KSM Healthcare Blog

Are "incident-to" wRVU's generated by a non-physician provider included in the MGMA data reported for physician wRVU's?

This was a key question in a recent healthcare compensation study we performed. 

It turns out that they are included in the physician data.  The "TC/NPP Excluded" that appears in many of the tables in MGMA's Physician and Production Compensation Survey is not intended to include the incident-to wRVU's generated by non-physician providers.

Here is what I am referring to:



The NPP Excluded from the chart above indicates that independently performed non-physician provider services are not included.  Those services relate to non-physician provider work billed directly under the non-physician provider's provider number (typically at a discount from physician rates). 

Therefore, the inclusion of non-physician provider wRVU's may or may not be appropriate to include in a healthcare compensation study, depending on the facts and circumstances.  The key, as always, is to make sure the underlying data is appropriately matched.