46 benchmarks to know on ASC service volume

Here are 46 benchmarks to know on service volume from a variety of sources in the industry.

The volume of ASC services per fee-for-service beneficiary decreased in 2016, according to a Medicare Payment Advisory Commission analysis of physician/supplier standard analytic files. MedPAC limited its analysis to fee-for-service beneficiaries with Part B coverage. The adjusted 2013 values reflect policy changes making services that were separately payable in 2013 packaged with another service in 2014. Here are statistics on volume of services from 2011 to 2016.

Volume of services (in millions)
1. 2011: 6.7
2. 2012: 6.9
3. 2013 (actual): 6.9
4. 2013 (adjusted): 6.3
5. 2014: 6.2
6. 2015: 6.3
7. 2016: 6.4

Volume per 1,000 fee-for-service beneficiaries (reflects the volume of separately payable services in each year)
8. 2011: 206.1
9. 2012: 209.2
10. 2013 (actual): 210.3
11. 2013 (adjusted): 189.6
12. 2014: 187.8
13. 2015: 191.2
14. 2016: 189.9

Percent change in volume per fee-for-service beneficiary from previous year (assuming that year and the previous year had the same definition of separately payable)
15. 2011: 1.7 percent
16. 2012: 1.5 percent
17. 2013 (actual): 0.5 percent
18. 2014: -0.9 percent
19. 2015: 1.8 percent
20. 2016: -0.5 percent

Physicians performed nearly 113 million routine venipunctures in 2016, making that the most popular outpatient procedure that year, according to Definitive Healthcare data from Medicare claims. Routine venipunctures were performed over 47 times more frequently than the next most common outpatient procedure, esophageal biopsy. Physicians provided about three times more outpatient procedures than inpatient procedures in 2016. Here are the top 26 outpatient procedures by volume.

21. Routine venipunctures: More than 113,000,000
22. Esophagogastroduodenoscopy biopsy: 2,442,826
23. Capillary blood draw: 2,338,560
24. Colonoscopy and biopsy: 2,210,609
25. Debridement of subcutaneous tissue 20 sq. cm. or less: 1,924,540
26. Draw blood off venous device: 1,591,989
27. Repair superficial wounds: skin, neck, genitals, trunk (2.5 sq. cm. or less): 1,471,470
28. Colonoscopy with lesion removal: 1,393,577
29. Drain or inject fluid, major joint: 1,263,331
30. Diagnostic colonoscopy: 1,234,234
31. Blood transfusion service: 1,213,099
32. Apply forearm splint: 955,845
33. Cataract surgery with intraocular implant 1 stage: 955,403
34. Repair superficial wounds — face, ears, eyelids, nose, lips, mucus membrane (2.5 sq. cm. or less): 890,188
35. Repair superficial wounds — skin, neck, genitals, trunk (2.6 to 7.5 sq. cm.): 881,517
36. Drainage of skin abscess: 827,510
37. Collect blood from picc: 793,509
38. Injection into lumbar/sacral spine: 765,314
39. Place needle in vein: 718,901
40. Withdrawal of arterial blood: 671,543
41. Application lower leg splint: 592,942
42. Apply multilayer compression system to lower leg: 582,867
43. Insert temporary bladder catheter: 562,176
44. Injection of anaesthetic and/or steroid into lumbar/sacral spine: 549,535
45. Diagnostic esophagogastroduodenoscopy via brushing or washing: 469,601
46. Laparoscopic cholecystectomy: 460,025

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