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ProviderRankings.com is a complimentary, condensed, demo version of the subscriber application, Provider Ranking System™ (PRS), by Denniston Data Inc. (DDI).
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You can search by any combination of NPI Number, Last Name, First Name, City, State, Zip Code, or Medical Specialty
View Provider Detail once you find a provider
View a Provider's Ranking by Specific Procedure (Healthcare Common Procedure Coding System) code
View Overall Ranking within Primary Medical Specialty
National
| Specialty |
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Local
Specialty in New York, NY |
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Provider Search
List of Providers
| NPI Code | Credential | First Name | Last Name | Type | City | State | Zip |
|---|---|---|---|---|---|---|---|
| NPI Code | Credential | First Name | Last Name | Type | City | State | Zip |
Provider Detail
Provider Background
Patient Demographics & Risk Profile
Most Common Procedures
Top Procedures (performed greater than 10 times in year)
Click on Ranking for Complete List of Providers
Green highlighting indicates top quarter - Yellow highlighting indicates top half
| Dollars | Ranking | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Procedure Code |
Description | Loc*2 | Approved | Growth | Bill | Number | Repeat | US Ranking | Zip3 Ranking | USRank | zipRank |
| Procedure Code |
Description | Loc*2 | Approved | Growth | Billx | Number | Repeat | US Ranking | Zip3 Ranking | USRank | zipRank |
*1 The Composite Ranking Score (CRS) is the weighted average percentile score for all procedure rankings for this provider, 0 to 100%. The score is calculated first for each procedure listed on the Provider Ranking by Procedure table, where, for example, 100% means no providers ranked higher, 92% means 8% ranked higher, and 45% means 55% ranked higher. Then these scores are averaged for all the procedures listed for a medical provider on the Provider Ranking by Procedure table, after weighting by approved dollars for that provider, in order to give weight to the procedures that are most significant for that provider. Then, to calculate the Ranking of CRS by Medical Specialty, the CRS percentile is ranked for all providers indicating the same medical specialty. The CRS may be displayed as a rounded percentile, but when ranking, the actual score is used, which is accurate to 4 digits.
Grade A+ is CRS>95, A is CRS>85, A- is CRS>80, B+ is CRS>75, B is CRS>65, B- is CRS>60, C+ is CRS> 55, C is CRS>45, C- is CRS>40, D+ is CRS>35, D is CRS>25, D- is CRS> 20, and F is the rest
*2 Location identifies whether the place of service is a facility (value of 'F') or non-facility (value of 'O'). Non-facility is generally an office setting. Medicare allowed reimbursement for a provider is very different (less) for the same procedure when performed in a facility, such as a hospital, as there is an additional hospital reimbursement, so each combination of Procedure code and Location are presented separately.
*3 The Merit-based Incentive Payment System (MIPS) Score (ranging from 0-100 points), is based on process measures for quality, communication (interoperability), cost, and improvement activities; the score is used by CMS to adjust reimbursement to a provider, with a score under 30 in 2019 resulting in up to 7% lower payment in 2021, and a score over 75 resulting in up to 7% higher payment.
Provider Ranking System™ © 2022 Denniston Data. All Rights Reserved.
CPT © 2022 American Medical Association. All Rights Reserved.
Procedure Ranking
Procedure Ranking
U.S. Ranking of Providers
Green highlighting indicates top quarter - Yellow highlighting indicates top half
| Rank | NPI Code |
NPI Code |
Provider Name | Medical Specialty | City | State | Zip | Services | Patients | Repeat | Total Dollars Approved |
Approved Average |
Billed Average |
Hidden |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rank | NPI Code |
NPI Code |
Provider Name | Medical Specialty | City | State | Zip | Services | Patients | Repeat | Total Dollars Approved |
Approved Average |
Billed Average |
Hidden |
Provider Ranking System™ © 2022 Denniston Data. All Rights Reserved.
CPT © 2022 American Medical Association. All Rights Reserved.
How Does it Work?
