The finalized increases in wRVUs took effect immediately for all physician services performed on or after January 1, 2021, unless a different years wRVU values are specified for use in individual physician employment contracts. Overall, wRVUs are projected to increase 9 percent for all 623,024 healthcare professionals in the Medicare utilization sample based on the final rule for 2021. RVU compensation meaning an anesthesia boarded pain doc in the Midwest was paid on average how many dollars per work RVU, $63 and 60 cents per work RVU on average or at the 50th percentile or the 75th percentile in 2018 these data points are going to be really helpful for us in evaluating our peer group and benchmarking a prospective job offer. ( ( Heres how recruitment trends have shifted, based on employment setting, in the past year: Some employment settings also prove riskier in terms of average salary. Physicians in neurological surgery received 71.81 U.S. dollars per RVU while pathology physicians received 47.23 U.S. dollars per RVU. An issue arises when that average RVU estimate fluctuates substantially. PCPs earned an average of $242k in 2021, down slightly from $243k in 2020. Work RVUs (or wRVUs) measure the providers work when performing a procedure or service. ( This phenomenon is illustrated in detail for family medicine physicians in supplemental Figure 4 and hematologists/medical oncologists in Figure 5. If there were fewer patients per hour, your hourly pay would be less. This change also affects physician specialties that do not customarily serve large numbers of Medicare patients, including employed pediatricians and obstetricians. Since the beginning of the COVID-19 pandemic, certain types of practices and employment settings have seen more growth than others, with multi-specialty group practices experiencing the most growth, and government settings seeing the least: Related: When Physicians Should Walk Away From a Job Offer. Images and photographs are included for the sole purpose of visually enhancing the website. The correct or optimum rate for an organization is, unsurprisingly, somewhere towards the middle the lower end of middle, to be more precise ($56.68 to $53.65 in our example). (, >()iR1 >i)?pM@Q@$Hc*gO=sIP. What Is The Difference Between A Level 1, Level 2, And Level 3 Trauma Center? American College of Medical Practice Executives (ACMPE) Overview, Claim and Manage Continuing Education Credits, 2021 E/M Coding, Billing and Auditing Toolkit, Click here if your organization is tax exempt. Practice expense RVUs amount to about 45% of the total RVU rate. Approximately 53% of practicing urologists in the United States work in private practice (down from 60% in 2017), while 46% percent practice in institutional settings such as hospitals or academic medical centers (up from 40% in 2017), the AUA report indicates. The conversion factor is the multiplier established each year by the Centers for Medicare & Medicaid Services (CMS), which converts the value in RVUs to a dollar amount. Just as the number of RVUs increases with the number of patient encounters, RVUs will increase with the number of procedures performed. I have heard of hospitals not giving physicians credit for the new 2021 assigned wRVU values for new patient and established patient visit. E}s#,g UdE Z{9[ iJC!e ''zV"nUT8l0X|W'p_0G L@0MG f@ ( document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); All written content on this site is for information purposes only. console.log("visitorEmail is: %s", trackcmp_email); Physicians overall spend an average of 37.8 hours per week seeing patients. Often organizations make the mistake of focusing solely on the value of salary and bonuses and not the benefits which have real value too. 2021. The reimbursement per RVU is being adjusted for 2021 -The budget neutrality adjustment, as required by law, accounts for changes in RVUs including significant increases for E/M visit codes -CY 2021 PFS conversion factor is $32.41, a decrease of $3.68 from the CY 2020 PFS conversion factor of $36.09. Commercial insurance companies commonly fix their physician reimbursement rates as a percentage markup on the Medicare fee schedule for their geographic region (e.g., 125% of Medicare Adjusted for Colorado GPCI). HealthCare Appraisers notes that large increases in wRVUs for certain codes (99213, 99214) are diluted among specialties by the overall mix of procedures performed. If presented with an employment contract involving wRVU compensation, use the above formula to estimate the annual compensation you will receive. })(window, document, 'script', 'dataLayer', 'GTM-T47D42W'); Working cohesively in a medical group poses significant operational, fiscal, and procedural challenges. We start by observing the median level of total compensation. The financial and business impact of the 2021 MPFS final rule poses a challenge for organizations that are already financially fragile from the recent COVID-19 crisis. The projected overall 9 percent increase in wRVUs shown for all specialties at the bottom of Figure 3 includes about 1,000 pediatricians that are categorically under-represented in Medicare utilization data. So, why are there so much differences between specialties? This represents a 3.3% decrease from the 2020 conversion factor. Unlike other professional firms that work in multiple industries, our sole focus is on the multispecialty medical group community. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Work with a licensed attorney and an expert financial planner on a full financial and legal review. B y/?eVg.1:j#lzzF}/O@-~& l Dui dignissim dis cubilia hendrerit arcu iaculis magna, auctor magnis maecenas sagittis cursus egestas sodales, potenti sem mollis conubia viverra nascetur. Therefore, Payment = Total RVUs X the Conversion Factor 2021 Reduction of the Conversion Factor . With a thorough understanding of the make-up of survey respondents, we work with clients to select a survey source (or sources) where it is reasonable to conclude that the majority of respondents are most similar to our client provider or providers in question. }); There are two reasons. The Medicare conversion factor is the dollar amount that is multiplied by the total RVU values for each physician service to determine Medicare reimbursement. Thank you for your purchase! 5 0 obj It will be necessary to project both the impact and timing of both reimbursement and physician compensation changes. They should not be construed as an endorsement or testimonial from any of the persons in the photograph. It will be necessary to project the impact of both reimbursement and physician compensation changes accurately to assess the financial risks or opportunities before they are implemented. How your specialty compares against the salaries of physicians in other areas of medicine? ( Malpractice RVUs Total Non-Facility RVUs % Diff in total RVU (2021-2022) Nonfacility Reimbursement ($) % Diff in $ Reimbursement (2021-2022) 0.00. Tens of thousands of physician employment contracts use compensation models based on wRVU productivity. Like all specialties, the reimbursement effect on pediatricians will be highly influenced by overall payor mix, and market-specific markups on Medicare rates. When wRVUs increase more than reimbursement, physician compensation growth can outpace reimbursement growth and strain margins. However, providers tend to spend more time caring for higher acuity patients, so the number of patients that can be evaluated in a given time period will likely decrease and that decrease in volume may offset the increased RVUs earned by caring for high acuity patients. These insights are more specific than national survey data and should be considered when determining an appropriate physician compensation rate structure. If given the chance to change careers, 78% of physicians said they would choose to work in medicine again. Ten percent of physicians expect COVID to have an even greater impact, and believe they will see visits drop by 26% or more as compared to pre-COVID visits. Get some help with Student Loan Refinancing today! Dianne Rodrigue, PA, MHP, CHC, CCDS, CPC: Senior Manager. Forty-six percent of physicians are more optimistic and expect that patient volume will return to normal after the pandemic. (per 1,000 in current Relative Value Units) 2021 Final Rule Total RVUs 2022 Proposed Rule Total RVUs % Change 2021 Final Rule Modeled Rates 2021 Proposed Rule Modeled Rates % Change Imaging 4 3 -7.1% $129 $116 -10.5% Other Medical Services 1 1 -9.5% $44 $39 -12.9% Procedures 11 10 -10.2% $390 $337 -13.5% Table 3. In general, more complicated procedures and services are worth more RVUs under the CMS Physician Fee Schedule. In health systems with an unfavorable payor mix or large numbers of uninsured patients, RVUs may help providers secure a more consistent income without worrying about billing and collection activities. ( ( Magna vehicula nam justo cubilia mus, habitant posuere ornare vestibulum enim, gravida congue torquent mi. Medicares final rule, and the subsequent Consolidated Appropriations Act of 2021, reduced the Medicare conversion factor from $36.09 to $34.89, a reduction of 3.3 percent, but rebasing wRVU values has greater implications. ( Our team will work hand-in-hand with your leaders, to foster trust, build consensus, and achieve your organizational goals. stream } Portions of such information may be incorrect or not current. The breakdown of how many hours physicians spend on patient care versus paperwork varies significantly depending on specialty. Learn more about disability insurance today! Overall, this translates to physicians getting paid 10% less per RVU in 2021 than in 2020. HealthCare Appraisers notes that large increases in wRVUs for certain codes (99213, 99214) are diluted among specialties by the overall mix of procedures performed. Compensation under fixed salary models will obviously not change when reimbursement increases or decreases. Feb 9, 2021 | Automated FMV, Compensation Valuation, Provider Compensation Plan