"Distribution of Practitioners by %ChangeinTotalRVUsandIMPACT Specialty, (weighted by total RVUs)"													
NPRM2026 (using 2024 CCW claims)													
Impact Specialty		Practitioner RVUs (millions)	% 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		" 2,726 "	Share of Total Practitioner RVUs in Specialty										
1	ALLERGY/IMMUNOLOGY	 7 	0%	1%	1%	1%	0%	0%	1%	16%	60%	20%	0%
43	AUDIOLOGIST	 2 	0%	3%	1%	1%	2%	93%	1%	0%	0%	0%	0%
3	CARDIAC SURGERY	 5 	0%	0%	23%	60%	2%	3%	2%	5%	1%	4%	1%
4	CARDIOLOGY	 185 	0%	1%	11%	12%	6%	16%	11%	31%	8%	4%	0%
44	CHIROPRACTIC	 19 	0%	0%	0%	80%	20%	0%	0%	0%	0%	0%	0%
45	CLINICAL PSYCHOLOGIST	 23 	0%	0%	2%	7%	3%	8%	9%	19%	52%	0%	0%
46	CLINICAL SOCIAL WORKER	 33 	0%	0%	0%	4%	3%	3%	2%	18%	70%	0%	0%
5	COLON AND RECTAL SURGERY	 4 	0%	1%	22%	35%	10%	11%	4%	7%	6%	3%	1%
6	CRITICAL CARE	 10 	0%	0%	65%	13%	5%	6%	2%	5%	4%	0%	0%
7	DERMATOLOGY	 120 	3%	5%	1%	2%	7%	38%	25%	11%	3%	3%	3%
47	DIAGNOSTIC TESTING FACILITY	 24 	0%	0%	0%	3%	31%	48%	3%	6%	10%	0%	0%
8	EMERGENCY MEDICINE	 74 	0%	0%	2%	16%	58%	14%	1%	4%	4%	1%	1%
9	ENDOCRINOLOGY	 16 	0%	5%	7%	3%	2%	4%	3%	26%	49%	2%	0%
10	FAMILY PRACTICE	 175 	0%	3%	9%	3%	2%	3%	2%	19%	56%	2%	2%
11	GASTROENTEROLOGY	 41 	0%	2%	40%	29%	8%	9%	2%	4%	5%	2%	0%
12	GENERAL PRACTICE	 12 	0%	1%	8%	4%	2%	4%	3%	30%	35%	6%	7%
13	GENERAL SURGERY	 47 	0%	1%	37%	30%	5%	6%	2%	5%	6%	3%	5%
14	GERIATRICS	 7 	0%	4%	16%	6%	2%	5%	4%	11%	24%	26%	2%
15	HAND SURGERY	 8 	0%	0%	7%	12%	13%	41%	16%	11%	0%	0%	0%
16	HEMATOLOGY/ONCOLOGY	 48 	0%	19%	8%	2%	1%	2%	2%	20%	46%	0%	0%
48	INDEPENDENT LABORATORY	 16 	0%	0%	0%	9%	65%	25%	1%	1%	0%	0%	0%
17	INFECTIOUS DISEASE	 15 	0%	1%	75%	12%	2%	2%	1%	3%	3%	1%	1%
18	INTERNAL MEDICINE	 283 	0%	2%	39%	5%	2%	4%	2%	13%	32%	2%	1%
19	INTERVENTIONAL PAIN MGMT	 26 	0%	4%	5%	5%	2%	8%	4%	18%	54%	0%	0%
20	INTERVENTIONAL RADIOLOGY	 13 	0%	1%	20%	17%	5%	13%	2%	5%	13%	22%	2%
21	MULTISPECIALTY CLINIC/OTHER PHYS	 5 	0%	3%	35%	7%	6%	5%	4%	19%	15%	3%	4%
22	NEPHROLOGY	 51 	0%	1%	8%	13%	7%	21%	12%	26%	10%	2%	0%
23	NEUROLOGY	 40 	0%	5%	19%	6%	2%	5%	3%	17%	43%	0%	0%
24	NEUROSURGERY	 20 	0%	3%	46%	41%	4%	4%	1%	1%	1%	0%	0%
25	NUCLEAR MEDICINE	 1 	0%	0%	1%	20%	42%	24%	4%	8%	0%	0%	0%
50	NURSE PRACTITIONER	 253 	0%	5%	18%	4%	2%	5%	4%	18%	36%	1%	6%
27	OBSTETRICS/GYNECOLOGY	 16 	0%	5%	11%	14%	6%	19%	12%	28%	3%	0%	1%
28	OPHTHALMOLOGY	 134 	0%	4%	13%	22%	10%	21%	14%	18%	0%	0%	0%
51	OPTOMETRY	 46 	0%	4%	2%	0%	0%	0%	2%	89%	2%	0%	0%
52	ORAL/MAXILLOFACIAL SURGERY	 1 	0%	7%	10%	6%	2%	4%	3%	61%	5%	1%	0%
29	ORTHOPEDIC SURGERY	 99 	0%	1%	22%	34%	12%	18%	5%	6%	1%	0%	0%
98	OTHER	 2 	3%	4%	9%	5%	3%	22%	5%	22%	14%	2%	12%
30	OTOLARNGOLOGY	 35 	0%	8%	4%	4%	2%	14%	18%	44%	4%	1%	1%
31	PATHOLOGY	 36 	0%	1%	2%	51%	41%	5%	0%	0%	0%	0%	0%
32	PEDIATRICS	 2 	0%	5%	15%	4%	5%	7%	3%	15%	38%	1%	7%
33	PHYSICAL MEDICINE	 34 	0%	2%	40%	6%	2%	6%	3%	12%	28%	0%	0%
53	PHYSICAL/OCCUPATIONAL THERAPY	 187 	0%	0%	0%	1%	68%	31%	0%	0%	0%	0%	0%
54	PHYSICIAN ASSISTANT	 126 	0%	5%	13%	4%	4%	11%	13%	22%	25%	1%	3%
34	PLASTIC SURGERY	 9 	0%	7%	35%	12%	5%	13%	5%	4%	3%	2%	14%
55	PODIATRY	 62 	0%	1%	2%	2%	2%	11%	18%	38%	8%	6%	14%
56	PORTABLE X-RAY SUPPLIER	 2 	0%	0%	0%	1%	82%	17%	0%	0%	0%	0%	0%
35	PSYCHIATRY	 25 	0%	2%	26%	7%	2%	5%	3%	15%	37%	3%	0%
36	PULMONARY DISEASE	 37 	0%	1%	26%	18%	8%	12%	5%	13%	16%	1%	0%
37	RADIATION ONCOLOGY AND RADIATION THERAPY CENTERS	 45 	0%	10%	20%	33%	8%	9%	3%	7%	5%	3%	4%
38	RADIOLOGY	 135 	0%	0%	6%	39%	34%	16%	1%	1%	1%	2%	0%
39	RHEUMATOLOGY	 17 	0%	6%	3%	1%	0%	1%	1%	9%	81%	0%	0%
40	THORACIC SURGERY	 9 	0%	0%	24%	56%	4%	3%	0%	2%	4%	5%	2%
41	UROLOGY	 49 	0%	5%	7%	11%	7%	23%	15%	26%	5%	2%	0%
42	VASCULAR SURGERY	 30 	0%	0%	6%	10%	6%	10%	3%	12%	20%	28%	5%
													
"Note: Analysis excludes anesthesia services (furnished by any practitioner) and all services furnished by practitioners in the following specialties: anesthesiology, CRNA, and anesthesiology assistant."													
