Hospitals: Medical Director & Administrative Physician Compensation

The Hospitals: Medical Director & Administrative Physician Compensation Data Subscription provides raw compensation data for administrative physician compensation arrangements reported by thousands of U.S. hospitals participating in Medicare and Medicaid.

Hospitals are required to identify compensation paid to physicians for administrative services on Medicare cost report worksheet A-8-2. If time logs are not kept by the physicians, then reporting hospitals perform two-week time studies twice each year to identify the amount of time physicians spend on administrative duties, which are signed by the physician and a hospital official. Under federal law, hospitals are required to retain their time record documentation for four years (§415.60(g)).

HCTadvisor is licensing 12-month data subscriptions for hospital cost report worksheet A-8-2 data with quarterly updates. page-break

page-breakDownload Documents Includes:

  • Excel data file(s)
  • Read Me instructions
  • Form A-8-2 copy & instructions
  • Excerpt from Provider Reimbursement Manual Chapter 21
  • Federal Register 415.60
  • Worksheet A

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June 30, 2020 sample size update:

Last Day of Period Total Admin Compensation vs. Department Size (n) Hourly Rates (n)
-2019 12,179 11,006
2018 18,299 16,580
2017 18,033 16,421
2016 9,488 8,523
2015- 41 39
Total 58,040 52,569

NOTICE:Normally, over 16,000 physician arrangements are available for the prior calendar year by the following July.  As a result of the COVID-19 crisis, the CMS due dates for December 31, 2019 fiscal year-ends cost reports have been extended twice until August 31, 2020. 

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Specialty sample sizes (n) from 2016-present

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Hospital Department / Specialty Total Admin Compensation vs. Department Size (n) 2016-2019 Hourly Rates (n)
Adults & Pediatrics Short Term Hospital 4,422 4,422
Clinic Short Term Hospital 4,379 4,379
Laboratory 5,972 4,308
Operating Room 3,858 3,549
Adults & Pediatrics Long Term Hospital 3,226 3,226
Radiology 3,085 2,743
Respiratory Therapy 2,315 2,089
Intensive Care Unit 1,934 1,906
Adults & Pediatrics Psychiatric Hospital 1,564 1,564
Electrocardiology 1,617 1,510
Cardiac Catheterization 1,484 1,479
Anesthesiology 1,607 1,431
Inpatient Psychiatric Facility 1,277 1,235
Wound / Hyperbarics 1,018 946
(blank) 980 941
Inpatient Rehabilitation Facility 960 941
Electroencephalography 937 923
Adults & Pediatrics Rehabilitation Hospital 896 896
Neonatal Intensive Care Unit 840 840
Radiology-Therapeutic 842 839
Physical Therapy 850 809
Renal Dialysis 745 717
Labor & Delivery Room 695 679
Psychiatry 757 663
Cardiac Rehabilitation 671 605
Sleep Medicine 578 525
Kidney Acquisition 473 473
Gastroenterology 373 369
Cardiology 386 363
Oncology 391 361
Nursery 361 359
Skilled Nursing Facility 493 351
Clinic Pediatrics 331 309
Cancer / Chemo / Infusion 305 297
Liver Acquisition 272 272
PHP/IOP 286 238
Radioisotope 232 231
Pediatric Intensive Care Unit 213 213
Heart Acquisition 212 212
Family 262 205
Coronary Care Unit 192 192
Pulmonary 192 186
Ambulatory Surgery 187 179
Clinic Psychiatric Hospital 167 167
Intravenous Therapy 169 161
Blood Storage 166 160
Pancreas Acquisition 155 155
Diabetes / Endocrine 161 153
Adults & Pediatrics Children’s Hospital 152 152
Pain 153 141
Orthopedics 199 133
Ambulance 181 129
Lung Acquisition 125 125
Neurology 136 115
Internal Med / Primary Care 132 107
Vascular 104 104
Addiction Treatment 99 99
Hematology / Oncology 93 93
OB/GYN 99 87
Burn 86 86
Occupational Medicine & Therapy 96 85
Nursing Facility / LTC 93 85
Bariatrics 81 81
Surgical Intensive Care Unit 81 81
Cardiac Diagnostics 72 71
Urology 85 70
Ophthalmology 66 61
ENT 73 56
Dental 59 56
Transplant 46 46
Breast Health 45 45
Radiation Oncology 48 42
Dermatology 39 37
FQHC 37 37
Rheumatology 52 36
Rehabilitation 36 36
Urgent Care 42 33
Speech Pathology 37 30
Cardiac Surgery 30 30
General Surgery 63 29
Physiatry 31 29
Geriatrics 53 26
Infectious Disease 26 26
Rural Health Clinic 216 25
ICU Trauma 24 24
Spine 24 24
Neurosurgery 21 20
Palliative 20 20
Stem Cell 19 19
Nephrology 20 17
AIDS 16 16
Clinic Long Term Hospital 16 16
Hospitalist 16 16
Hospice 16 14
Fertility 14 14
11 Other Small Sample Specialties 1,280 74
Grand Total 58,040 52,569