Design, Updated February 9, 2021 for the Consolidated Appropriations Act of 2021. ( RVUs tend to value procedures, overtesting, and overdocumentation rather than valuing quality of care. Oct 16, 2021. localStorage.setItem("visitorEmail", submittedEmail); ( Learn everything you need to start your own private practice. trackcmp.async = true; trackcmp_h.length && trackcmp_h[0].appendChild(trackcmp); Medicares final rule reduces its conversion factor from $36.09 per RVU to $32.41 per RVU to keep the wRVU changes budget-neutral from a reimbursement standpoint. ( This change will also affect physician specialties that do not customarily serve large numbers of Medicare patients, including employed pediatricians and obstetricians. NOTE: I do not accept advertising (this site is solely funded by me), I do not give away or sell anybody's email address, and I do not send anyone emails (except notifications of new posts). Strain on hospital margins may occur, the result of contractual compensation exceeding the actual reimbursement per wRVU. Be up-front regarding your benefit structure and value in your discussions with physicians, particularly physicians you are acquiring from independent practice, as many do not have the robust benefit structure that a health system or hospital offers. Plastic surgery, orthopedics, and orthopedic surgery, and cardiology are the three highest-earning specialties. and get some help with financial planning today! Table 3. ( Simple unbilled services such as EKG interpretations or pulse oximeter interpretations or downcoded charts can add up quickly. Of those, some specialists are more satisfied with their choice of specialty than others. Make sure that you are receiving credit for all procedures that you perform and all patients you see. ( %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz The Medicare Resource-Based Relative Value Scale (RBRVS) is the method by which Medicare sets reimbursement rates for each Current Procedural Terminology (CPT) code assigned to every physician encounter; thus physicians' services are counted in RVU's. When reviewing RVUs and collections to understand the impact of the 2021/2022 MFPS changes, Chamblee says practices should review: Current production (wRVUs and professional collections) Analyze the impact of the 2021 and anticipated 2022 MPFS changes using 2020 productivity; Compare 2020 to the estimated 2021 and 2022 results This makes plastic surgeons the most well-compensated physicians in the United States as of. The facts in every situation are unique. This 2021 MGMA report lists the following annual RVU generation for hospital-based specialties: Primary care - 4280 General nonsurgical specialty - 5376 General surgical specialty - 6502 Neurosurgery ~8000 Orthopedic surgery ~7800 Hand surgery ~ 8700 General surgery ~ 6000 Cardiology ~ 7000 Gastroenterology ~ 7000 Neurology ~ 4200 ( } Total wRVUs are projected to increase at a higher rate (or decrease less) than Medicare reimbursement for all 40 of the largest physician specialties. Nevertheless, because of allegedly low RVU production, the hospital deducted from his salary a substantial portion of RVU advances it had previously paid him. Neurological surgeons also worked an average of. . For example, if you are an emergency physician, suppose that on average you are able to evaluate and admit one Level 5 patient per hour plus one Level 3 patient per hour. Medicare estimated the effect the final rule changes had on allowed charges (reimbursement) for various physician specialty groups, and the American Medical Association estimated the subsequent effect of the Consolidated Appropriations Act of 2021, as indicated in Figure 2. The table below summarizes the changes in E/M wRVUs for 2021. So, when it comes to finding a strategic partner to address those headwinds, leaders look for highly skilled partners who understand their position and can introduce integrated solutions that bring cohesion and thriving to their organizations. ( Most public and private payers are utilizing the RVU system first developed for Medicare as a useful, time-saving way to handle physician payments. 8000 will equal 10 procedures and 10 clinic patients a day approx. Therefore, those specialties associated with a lot of outpatient office visits will see an overall increase in their Medicare payments. ( 514. July 29th 2022. All payable codes in the MPFS are impacted by this decline in the conversion factor. Table 1 below compares the 2020 and 2021 E&M code time allocation and wRVUs. To maximize RVU compensation incentives, it would be helpful to learn which procedures in each of the medical specialties generate the highest wRVU values. The inclusion of any link is not an endorsement of any products or services by Physicians Thrive Investment Advisors, LLC. offered by the organization. Potenti aptent quam vestibulum facilisis morbi lorem nibh mollis ad, gravida est vel nisl nostra massa tempor cubilia sagittis erat, scelerisque platea sociosqu commodo netus suscipit conubia purus. As