 Normalized Premium Rate
01	General Practice	Non-surgery	0.674	"$14,451"	Non-surgery	0.704	0.704	0.704	"$15,240"
01	General Practice	Surgery	1.438	"$30,844"	Surgery	1.475	1.475	1.475	"$31,924"
01	General Practice	OB	1.534	"$32,906"	OB	1.637	1.637	1.637	"$35,433"
02	General Surgery	All	2.845	"$61,015"	All	2.927	2.927	2.927	"$63,363"
03	Allergy Immunology	All	0.414	"$8,874"	All	0.430	0.430	0.430	"$9,318"
04	Otolaryngology	Non-surgery	0.679	"$14,570"	Non-surgery	0.682	0.682	0.682	"$14,762"
04	Otolaryngology	Surgery	1.600	"$34,312"	Surgery	1.659	1.659	1.659	"$35,922"
05	Anesthesiology	All	0.912	"$19,558"	All	0.933	0.933	0.933	"$20,203"
06	Cardiology	Non-surgery	0.784	"$16,813"	Non-surgery	0.777	0.777	0.777	"$16,826"
06	Cardiology	Surgery	2.635	"$56,507"	Surgery	2.628	2.628	2.628	"$56,888"
07	Dermatology	Non-surgery	0.451	"$9,670"	Non-surgery	0.491	0.491	0.491	"$10,632"
07	Dermatology	Surgery	1.087	"$23,307"	Surgery	1.192	1.192	1.192	"$25,799"
08	Family Practice	Non-surgery	0.674	"$14,445"	Non-surgery	0.715	0.715	0.715	"$15,469"
08	Family Practice	Surgery	1.496	"$32,088"	Surgery	1.534	1.534	1.534	"$33,209"
08	Family Practice	OB	1.531	"$32,835"	OB	1.636	1.636	1.636	"$35,409"
09	Interventional Pain Management	All	1.240	"$26,587"	All	1.202	1.202	1.202	"$26,013"
10	Gastroenterology	Non-surgery	0.751	"$16,099"	Non-surgery	0.786	0.786	0.786	"$17,018"
10	Gastroenterology	Surgery	1.246	"$26,720"	Surgery	1.353	1.353	1.353	"$29,293"
11	Internal Medicine	All	0.738	"$15,819"	All	0.757	0.757	0.757	"$16,387"
12	Osteopathic Manipulative Medicine	All	0.414	"$8,874"	All	0.434	0.434	0.434	"$9,388"
13	Neurology	Non-surgery	0.929	"$19,928"	Non-surgery	0.936	0.936	0.936	"$20,272"
13	Neurology	Surgery	4.317	"$92,582"	Surgery	4.726	4.726	4.726	"$102,296"
14	Neurosurgery	All	4.317	"$92,582"	All	4.726	4.726	4.726	"$102,296"
15	Speech Language Pathology	All	0.414	"$8,874"	All	0.276	0.138	0.011	$230
16	Obstetrics Gynecology	Non-surgery	0.768	"$16,464"	Non-surgery	0.669	0.669	0.669	"$14,485"
16	Obstetrics Gynecology	Surgery	1.843	"$39,528"	Surgery	1.925	1.925	1.925	"$41,677"
16	Obstetrics Gynecology	OB	3.235	"$69,387"	OB	3.485	3.485	3.485	"$75,445"
17	Hospice and Palliative Care	All	0.414	"$8,874"	All	0.747	0.747	0.747	"$16,167"
18	Ophthalmology	Non-surgery	0.483	"$10,369"	Non-surgery	0.493	0.493	0.493	"$10,678"
18	Ophthalmology	Surgery	0.868	"$18,620"	Surgery	0.894	0.894	0.894	"$19,358"
19	Oral Surgery (dental only)	All	0.998	"$21,401"	All	1.099	1.099	1.099	"$23,786"
20	Orthopedic Surgery	All	2.322	"$49,797"	All	2.349	2.349	2.349	"$50,841"
21	Cardiac Electrophysiology	Non-surgery	0.784	"$16,813"	Non-surgery	0.777	0.777	0.777	"$16,826"
21	Cardiac Electrophysiology	Surgery	2.635	"$56,507"	Surgery	2.626	2.626	2.626	"$56,854"
22	Pathology	All	0.627	"$13,437"	All	0.636	0.636	0.636	"$13,765"
23	Sports Medicine	All	0.691	"$14,826"	All	0.732	0.732	0.732	"$15,836"
24	Plastic and Reconstructive Surgery	All	2.061	"$44,205"	All	2.103	2.103	2.103	"$45,525"
