2012 RBRVS GPCI Comparison Guide

With the announcement that the AAP has updated its RBRVS guide for 2012, I guess I have to get off my duff and work on the 2012 RVUs.

Part 1: My annual  GPCI comparison.  AFAIK, this is still the only place where anyone actually breaks down the GPCI changes from year to year.  While some people jump up and down about a 1% change in a particular code or the annual conversion factor, we all need to pay attention to the GPCI scores.  For some parts of the country, the impact has been significant.

What do we see this year?  Some big hits this year.  The average locality should expect a 1.76% decrease in their payments in 2012 before any changes to the CF or individual codes are taken into account.  OUCH.

Locality 2011 → 2012 2009 → 2012
AL -3.7% -0.2%
AK -0.8% -0.8%
AZ -1.3% 0.0%
AR -4.5% -1.0%
CA – Anaheim/Santa Ana -1.9% -1.7%
CA – Los Angeles -2.9% -3.3%
CA – Marin/Napa/Solano -0.5% 0.2%
CA – Oakland/Berkley -1.0% -0.9%
CA – San Francisco -1.9% -2.3%
CA – San Mateo -2.2% -2.7%
CA – Santa Clara 1.0% 1.6%
CA – Ventura -2.2% -2.8%
CA – Rest of CA 0.7% 2.1%
CO 0.3% 0.7%
CT -2.5% -3.3%
DC + MD/VA Suburbs -0.6% -0.5%
DE 0.1% 0.0%
FL – Ft. Lauderdale -0.1% 0.7%
FL – Miami -1.3% -1.5%
FL – Rest of FL -1.5% 0.0%
GA – Atlanta 0.3% -0.1%
GA – Rest of GA -3.2% -0.4%
HI/Guam -1.8% -0.2%
ID -3.3% -0.5%
IL – Chicago -0.2% -0.7%
IL – East St. Louis -1.7% 0.3%
IL – Suburban Chicago 1.0% 0.7%
IL – Rest of IL -2.7% 0.2%
IN -3.2% -1.5%
IA -4.5% -1.6%
KS -3.8% -0.8%
KY -4.3% -0.9%
LA – New Orleans -2.8% -3.9%
LA – Rest of LA -4.7% -2.2%
ME – Southern ME -0.9% -0.6%
ME – Rest of ME -3.8% -1.2%
MD – Baltimore/Surr 1.1% 2.7%
MD – Rest of Maryland 1.6% 3.2%
MA – Metropolitan Boston -3.9% -6.2%
MA – Rest of MA -1.4% -1.5%
MI – Detroid -0.5% -1.6%
ME – Rest of MI -2.2% -0.5%
MN 0.7% 1.2%
MS -5.0% -1.7%
MO – Kansas City -1.9% -0.6%
MO – Metropolitan St. Louis -0.8% 0.9%
MO – Rest of MO -5.3% -1.0%
MT -2.6% 5.0%
NE -3.6% -1.1%
NV 0.7% 1.4%
NH -0.2% 0.4%
NJ – Northern NJ -1.2% -2.4%
NJ – Rest of NJ -0.5% -1.2%
NM -2.2% 0.4%
NY – Manhattan -3.7% -4.9%
NY – NYC Suburbs/Long Island -2.4% -2.8%
NY – Poughkeepsie, N NYC -0.2% -0.2%
NY – Queens -0.6% 0.1%
NY – Rest of NY -1.7% 0.4%
NC -3.0% -1.4%
ND -1.7% 5.9%
OH -1.6% -0.1%
OK -5.7% -2.2%
OR – Portland 1.5% 1.7%
OR – Rest of OR -1.2% 0.8%
PA – Metro Phil. -1.1% -1.7%
PA – Rest of PA -2.7% -1.2%
PR -13.5% -6.6%
RI -0.5% -1.0%
SC -3.2% -1.1%
SD -2.7% 3.6%
TN -3.8% -1.3%
TX – Austin -0.4% -0.1%
TX – Beaumont -3.8% -1.4%
TX – Brazoria 0.4% 1.9%
TX – Dallas 0.5% 0.2%
TX – Forth Worth -0.4% 0.6%
TX – Galveston 0.8% 1.7%
TX – Houson -0.1% -0.4%
TX – Rest of TX -2.8% -0.1%
UT -3.2% -1.1%
VT -0.9% 0.0%
VA -0.4% 1.4%
VI 0.3% 1.0%
WA – Seattle 2.4% 3.4%
WA – Rest of WA 0.8% 1.6%
WV -6.0% -2.3%
WI -0.8% 1.4%
WY -1.2% 6.7%

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