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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September 31, 2020 sample size update:

Last Day of Period Total Admin Compensation vs. Department Size (n) Hourly Rates (n)
2020 465 432
2019 16,510 14,909
2018 18,298 16,581
2017 18,028 16,416
2016 9,490 8,523
2015- 41 39
Total 68,232 56,900

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) 2016-2020 Hourly Rates (n)
Adults & Pediatrics Short Term Hospital 4,857 4,857
Clinic Short Term Hospital 4,787 4,787
Laboratory 6,460 4,652
Operating Room 4,233 3,886
Adults & Pediatrics Long Term Hospital 3,480 3,480
Radiology 3,339 2,968
Respiratory Therapy 2,493 2,248
Intensive Care Unit 2,095 2,064
Electrocardiology 1,746 1,632
Adults & Pediatrics Psychiatric Hospital 1,627 1,627
Cardiac Catheterization 1,618 1,613
Anesthesiology 1,723 1,541
Inpatient Psychiatric Facility 1,407 1,358
Wound / Hyperbarics 1,120 1,045
Inpatient Rehabilitation Facility 1,041 1,021
Electroencephalography 1,016 1,002
Adults & Pediatrics Rehabilitation Hospital 933 933
Neonatal Intensive Care Unit 914 914
Radiology-Therapeutic 908 905
(blank) 928 887
Physical Therapy 906 864
Renal Dialysis 803 773
Labor & Delivery Room 752 735
Psychiatry 837 734
Cardiac Rehabilitation 731 660
Sleep Medicine 642 581
Kidney Acquisition 505 505
Gastroenterology 410 406
Oncology 431 397
Nursery 397 394
Cardiology 418 393
Skilled Nursing Facility 515 368
Clinic Pediatrics 355 329
Cancer / Chemo / Infusion 332 324
Liver Acquisition 288 288
PHP/IOP 315 265
Radioisotope 246 245
Pediatric Intensive Care Unit 226 226
Heart Acquisition 223 223
Family 274 217
Coronary Care Unit 208 208
Ambulatory Surgery 211 201
Pulmonary 203 197
Intravenous Therapy 183 174
Clinic Psychiatric Hospital 174 174
Diabetes / Endocrine 176 168
Pancreas Acquisition 168 168
Blood Storage 172 166
Adults & Pediatrics Children’s Hospital 163 163
Pain 175 160
Ambulance 195 140
Orthopedics 208 137
Lung Acquisition 134 134
Neurology 148 127
Addiction Treatment 118 118
Internal Med / Primary Care 136 111
Vascular 111 111
Occupational Medicine & Therapy 119 105
Hematology / Oncology 102 102
OB/GYN 107 94
Burn 93 93
Surgical Intensive Care Unit 91 91
Bariatrics 90 90
Nursing Facility / LTC 94 86
Cardiac Diagnostics 78 77
Urology 91 76
Ophthalmology 73 67
Dental 70 66
ENT 75 58
Breast Health 49 49
Transplant 49 49
Observation 48 48
Radiation Oncology 53 47
FQHC 43 43
Dermatology 43 41
Rheumatology 55 38
Rehabilitation 38 38
Urgent Care 45 35
General Surgery 70 33
Speech Pathology 38 31
Physiatry 34 31
Cardiac Surgery 30 30
Geriatrics 56 28
ICU Trauma 27 27
Infectious Disease 26 26
Rural Health Clinic 222 25
Spine 24 24
Neurosurgery 24 23
Palliative 22 22
Stem Cell 21 21
Nephrology 23 20
Clinic Long Term Hospital 18 18
Hospitalist 17 17
AIDS 17 17
Hospice 17 15
Fertility 15 15
11 Other Small Sample Specialties 1,411 80
Grand Total 62,832 56,900