Distribution of grants, consulting fees, and other payments to medical professionals by Speciality

The Center for Medical and Medicaid Services (CMS) new Open Payments database shows the consulting fees, research grants, travel and other reimbursements made to medical industry in 2013

There are 2,619,700 payments in the CMS data made to 356,190 physicians.   The average payment made to physicians was $255.22.   The median payment was $15.52.

Overall, Clinical Pharmacology and Orthopedic Surgery professions received the most grants and other payments.  The table below shows the percentage of average payment by specialty as a percentage of the average overall payment to all medical specialties.  The STATA code is listed below.

Medical Specialty % of average payment to all speciallites
Clinical Pharmacology 1516%
Orthopaedic Surgery 473%
Group: Multi-Specialty 436%
Nutritionist 328%
Medical Genetics 284%
Surgery 282%
Transplant Surgery 268%
Neurological Surgery 266%
Pathology 203%
Pediatrics 197%
Oral & Maxillofacial Surgery 160%
Laboratories 154%
Preventive Medicine 150%
Nuclear Medicine 135%
Neuromusculoskeletal Medicine 132%
Phlebology 130%
Radiology 123%
Thoracic Surgery 121%
Colon & Rectal Surgery 121%
Internal Medicine 116%
Anesthesiology 116%
Pharmacy Technician 115%
Dentist 108%
Group: Single Specialty 107%
Otolaryngology 97%
Other Service Providers 91%
Chiropractor 86%
Plastic Surgery 86%
Ophthalmology 84%
Allergy & Immunology 84%
Registered Nurse 83%
Agencies 81%
Technologists, Technicians & Other Technical Service Providers 79%
Physician Assistant 77%
Obstetrics & Gynecology 77%
Dermatology 74%
Podiatrist 73%
Psychiatry & Neurology 70%
Pain Medicine 64%
Urology 64%
Physical Medicine & Rehabilitation 57%
General Acute Care Hospital 57%
Counselor 56%
General Practice 52%
Dental Hygienist 43%
Student, Health Care 43%
Clinical Neuropsychologist 43%
Assistant, Podiatric 41%
Clinic/Center 40%
Optometrist 38%
Military Hospital 37%
Long Term Care Hospital 37%
Emergency Medicine 36%
Personal Emergency Response Attendant 36%
Respiratory, Developmental, Rehabilitative & Restorative Service Providers 35%
Dietary Manager 35%
Family Medicine 33%
Hospitalist 33%
Speech, Language & Hearing Service Providers 32%
Managed Care Organizations 31%
Electrodiagnostic Medicine 31%
Pharmacist 28%
Legal Medicine 27%
Nursing & Custodial Care Facilities 26%
Psychologist 24%
Hospital Units (Psychiatric and Rehabilitation) 22%
Licensed Practical or Vocational Nurse 20%
Suppliers 17%
Psychoanalyst 17%
Special Hospital 16%
Denturist 15%
Dental Laboratory Technician 14%
Social Worker 14%
Dietitian, Registered 13%
Residential Treatment Facilities: Mental Illness, Retardation, and/or Developmental Disabilities 11%
Psychiatric Hospital 10%
Eye & Vision Technician: Technologist 10%
Behavioral Analyst 9%
Emergency Medical Technician 9%
Dental Assistant 9%
Marriage & Family Therapist 9%
Chronic Disease Hospital 8%
Independent Medical Examiner 7%
Nursing Home Administrator 5%
Nurse’s Aide 5%

STATA Code

se “dataopenrecords-small.dta”, clear

rename recipient_state State
drop if State==”” | State==”AE” | State==”AA”| State==”AP” | State==”GU”| State==”ON” | State==”VI”| State==”PR”

keep physician_spec total number
rename p Specialty
sort S total number
drop if S==””
destring number, replace
collapse (mean) tot num , by(S)
rename tot Average_Payment_Amount
rename num Average_Number_of_Payments
outsheet S Average_P Average_N using “P:Business Dev ProjectsEmployStats9074 – OpenRecordsTablesspecialty_payments.csv”, comma nolabel replace