25	Physical Medicine and Rehabilitation	All	0.572	"$12,261"	All	0.608	0.608	0.608	"$13,163"
26	Psychiatry	All	0.422	"$9,060"	All	0.460	0.460	0.460	"$9,962"
27	Geriatric Psychiatry	All	0.422	"$9,060"	All	0.460	0.460	0.460	"$9,962"
28	Colorectal Surgery (formerly Proctology)	All	1.484	"$31,824"	All	1.546	1.546	1.546	"$33,458"
29	Pulmonary Disease	All	0.852	"$18,282"	All	0.896	0.896	0.896	"$19,400"
30	Diagnostic Radiology	All	0.937	"$20,105"	All	1.011	1.011	1.011	"$21,889"
31	Intensive Cardiac Rehab	All	0.784	"$16,813"	All	0.777	0.777	0.777	"$16,826"
32	Anesthesiologist Assistant	All	0.250	"$5,364"	All	0.272	0.272	0.272	"$5,898"
33	Thoracic Surgery	All	2.670	"$57,260"	All	2.809	2.809	2.809	"$60,804"
34	Urology	Non-surgery	0.692	"$14,849"	Non-surgery	0.817	0.817	0.817	"$17,684"
34	Urology	Surgery	1.341	"$28,767"	Surgery	1.388	1.388	1.388	"$30,041"
35	Chiropractic	All	0.215	"$4,603"	All	0.147	0.147	0.147	"$3,191"
36	Nuclear Medicine	All	0.511	"$10,966"	All	0.570	0.570	0.570	"$12,348"
37	Pediatric Medicine	All	0.752	"$16,131"	All	0.782	0.782	0.782	"$16,918"
38	Geriatric Medicine	Non-surgery	0.616	"$13,220"	Non-surgery	0.656	0.656	0.656	"$14,208"
38	Geriatric Medicine	Surgery	1.471	"$31,550"	Surgery	1.549	1.549	1.549	"$33,529"
39	Nephrology	Non-surgery	0.692	"$14,833"	Non-surgery	0.684	0.684	0.684	"$14,812"
39	Nephrology	Surgery	1.203	"$25,794"	Surgery	1.162	1.162	1.162	"$25,153"
40	Hand Surgery	All	1.841	"$39,481"	All	1.959	1.959	1.959	"$42,397"
41	Optometry	All	0.072	"$1,539"	All	0.048	0.046	0.046	"$1,006"
42	Certified Nurse Midwife	All	0.851	"$18,256"	All	0.914	0.914	0.914	"$19,782"
43	Certified Registered Nurse Anesthetist (CRNA)	All	0.283	"$6,061"	All	0.276	0.276	0.276	"$5,968"
44	Infectious Disease	All	0.873	"$18,713"	All	0.870	0.870	0.870	"$18,823"
45	Mammography Screening Center	All	0.414	"$8,874"	All	0.276	0.138	0.018	$379
46	Endocrinology	Non-surgery	0.660	"$14,148"	Non-surgery	0.661	0.661	0.661	"$14,312"
46	Endocrinology	Surgery	1.354	"$29,030"	Surgery	1.285	1.285	1.285	"$27,818"
47	Independent Diagnostic Testing Facility	All	0.414	"$8,874"	All	0.276	0.138	0.018	$379
48	Podiatry	Non-surgery	0.525	"$11,253"	Non-surgery	0.495	0.495	0.495	"$10,717"
48	Podiatry	Surgery	0.902	"$19,346"	Surgery	0.902	0.902	0.902	"$19,531"
62	Psychologist	All	0.414	"$8,874"	All	0.276	0.138	0.066	"$1,436"
63	Portable X-Ray Supplier	All	0.414	"$8,874"	All	0.276	0.138	0.015	$326
64	Audiologist	All	0.414	"$8,874"	All	0.276	0.138	0.013	$282
65	Physical Therapist	All	0.414	"$8,874"	All	0.276	0.138	0.034	$739
66	Rheumatology	All	0.676	"$14,499"	All	0.667	0.667	0.667	"$14,435"
67	Occupational Therapist	All	0.414	"$8,874"	All	0.276	0.138	0.018	$395
68	Clinical Psychologist	All	0.414	"$8,874"	All	0.276	0.138	0.068	"$1,466"
69	Clinical Laboratory	All	0.414	"$8,874"	All	0.276	0.138	0.018	$379
70	Multispecialty Clinic or Group Practice	All	0.929	"$19,929"	All	0.686	0.686	0.686	"$14,851"
