Here are 50 statistics to know about specialty procedures in ASCs:
Cardiology
TheStreet analyzed data from ZipRecruiter and Medscape to rank which surgery specialties paid the most in 2018.
1. On average, cardiologists make $423,000.
Leerink Partners surveyed 47 hospital administrators about bundled payments and outpatient surgical procedure volumes. Here are the percentages of outpatient procedures performed in the past 12 months, and the volume expected
in the next 12 months:
Cardiac surgery
Past 12 months:
2. ASC: 9 percent
3. Outpatient: 9 percent
Next 12 months:
4. ASC: 7 percent
5. Outpatient: 12 percent
Interventional cardiology
Past 12 months:
6. ASC: 6 percent
7. Outpatient: 31 percent
Surgery centers with more than two specialties accounted for 30 percent of ASCs billing Medicare in 2016, and single-specialty gastroenterology centers accounted for 22 percent, according to The Medicare Payment Advisory Commission's March 2018 report to Congress.
The report defines a "single-specialty ASC" as one with more than 67 percent of its Medicare claims in one clinical specialty and a "multispecialty ASC" as one with more than 67 percent of its Medicare claims in more than one clinical specialty. The sum of multispecialty percentages doesn't equal 100 due to rounding. Here's a breakdown on the specialties that billed Medicare in 2016:
Gastroenterology
8. Number of ASCs: 1,025
9. Share of all ASCs: 22 percent
Gastroenterology and ophthalmology
10. Number of ASCs: 179
11. Share of all ASCs: 4 percent
Here are statistics on ASC case mix by specialty from VMG Health's Multi-Specialty ASC Intellimarker 2018:
12. Mean: 34 percent
13. 25th percentile: 20 percent
14. Median: 31 percent
15. 75th percentile: 45 percent
16. 90th percentile: 60 percent
Net revenue per case
17. $1,027
Ophthalmology
AAAHC's benchmarking study is based on clinical studies of YAG laser posterior capsulotomy surgeries between January 2018 and June 2018. The study includes 25 organizations with a combined 15,788 YAG laser posterior capsulotomies surgeries per year.
18. Eighty-eight percent of patients wait less than one month after scheduling YAG laser surgery before undergoing the procedure.
19. All patients resume daily living within a week of undergoing YAG laser surgery.
20. Eighty-nine percent of patients reported improved vision after YAG laser surgery in an ASC.
21. Ninety-nine percent of patients say they're comfortable while undergoing YAG laser surgery in the ASC.
22. Ninety-eight percent are comfortable after discharge.
23. Ninety-nine percent of patients said they would recommend YAG laser surgery after undergoing the procedure in an ASC.
24. Median pre-procedure time is 47 minutes for YAG laser surgeries, with a range of 18 to 75 minutes.
25. Median procedure time for YAG laser surgeries in ASCs is two minutes with a range of one to 11 minutes.
26. Median discharge time for cataract surgeries is six minutes.
Here are statistics on ophthalmology case mix by specialty from VMG Health's Multi-Specialty ASC Intellimarker 2018:
27. Mean: 26 percent
28. 25th percentile: 11 percent
29. Median: 21 percent
30. 75th percentile: 37 percent
31. 90th percentile: 54 percent
Orthopedics
The percentage of inpatient procedures decreased while the percentage of outpatient and ASC procedures increased, according to a Leerink Partners survey conducted in June. Leerink surveyed 47 hospital administrators on bundled payments to create the report. Here are the percentages of outpatient procedures performed in the past 12 months, andthe increase expected in the next 12 months:
Hip
Past 12 months:
32. ASC: 7 percent
33. Outpatient: 17 percent
Next 12 months:
34. ASC: 7 percent
35. Outpatient: 19 percent
Knee
Past 12 months:
36. ASC: 12 percent
37. Outpatient: 25 percent
Next 12 months:
38. ASC: 13 percent
39. Outpatient: 26 percent
Spine
Past 12 months:
40. ASC: 10 percent
41. Outpatient: 20 percent
Next 12 months:
42. ASC: 11 percent
43. Outpatient: 20 percent
Here are statistics on net revenue per case for orthopedic procedures at ASCs, based on data from VMG Health's Multi-Specialty ASC Intellimarker Study 2017.
44. All facilities: $3,133
45. Atlantic: $2,980
46. Midwest: $3,345
47. Mountain: $2,815
48. Northeast: $2,534
49. Pacific: $3,583
50. South: $3,292