Click on Provider Search to Find a Provider
You can search by any combination of NPI Number, Last Name, First Name, City, State, Zip Code, or Medical Specialty
Click on Provider Detail to View Provider Detail once you find a provider
Once you reach a “Provider Page” that you are searching for, you will see general information on the size of the practice for the latest year, in dollars approved and paid, in dollars billed, in number of patients, in number of different procedures performed, and in total procedures. Data is available for seven years, from 2012 through 2018, so you can look at every piece of the data for any year. Data trends by year are illustrated through line charts, which show the direction the practice is going. Is it growing rapidly or declining? Information is also supplied on the demographics of the patients seen by the provider. An average risk score is given, indicating the relative risk of the provider’s patients. The most important information is what the provider actually does, and how that provider ranks compared to his or her peers, both nationally, and within their own geographic area. To identify which providers ranked higher than this provider, you can click on the ranking and it will open a new page, the “Ranking Page,” ranking all of the providers with respect to how many times they have done this procedure for the specific year being reviewed, as well as compare them to their peers over all seven years by viewing graphical trends. Likewise, the next column provides the same information for the provider’s regional area.
Click on Provider Ranking to View Provider Ranking by HCPCS (Healthcare Common Procedure Coding System) code
You can access medical procedures either with the appropriate 5-character HCPCS medical procedure code, or by searching on any words used in the procedure code description. Any keyword will narrow your search and give you a list of procedures and services, enabling you to select the appropriate “Ranking Page,” which identifies the providers performing that procedure in ranked order among their peers. The “Ranking Page” is available on a national basis, and on just a local area. Within every ranking page, the “list price,” what each provider bills on average for that procedure, is shown along with the average approved amount in dollars
Click on Specialty Ranking to View Specialty Ranking by Medical Specialty
See How Your Provider Ranks Overall Within His/Her Medical Specialty
Check here for more information on how to use Provider Ranking System (PRS)
Specialty Ranking
Ranking
Green highlighting indicates top quarter - Yellow highlighting indicates top half
| Rank | NPI Code | Provider Name | Street | City | State | Zip | Risk*3 | MIPS*4 | CRS*1 | Grade*2 | Hidden |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Rank | NPI Code | Provider Name | Street | City | State | Zip | Risk*3 | MIPS*4 | CRS*1 | Grade*2 | Hidden |
*1 The Composite Ranking Score (CRS) is the weighted average percentile score for all procedure rankings for this provider, 0 to 100%. The score is calculated first for each procedure listed on the Provider Ranking by Procedure table, where, for example, 100% means no providers ranked higher, 92% means 8% ranked higher, and 45% means 55% ranked higher. Then these scores are averaged for all the procedures listed for a medical provider on the Provider Ranking by Procedure table, after weighting by approved dollars for that provider, in order to give weight to the procedures that are most significant for that provider. Then, to calculate the Ranking of CRS by Medical Specialty, the CRS percentile is ranked for all providers indicating the same medical specialty. The CRS may be displayed as a rounded percentile, but when ranking, the actual score is used, which is accurate to 4 digits.
*2 Grade A+ is CRS>95, A is CRS>85, A- is CRS>80, B+ is CRS>75, B is CRS>65, B- is CRS>60, C+ is CRS> 55, C is CRS>45, C- is CRS>40, D+ is CRS>35, D is CRS>25, D- is CRS> 20, and F is the rest
*3 Average Risk Score of Patients, over 1.5 means provider accepts high risk patients, and 1 is average
*4 The Merit-based Incentive Payment System (MIPS) Score (ranging from 0-100 points), is based on process measures for quality, communication (interoperability), cost, and improvement activities; the score is used by CMS to adjust reimbusement to a provider, with a score under 30 in 2019 resulting in up to 7% lower payment in 2021, and a score over 75 resulting in up to 7% higher payment.
Provider Ranking System™ © 2022 Denniston Data. All Rights Reserved.
CPT © 2022 American Medical Association. All Rights Reserved.