71	Registered Dietitian/Nutrition Professional	All	0.414	"$8,874"	All	0.276	0.264	0.264	"$5,720"
72	Pain Management	All	1.228	"$26,342"	All	1.008	1.008	1.008	"$21,812"
75	Slide Preparation Facilities	All	0.414	"$8,874"	All	0.276	0.138	0.018	$379
76	Peripheral Vascular Disease	All	2.812	"$60,318"	All	2.831	2.831	2.831	"$61,289"
77	Vascular Surgery	All	2.812	"$60,318"	All	2.830	2.830	2.830	"$61,259"
78	Cardiac Surgery	All	2.635	"$56,507"	All	2.628	2.628	2.628	"$56,888"
79	Addiction Medicine	All	0.414	"$8,874"	All	0.449	0.449	0.449	"$9,723"
80	Licensed Clinical Social Worker	All	0.414	"$8,874"	All	0.276	0.138	0.023	$500
81	Critical Care (Intensivists)	All	0.943	"$20,215"	All	1.126	1.126	1.126	"$24,385"
82	Hematology	All	0.740	"$15,870"	All	0.725	0.725	0.725	"$15,687"
83	Hematology/Oncology	All	0.765	"$16,398"	All	0.743	0.743	0.743	"$16,073"
84	Preventive Medicine	All	0.571	"$12,237"	All	0.580	0.580	0.580	"$12,554"
85	Maxillofacial Surgery	All	1.083	"$23,228"	All	1.170	1.170	1.170	"$25,328"
86	Neuropsychiatry	All	0.422	"$9,060"	All	0.460	0.460	0.460	"$9,962"
90	Medical Oncology	All	0.770	"$16,506"	All	0.737	0.737	0.737	"$15,958"
91	Surgical Oncology	All	2.711	"$58,146"	All	2.777	2.777	2.777	"$60,118"
92	Radiation Oncology	All	0.840	"$18,007"	All	0.907	0.907	0.907	"$19,626"
93	Emergency Medicine	Non-surgery	1.240	"$26,592"	Non-surgery	1.252	1.252	1.252	"$27,102"
93	Emergency Medicine	Surgery	2.384	"$51,137"	Surgery	2.446	2.446	2.446	"$52,942"
94	Interventional Radiology	All	1.144	"$24,532"	All	1.407	1.407	1.407	"$30,457"
98	Gynecological/Oncology	All	1.843	"$39,528"	All	2.777	2.777	2.777	"$60,118"
99	Unknown Physician Specialty	All	0.929	"$19,929"	Non-surgery	0.686	0.686	0.686	"$14,851"
99	Unknown Physician Specialty	All	0.929	"$19,929"	Surgery	1.166	1.166	1.166	"$25,246"
C0	Sleep Medicine	All	0.668	"$14,326"	All	0.889	0.889	0.889	"$19,249"
C3	Interventional Cardiology	All	2.570	"$55,119"	All	2.589	2.589	2.589	"$56,042"
C6	Hospitalist	All	0.883	"$18,932"	All	0.841	0.841	0.841	"$18,197"
C7	Advanced Heart Failure and Transplant Cardiology	All	2.635	"$56,507"	All	1.756	0.878	0.777	"$16,826"
C8	Medical Toxicology	All	-	-	All	1.252	1.252	1.252	"$27,102"
C9	Hematopoietic Cell Transplantation and Cellular Therapy	All	-	-	All	0.780	0.780	0.780	"$16,876"
									
"*Note: CMS is moving from a ""Risk Factor"" construct to a ""MP Risk Index"" beginning in 2023. 2022 Risk Index is shown above for illustrative purposes only. See ""CY 2023 Medicare PFS Update to the GPCIs and MP RVUs, Final Report"" for more information. "									
"**Note: This reflects the policy of allowing up to 3 years for risk index values to fully reflect the updated premium data as discussed in ""CY 2023 Medicare PFS Update to the GPCIs and MP RVUs, Final Report."" "									
" Specifically, each specialty's risk index value may not decrease by more than 33% of the specialty's CY2022 risk index value in a given year. "									
