2022
Medicare Utilization and Reimbursement Variation Between Rural and Urban Otolaryngologists
Patel R, Torabi S, Kayastha D, Kuan E, Manes R. Medicare Utilization and Reimbursement Variation Between Rural and Urban Otolaryngologists. Otolaryngology 2022, 168: 528-535. PMID: 35852873, DOI: 10.1177/01945998221113550.Peer-Reviewed Original ResearchConceptsMedicare patientsRetrospective cross-sectional studyPatient's comorbidity profileHealthcare Common Procedure Coding System codesNumber of patientsCross-sectional studyReimbursement variationComorbidity profilesPatient populationRisk scoreMedicare Provider UtilizationLarge urban settingUrban settingsOlder ageMore Medicare patientsPhysician populationPatientsPhysiciansComplexity of proceduresHCPCS codesProvider UtilizationReimbursement ratesOtolaryngologyRural practiceMedicare utilization
2021
Role and Growth of Independent Medicare-Billing Otolaryngologic Advanced Practice Providers
Patel R, Torabi S, Kasle D, Pivirotto A, Manes R. Role and Growth of Independent Medicare-Billing Otolaryngologic Advanced Practice Providers. Otolaryngology 2021, 165: 809-815. PMID: 33687283, DOI: 10.1177/0194599821994820.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPractice providersRetrospective cross-sectional studyMedicare FFS patientsNumber of patientsCross-sectional studyMedicare reimbursementScope of practiceFFS patientsRetrospective reviewService patientsSex distributionMedicare populationMedicare feeMedicare Provider UtilizationPatientsCurrent ProceduralTotal MedicareProvider UtilizationTotal numberPhysiciansRural settingsMedicareReimbursementMedian
2020
Characterizing the providers of and reimbursement for chronic migraine chemodenervation among the Medicare population
Torabi SJ, Kasle DA, Savoca EL, Gottschalk CH, Manes RP. Characterizing the providers of and reimbursement for chronic migraine chemodenervation among the Medicare population. Headache The Journal Of Head And Face Pain 2020, 61: 373-384. PMID: 33337542, DOI: 10.1111/head.14040.Peer-Reviewed Original ResearchConceptsAdvanced practice providersHigh-volume providersMedicare populationTreatment modalitiesMedicare patientsPractice providersSubstantial geographic variationMedicare Provider UtilizationProcedure volumeCPT codesPopular treatmentHigher mean numberNeurologistsCross-sectional dataProvider UtilizationMean numberPhysiciansSubstantial proportionChemodenervationReimbursement trendsTreatmentTotal beneficiariesProvidersTotalTotal numberHigh-Volume Billing and Reimbursement Trends for Endoscopic Swallowing Studies in the Medicare Population
Kasle DA, Torabi SJ, Savoca EL, Lerner M, Manes RP. High-Volume Billing and Reimbursement Trends for Endoscopic Swallowing Studies in the Medicare Population. Dysphagia 2020, 36: 919-924. PMID: 33215264, DOI: 10.1007/s00455-020-10215-x.Peer-Reviewed Original ResearchConceptsSensory testingBarium swallow studyFiberoptic endoscopic evaluationHigh-volume providersReimbursement trendsType of providerEndoscopic evaluationSwallow studySwallowing studyFEESSTMedicare populationMedicare feeMedicare Provider UtilizationReimbursement dataFEESProvider UtilizationSignificant riseService populationPathology portionMedicare Reimbursement for Balloon Catheter Dilations Among Surgeons Performing High Volumes of the Procedures to Treat Chronic Rhinosinusitis
Kasle DA, Torabi SJ, Narwani V, Manes RP. Medicare Reimbursement for Balloon Catheter Dilations Among Surgeons Performing High Volumes of the Procedures to Treat Chronic Rhinosinusitis. JAMA Otolaryngology - Head & Neck Surgery 2020, 146: 264-269. PMID: 31971549, PMCID: PMC6990810, DOI: 10.1001/jamaoto.2019.4357.Peer-Reviewed Original ResearchConceptsBalloon catheter dilationCatheter dilationChronic rhinosinusitisENT surgeonsEndoscopic sinus surgeryPercentage of proceduresMedicare Part B National Summary Data FilesRetrospective reviewCostly conditionSurgical interventionSinus surgeryBalloon catheterThroat surgeonsInvasive alternativeParanasal sinusesMedian numberMAIN OUTCOMEMedicare populationMedical treatmentMedicare Provider UtilizationProcedure volumeOverall reimbursementRhinosinusitisSurgeonsPhysicians