Litcius/Paper detail

Changes in Medicare Reimbursement for Common Gastroenterology Services Over 15 Years: 2007–2022

Mihir Khunte, Nhu Dang, Anthony Zhong, Soryan Kumar, Kendra Kamp, Samir A. Shah

2022The American Journal of Gastroenterology15 citationsDOI

Abstract

INTRODUCTION: We evaluated trends in Medicare reimbursement for common gastrointestinal (GI) services from 2007 to 2022. METHODS: Top GI procedures and office/inpatient visits were identified. The Physician Fee Schedule Look-Up Tool from Centers for Medicare & Medicaid Services was queried to extract reimbursement data. Reimbursement trends were analyzed, accounting for inflation. RESULTS: GI procedures exhibited an average decrease in unadjusted and adjusted reimbursement of 7.0% and 33.0%, respectively. Reimbursement for patient visits exhibited an inflation-adjusted decrease of 4.9%. DISCUSSION: The analysis revealed a steady decline in adjusted reimbursement for both GI procedures and patient visits in the past 15 years.

Topics & Concepts

ReimbursementMedicineMedicaidFamily medicineEmergency medicineInternal medicineHealth careEconomicsEconomic growthPrimary Care and Health OutcomesHealthcare Policy and ManagementHealthcare cost, quality, practices