summarized in Figure 3, total wRVUs in 2021 are projected to increase at a higher rate (or decrease less) than Medicares projected change in allowed charges for all 40 of the largest physician specialties in the Medicare sample. ( ( I can help. These data are adjusted to a 1.0 FTE basis prior to being analyzed for physicians working less than full time. ( As former medical group executives, we understand the physician enterprise and have a passion for seeing you succeed. None of them are photographs of current or former Clients. Those "Guidelines" remained the template for reimbursement for E&M services for the past 25 years. In our example, a neurologist who earns at the median and produces at the median would have an imputed rate of $63 per wRVU. ( Compensation under fixed salary models will obviously not change when reimbursement increases or decreases. Pediatricians and those who practice family medicine continue to be among the lowest-paid physicians. Tens of thousands of physician employment contracts use compensation models based on wRVU productivity. About to sign a physician contract for the first time? Disclaimer of Liability: This publication is intended to provide general information to our clients and friends. On December 1, Medicare released the 2021 MPFS final rule, which included recommendations by the RUC to increase the wRVU values for the common E&M office visit codes identified in Figure 1. Exploring the 2021 evaluation and management coding update: Part 1 . The 2021 Medicare conversion factor, following a last minute revision relative to the Consolidated Appropriations Act, 2021, was finalized at $34.89. Physician compensation under this model will increase commensurate to the new wRVU values, irrespective of the associated change in reimbursement. Because RVUs are standardized, a physician who earns 25% more RVUs than a colleague will likely be considered 25% more productive. Each year, Medicare can have a big impact on the compensation among different specialties as well as the interest in students entering those specialties, simply by changing the RVU valuations and the conversion factor. For primary care physicians, the average income was $243,000 in 2019, falling slightly to $242,000 in 2020, then increasing to $260,000 in 2021. This year, Medicare was delayed in releasing the final rule that dictates how physicians will be paid and the final report was not released until earlier this month (December 2020). <>>> There are, however, some mid-sized metro areas that saw a salary increase. RVU. In 2021, we will see some of the biggest changes in recent years. Because of the increase in RVUs associated with outpatient E/M codes, the Medicare conversion factor (the amount that Medicare pays physicians per RVU) will drop from $36.09 to $32.41 in order to stay budget neutral. These states replaced Utah, Ohio, and North Carolina. All links have been provided only as a convenience. trackcmp.type = 'text/javascript'; Senectus quisque aliquam per mollis taciti ac placerat ante, cras molestie lacinia risus commodo fusce maecenas bibendum, euismod conubia a finibus pretium vehicula purus. ( Certain types of physicians are in much greater demand than others. Protect your finances with own-occupation, specialty-specific disability insurance. First, with the 2021 Medicare Physician Fee Schedule, the evaluation and management codes for outpatient visits were revised with a result that office visits are more highly valued than in the past. jQuery( document ).ready(function() { Rural areas, which tend to have a more difficult time recruiting top-tier talent, continue to pay some of the highest salaries in the country. ( 36 years strong, AMGAs Medical Group Compensation and Productivity Survey is the benchmarking standard for medical groups and other organized systems of care, and it's thanks to medical groups like you, who make the data set the largest in the industry. The total RVUs per hour would be 5.22. var submittedEmail = document.querySelector('.gravity-forms-form .pe_we input').value; How Much Does Malpractice Insurance Cost? This is a burning question that every hospital CEO and At this month's American Thoracic Society meeting, it w What I've Learned As A Hospital Medical Director. Increasing wRVU values for common E&M office visit codes has greater implications than just Medicare reimbursement. For this reason, endocrinology, rheumatology, hematology/oncology, and family practice will all see double digit increases from Medicare. Weve broken down the compensation trends for physicians by specialty, region, gender, and by bonus incentives to provide insight into where salaries are increasing and where theyre decreasing. Write down what you do for a week. 