Wow, some shockers. Anyone here live in Alaska?
Just like last year, I’ve gone through the entire GPCI catalog and have calculated the impact of the geographical adjustment changes for RBRVS in 2009. While folks focus 99% of the attention on the impact of individual codes or the new annual multiplier, not enough attention is paid to the GPCI impacts. For some of you, the impact is greater than any change.
Some highlights from the table below:
| Location | Difference (’08-’09) | Difference (’07-’09) |
| Alaska | 22.24% | 21.43% |
| New Orleans, LA | 2.13% | 4.31% |
| Ventura, CA | 1.84% | 3.70% |
| Rhode Island | 1.55% | 3.21% |
| Miami, FL | 1.33% | 2.75% |
| Los Angeles, CA | 1.31% | 2.69% |
| Fort Lauderdale, FL | 1.22% | 2.47% |
| Hawaii/Guam | 0.92% | 1.72% |
| Rest of Pennsylvania | 0.85% | 1.67% |
| Rest of Louisiana | 0.61% | 1.23% |
| Rest of Missouri* | 0.61% | 1.22% |
| Rest of Florida | 0.58% | 1.12% |
| Anaheim/Santa Ana, CA | 0.52% | 1.09% |
| Idaho | 0.46% | 0.93% |
| Mississippi | 0.47% | 0.89% |
| Indiana | 0.48% | 0.87% |
| Beaumont, TX | 0.43% | 0.81% |
| Delaware | 0.42% | 0.79% |
| Arkansas | 0.38% | 0.77% |
| Connecticut | 0.34% | 0.74% |
| South Carolina | 0.42% | 0.74% |
| Vermont | 0.33% | 0.61% |
| New Mexico | 0.33% | 0.56% |
| Rest of Texas | 0.30% | 0.55% |
| Northern NJ | 0.26% | 0.49% |
| Rest of New Jersey | 0.23% | 0.47% |
| Rest of Illinois | 0.20% | 0.40% |
| Tennessee | 0.24% | 0.38% |
| Rest of Maryland | 0.17% | 0.30% |
| Nebraska | 0.20% | 0.29% |
| Southern Maine | 0.11% | 0.26% |
| Oklahoma | 0.11% | 0.23% |
| Ohio | 0.13% | 0.21% |
| Rest of Georgia | 0.13% | 0.20% |
| Virginia | 0.14% | 0.18% |
| North Carolina | 0.10% | 0.16% |
| Galveston, TX | 0.09% | 0.13% |
| Rest of Oregon | 0.09% | 0.08% |
| Metropolitan Philadelphia, PA | 0.01% | 0.07% |
| Rest of Maine | 0.06% | 0.02% |
| West Virginia | 0.03% | -0.00% |
| Rest of Massachusetts | -0.04% | -0.04% |
| Rest of California* | -0.07% | -0.15% |
| Kentucky | -0.06% | -0.19% |
| Alabama | -0.11% | -0.22% |
| Kansas | -0.11% | -0.22% |
| Iowa | -0.10% | -0.26% |
| Puerto Rico | -0.12% | -0.30% |
| Montana | -0.18% | -0.36% |
| Rest of New York | -0.15% | -0.40% |
| Queens, NY | -0.23% | -0.43% |
| New Hampshire | -0.22% | -0.44% |
| Rest of Washington | -0.21% | -0.52% |
| South Dakota | -0.25% | -0.54% |
| Poughkpsie/N NYC Suburbs, NY | -0.31% | -0.58% |
| NYC Suburbs/Long I., NY | -0.32% | -0.68% |
| Wisconsin | -0.33% | -0.72% |
| Wyoming | -0.34% | -0.74% |
| Baltimore/Surr. Cntys, MD | -0.41% | -0.76% |
| Utah | -0.36% | -0.77% |
| Rest of Michigan | -0.37% | -0.80% |
| Nevada | -0.44% | -0.87% |
| East St. Louis, IL | -0.42% | -0.88% |
| Manhattan, NY | -0.44% | -0.92% |
| Metropolitan St. Louis, MO | -0.44% | -0.92% |
| Metropolitan Kansas City, MO | -0.47% | -1.03% |
| DC + MD/VA Suburbs | -0.61% | -1.26% |
| Houston, TX | -0.64% | -1.27% |
| North Dakota | -0.64% | -1.33% |
| Colorado | -0.73% | -1.40% |
| Minnesota | -0.70% | -1.43% |
| Fort Worth, TX | -0.81% | -1.70% |
| Virgin Islands | -0.84% | -1.72% |
| Metropolitan Boston | -0.87% | -1.76% |
| Chicago, IL | -0.97% | -1.92% |
| Portland, OR | -1.01% | -2.00% |
| Brazoria, TX | -1.03% | -2.13% |
| Suburban Chicago, IL | -1.12% | -2.22% |
| Detroit, MI | -1.10% | -2.23% |
| Arizona | -1.11% | -2.24% |
| Seattle (King Cnty), WA | -1.19% | -2.35% |
| Dallas, TX | -1.44% | -2.79% |
| Austin, TX | -1.53% | -3.01% |
| Marin/Napa/Solano, CA | -1.80% | -3.54% |
| Atlanta, GA | -1.93% | -3.79% |
| Oakland/Berkley, CA | -1.98% | -3.88% |
| San Francisco, CA | -2.20% | -4.31% |
| San Mateo, CA | -2.20% | -4.35% |
| Santa Clara, CA | -5.04% | -9.57% |