Distribution of Practitioners by %ChangeinTotalRVUsandIMPACT Specialty													
FR2026 (using 2024 CCW claims)													
Impact Specialty		Practitioners (thousands)	% Change in Total RVUs per practitioner										
			< -%20	-20% to < -10%	-10% to < -5%	-5% to < -2%	-2% to < -1%	-1% to < 1%	1% to < 2%	2% to < 5%	5% to < 10%	10% to < 20%	>=20%
Total		" 1,388 "	Share of Total Practitioners in Specialty										
1	ALLERGY/IMMUNOLOGY	 4 	0%	9%	4%	2%	0%	1%	2%	24%	46%	12%	0%
43	AUDIOLOGIST	 9 	0%	5%	1%	1%	13%	80%	1%	0%	0%	0%	0%
3	CARDIAC SURGERY	 1 	0%	1%	50%	41%	1%	1%	1%	3%	1%	1%	0%
4	CARDIOLOGY	 29 	0%	2%	21%	15%	6%	16%	10%	23%	5%	1%	0%
44	CHIROPRACTIC	 41 	0%	0%	0%	100%	0%	0%	0%	0%	0%	0%	0%
45	CLINICAL PSYCHOLOGIST	 27 	0%	0%	3%	8%	3%	8%	6%	21%	48%	1%	1%
46	CLINICAL SOCIAL WORKER	 84 	0%	0%	2%	8%	3%	4%	5%	29%	49%	0%	0%
5	COLON AND RECTAL SURGERY	 2 	0%	2%	31%	34%	8%	10%	3%	6%	5%	1%	0%
6	CRITICAL CARE	 6 	0%	1%	83%	7%	2%	3%	1%	2%	2%	0%	0%
7	DERMATOLOGY	 14 	1%	9%	2%	3%	7%	35%	28%	12%	2%	1%	1%
47	DIAGNOSTIC TESTING FACILITY	 2 	0%	0%	0%	2%	33%	38%	6%	3%	17%	2%	0%
8	EMERGENCY MEDICINE	 53 	0%	1%	3%	33%	54%	3%	1%	4%	3%	0%	0%
9	ENDOCRINOLOGY	 7 	0%	15%	13%	4%	2%	4%	3%	23%	37%	0%	0%
10	FAMILY PRACTICE	 95 	0%	8%	12%	3%	2%	3%	2%	18%	51%	1%	1%
11	GASTROENTEROLOGY	 16 	0%	10%	43%	23%	5%	6%	2%	3%	5%	1%	0%
12	GENERAL PRACTICE	 6 	0%	2%	10%	5%	6%	4%	2%	36%	34%	1%	1%
13	GENERAL SURGERY	 24 	0%	2%	57%	26%	4%	5%	1%	3%	2%	1%	1%
14	GERIATRICS	 2 	0%	13%	33%	8%	3%	5%	4%	11%	24%	1%	0%
15	HAND SURGERY	 2 	0%	1%	13%	15%	15%	36%	11%	9%	1%	0%	0%
16	HEMATOLOGY/ONCOLOGY	 15 	0%	39%	19%	3%	1%	2%	2%	12%	23%	0%	0%
48	INDEPENDENT LABORATORY	 1 	0%	0%	0%	34%	46%	9%	3%	3%	4%	1%	0%
17	INFECTIOUS DISEASE	 7 	0%	8%	73%	9%	1%	2%	1%	2%	4%	0%	0%
18	INTERNAL MEDICINE	 123 	0%	5%	51%	3%	1%	2%	1%	10%	26%	1%	0%
19	INTERVENTIONAL PAIN MGMT	 4 	0%	10%	10%	8%	3%	9%	5%	18%	36%	0%	0%
20	INTERVENTIONAL RADIOLOGY	 3 	0%	5%	52%	23%	6%	5%	1%	3%	3%	3%	0%