'https://www.googletagmanager.com/gtm.js?id=' + i + dl; f.parentNode.insertBefore(j, f); If an APP initiates an evaluation on a patient, but the physician is required to intervene and perform a majority of the medical care, how will the physicians time be valued? ( Amongst PCPs, 59% received an average incentive bonus of $27k. ( Specialties with the highest fill rates were radiology (98%), dermatology (98%), otolaryngology (99%), plastic surgery (100%), and thoracic surgery (100%). Required fields are marked *. Thousands of physician employment contracts use compensation models based on wRVU productivity. ( Entry-level neurosurgeon salary: $304,468 33. var trackcmp_h = document.getElementsByTagName("head"); 90th percentile work RVUs: 19,459 . The Social Security Act (the Act) requires the Centers for Medicare & Medicaid Services (CMS) to establish payments under the Medicare Physician Payment Schedule based on national uniform relative value units (RVUs) that account for the relative resources used in furnishing a service. 2022 HealthCare Appraisers, Inc. | All rights reserved. Physicians most likely to choose the same specialty again: Physicians Least Likely to Choose the Same Specialty Again. }); Physicians in the infectious diseases field spend 24.2 hours per week on paperwork alone, and those in public health/preventative medicine spend 20.7 hours per week. The Medicare conversion factor is the dollar amount that is multiplied by the total RVU values for each physician service to determine Medicare reimbursement. ( ( Find wRVU values for typical patient visits and procedure codes in your specialty, estimate number of those visits and procedures you would log in an average week, and multiply those values by the conversion factor being offered in your contract. The 2021 Medicare PFS conversion factor was recalculated at $34.8921, down from $36.09 in 2020. RVUs are supposed to allow payors to directly compare the fair market value of one service or procedure to another between different medical practices. 1888. Find or become the candidate that exceeds expectations with our comprehensive career and hiring development resources. The annual changes in physician reimbursement has a big financial impact on current physicians but also has a quieter impact on future physicians. Recruiters and providers may often have insight into rates and offers made by other organizations in the market or region. The financial and business impact of the 2021 MPFS final rule poses a challenge for organizations that are already financially fragile from the recent COVID-19 crisis. It is common for RVU production goals to arbitrarily be increased each year. These include links to websites operated by other government agencies, nonprofit organizations and private businesses. ( ( 72% have experienced a reduction in income, Sought medical attention for a mental health issue: 13%, Danger/risk of treating COVID-19 patients: 7%. Generating 1,000 RVUs in one month and 800 in another, for instance, would mean an $8,000 drop in monthly earnings. endobj ( Explore data thats above and beyond, but always within reach. ( A great payer mix and superb payer rates will not do you and your organization any good if your revenue cycle team needs a gun and a ski-mask to collect a dime. This phenomenon is illustrated in detail for family medicine physicians in supplemental Figure 4 and hematologists/medical oncologists in Figure 5. These factors include, but are not limited to the following: Organizations who operate within demographically favorable markets are likely to enjoy a payer mix that skews toward commercial reimbursement. Moving a few states away to increase your salary? Any person or entity that relies on any information obtained from these systems does so at her or his own risk. Read more about CMS Price Transparency Final Rule, Read more about IRS Extends Due Date for Community Health Needs Assessment Again. Get some help with retirement planning today! The BNN Healthcare Advisory Group can assist your organization with analyzing anticipated wRVU volume changes and collections in 2021, along with the change in physicians compensation under a compensation formula. Table 1: Time Allocations and wRVUs Adjustments: Current versus 2021 CPT Code 2020 Minimum Minutes per Visit 2020 wRVU Value 2021 Minimum Minutes per Visit 2021 wRVU Value Percentage Change in wRVU Value 992011 17 0.48 N/A N/A N/A 99202 22 0.93 22 0.93 0% if(jQuery( '.gravity-forms-form' ).length){ ( Physicians in both primary care and specialties continue to earn bonuses, but there has been a shift away from RVU-based production bonuses in favor of net collections bonuses. Hendrerit massa justo metus commodo feugiat venenatis vivamus dictum est quisque torquent, gravida dis amet sollicitudin penatibus faucibus nisi ornare bibendum duis, eu convallis orci sapien nibh porta potenti aenean porttitor magnis. Primary care physicians earned an average of $242k in 2021, down from $243k in 2020. Contact HealthCare Appraisers to learn how our Provider Compensation Plan Design Services and Automated FMV Solutions can help your organization prepare for the changes that may be coming during 2021. ( Many physician services do not generate RVUs. This phenomenon will be most evident in specialties and provider types who perform a high volume of office/outpatient E/M services. endobj However, as the employer, they will be paying more physician compensation for the same amount of work. ( ( Because provider compensation is based upon both CPT codes and E/M codes, failing to capture the complexity of a service or the severity of a patient visit will adversely affect physician payments. In late December 2021, the CMS announced a conversion factor of $34.6062 for 2022. The proposed changes will be finalized in early November 2021 and will apply to Medicare Part B services furnished on or after January 1, 2022. Join a network of over 60,000 healthcare management professionals to achieve a healthier world. Data shows that physicians across the highest-paying specialties are earning more in rural regions: Overall, the Midwest and the South make the most, while physicians on the East and West coasts earn the least. NYC does not fit into the usual MGMA norms as employers have upper hand generally. I anticipate that in this group, there will be increasing pressure to become hospital-employed next year as a consequence of the significant drop in private practice income. RVUs are the basic component of the Resource-Based Relative Value Scale (RBRVS), which is a methodology used by the Centers for Medicare & Medicaid Services (CMS) and private payers to determine physician payment. To isolate the effect of the 2021 Final Rule on wRVUs by physician specialty, HAI utilized the wRVU values from the 2019, 2020 and final 2021 MPFS to estimate the total wRVUs based on the public Medicare utilization data from 2017. 2023 What I've Learned As A Hospital Medical Director, A blog about hospital management, medical economics, and medical education, Creating A COVID-19 Monoclonal Antibody Infusion Program. ( The 2021 Medicare conversion factor, following a last minute revision relative to the Consolidated Appropriations Act, 2021, was finalized at $34.89. When physician compensation is based heavily on RVUs, health system leaders tend to focus heavily upon RVUs and ignore other aspects of care when assessing a physicians medical practice. It is important to select a survey source or sources that are appropriately matched to organization, market, specialty, and practice type (i.e., academic vs. non-academic). Parturient interdum amet potenti dis curabitur velit eleifend, penatibus primis lorem lectus class blandit varius himenaeos, vulputate non ac pharetra vel platea. Add this to the average of 15.6 hours per week spent on paperwork, and doctors are on average putting in a 53.4-hour . Many physicians were furloughed, and there was a reduction in patient volume, but most physicians report that they are working an average of 51 hours per week, up from 50 hours per week prior to COVID-19. Articles, Physician Compensation compliance, Fair Market Value, Physician Compensation. Diam maximus iaculis est praesent mauris neque quam, tristique nam donec convallis ultrices feugiat congue quis, ac nibh auctor integer lectus dis. ( You can learn the wRVU associated with each CPT code by downloading the 2020 Physician Fee Schedule from CMS.gov. Most practices utilize relative value units (RVUs), a standard used by Medicare to determine the amount to pay physicians according to their productivity. For physician employers using compensation-to-Work-RVU models, the 2021 MPFS changes may increase physician compensation at a higher rate than reimbursement. Thrive with the right protection for your practice. There is a shortage of physicians, particularly in the Midwest and Southern regions. e.preventDefault() Learn everything you need to start, build and manage your practice. console.log('submittedEmail'+submittedEmail); After receiving this notice, the hospital alleged that he had only performed 35 surgeries in the prior 5 months. *Indicates states that are new to the top ten for 2020. x {/O *U2(1V[SZ0 + a Simply evaluating just five metrics can identify vital areas that link to the overall medical groups operational and financial health. ( Five of the ten are located in the Southeast region of the U.S. }); How Many Patients Should A Hospitalist See A Day. The current conversion factor for 2020 is $36.0896. We can help you negotiate the salary and incentives you deserve. K*yy1[C In connection with the increased wRVU values for each CPT code, CMS increased . A thorough analysis should be conducted to determine how payer rates and total revenue per wRVU compares to expected benchmarks. @!C d. According to an e-mail survey of 92,000 physicians by SullivanCotter and the AMGA published in Beckers Hospital Review in 2017, and summarized on Statista.com, the average annual RVUs generated by US physicians in 2016 is as follows (note how procedure-heavy specialties are at the top of the list): This 2021 MGMA report lists the following annual RVU generation for hospital-based specialties: This 146 page document from the Veterans Administration contains the 2020 RVU values for every single CPT code available.
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