21	MULTISPECIALTY CLINIC/OTHER PHYS	 3 	0%	7%	48%	7%	3%	3%	2%	15%	14%	0%	0%
22	NEPHROLOGY	 10 	0%	5%	18%	15%	7%	18%	9%	19%	9%	1%	0%
23	NEUROLOGY	 18 	0%	12%	33%	6%	2%	4%	2%	14%	26%	0%	0%
24	NEUROSURGERY	 6 	0%	3%	52%	33%	4%	3%	1%	2%	2%	0%	0%
25	NUCLEAR MEDICINE	 1 	0%	0%	1%	21%	49%	22%	3%	4%	1%	0%	0%
50	NURSE PRACTITIONER	 243 	0%	10%	22%	4%	3%	4%	2%	21%	32%	1%	1%
27	OBSTETRICS/GYNECOLOGY	 39 	0%	11%	15%	8%	5%	15%	11%	32%	3%	0%	0%
28	OPHTHALMOLOGY	 18 	0%	10%	13%	21%	9%	18%	10%	20%	1%	0%	0%
51	OPTOMETRY	 36 	0%	2%	1%	0%	0%	1%	4%	89%	3%	0%	0%
52	ORAL/MAXILLOFACIAL SURGERY	 2 	0%	7%	11%	7%	2%	6%	7%	55%	6%	0%	0%
29	ORTHOPEDIC SURGERY	 23 	0%	5%	28%	27%	9%	15%	5%	9%	2%	0%	0%
98	OTHER	 7 	0%	11%	6%	3%	2%	52%	6%	10%	5%	0%	6%
30	OTOLARNGOLOGY	 10 	0%	17%	8%	7%	3%	14%	13%	35%	3%	0%	0%
31	PATHOLOGY	 13 	0%	3%	4%	81%	8%	2%	0%	0%	0%	0%	0%
32	PEDIATRICS	 10 	0%	17%	31%	5%	9%	5%	2%	13%	17%	1%	1%
33	PHYSICAL MEDICINE	 9 	0%	6%	37%	5%	3%	6%	3%	15%	24%	0%	0%
53	PHYSICAL/OCCUPATIONAL THERAPY	 114 	0%	0%	0%	1%	61%	38%	0%	0%	0%	0%	0%
54	PHYSICIAN ASSISTANT	 129 	0%	9%	24%	6%	9%	6%	4%	20%	21%	0%	0%
34	PLASTIC SURGERY	 5 	0%	14%	44%	15%	4%	9%	3%	5%	3%	1%	2%
55	PODIATRY	 16 	0%	3%	5%	3%	2%	15%	19%	37%	5%	4%	6%
56	PORTABLE X-RAY SUPPLIER	 -   	0%	0%	0%	6%	75%	18%	0%	0%	0%	0%	0%
35	PSYCHIATRY	 28 	0%	6%	36%	6%	2%	4%	2%	15%	29%	1%	0%
36	PULMONARY DISEASE	 11 	0%	3%	42%	16%	5%	9%	3%	10%	12%	0%	0%
37	RADIATION ONCOLOGY AND RADIATION THERAPY CENTERS	 5 	0%	5%	18%	41%	8%	9%	3%	6%	5%	2%	1%
38	RADIOLOGY	 34 	0%	1%	9%	50%	31%	8%	0%	0%	0%	0%	0%
39	RHEUMATOLOGY	 5 	0%	18%	8%	2%	1%	2%	1%	11%	57%	0%	0%
40	THORACIC SURGERY	 3 	0%	1%	48%	42%	3%	2%	0%	2%	1%	1%	0%
41	UROLOGY	 10 	1%	13%	14%	13%	8%	20%	10%	17%	4%	1%	0%
42	VASCULAR SURGERY	 4 	0%	2%	26%	24%	8%	9%	3%	10%	7%	9%	3%
													
"Note: Analysis excludes anesthesia services (furnished by any practitioner) and all services furnished by practitioners in the following specialties: anesthesiology, CRNA, and anesthesiology assistant."													
