Confessions of a Pediatric Management Consultant... Where fame and fortune await those who help keep pediatric practices alive and independent!

2011 GPCI Analysis

Written by Chip Hart | Nov 15, 2010 8:23:39 PM

[Note: I have updated this data to reflect the 1.000 min Work GPCI for all locations.]

Among the reasons I don't like being on the road, I find myself falling hopelessly behind on my social media obligations.

Over the past few years, I've taken the time to look at the GPCI changes with each new release of the RBRVS data (you can see past examples here and here). Although the focus each year is, rightfully, on specific CPT changes and the annual conversion factor, I find that the GPCI changes can be substantial...yet ignored.

Igor helped me out this week and picked up the changes for 2010 to 2011, noted here below.  It's generally better news than in years past with more winners than losers.  Can't be exciting to be in Boston, MA, though!

 

 

2011 vs. 2010 GPCI Values

2010

Work

GPCI

2011

Work

GPCI

Diff 2010

PE

GPCI

2011

PE

GPCI

Diff 2010

MP

GPCI

2011

MP

GPCI

Diff TOTAL

Diff

Metropolitan Boston 1.029 1.021 -0.78% 1.291 1.238 -4.11% 0.764 0.776 1.57% -2.1%
Northern NJ 1.057 1.051 -0.57% 1.228 1.206 -1.79% 1.116 1.077 -3.49% -1.2%
New Orleans, LA 1.000 1.000 0.00% 1.044 1.018 -2.49% 0.956 0.933 -2.41% -1.2%
Detroit, MI 1.036 1.029 -0.68% 1.040 1.026 -1.35% 1.906 1.855 -2.68% -1.1%
Ventura, CA 1.027 1.030 0.29% 1.265 1.251 -1.11% 0.766 0.684 -10.70% -0.8%
Manhattan, NY 1.064 1.063 -0.09% 1.298 1.263 -2.70% 1.010 1.137 12.57% -0.7%
Rest of New Jersey 1.042 1.031 -1.06% 1.126 1.125 -0.09% 1.116 1.077 -3.49% -0.7%
Los Angeles, CA 1.041 1.039 -0.19% 1.225 1.220 -0.41% 0.804 0.722 -10.20% -0.7%
Houston, TX 1.016 1.012 -0.39% 0.986 0.992 0.61% 1.345 1.131 -15.91% -0.6%
Metropolitan Philadelphia, PA 1.016 1.015 -0.10% 1.097 1.084 -1.19% 1.617 1.619 0.12% -0.6%
Dallas, TX 1.009 1.009 0.00% 1.001 1.001 0.00% 1.110 0.969 -12.70% -0.5%
Connecticut 1.038 1.031 -0.67% 1.185 1.168 -1.43% 0.980 1.102 12.45% -0.5%
Chicago, IL 1.025 1.028 0.29% 1.080 1.062 -1.67% 1.940 2.005 3.35% -0.4%
Atlanta, GA 1.009 1.006 -0.30% 1.014 1.006 -0.79% 0.836 0.890 6.46% -0.2%
Rhode Island 1.013 1.015 0.20% 1.088 1.071 -1.56% 0.996 1.089 9.34% -0.2%
Suburban Chicago, IL 1.017 1.021 0.39% 1.068 1.056 -1.12% 1.629 1.665 2.21% -0.2%
Delaware 1.011 1.012 0.10% 1.046 1.041 -0.48% 0.678 0.678 0.00% -0.2%
Miami, FL 1.000 1.000 0.00% 1.069 1.072 0.28% 3.167 2.984 -5.78% -0.1%
NYC Suburbs/Long I., NY 1.051 1.050 -0.10% 1.289 1.278 -0.85% 1.235 1.335 8.10% -0.1%
Rest of Massachusetts 1.007 1.010 0.30% 1.106 1.100 -0.54% 0.764 0.776 1.57% 0.0%
Anaheim/Santa Ana, CA 1.034 1.039 0.48% 1.269 1.271 0.16% 0.811 0.742 -8.51% 0.0%
Austin, TX 1.000 1.000 0.00% 0.984 0.995 1.12% 0.969 0.859 -11.35% 0.0%
Alaska 1.500 1.500 0.00% 1.090 1.092 0.18% 0.646 0.648 0.31% 0.1%
San Mateo, CA 1.072 1.072 0.00% 1.433 1.418 -1.05% 0.394 0.454 15.23% 0.1%
San Francisco, CA 1.059 1.065 0.57% 1.441 1.422 -1.32% 0.414 0.464 12.08% 0.2%
DC MD/VA Suburbs 1.047 1.048 0.10% 1.218 1.218 0.00% 1.032 1.081 4.75% 0.2%
Poughkpsie/N NYC Suburbs, NY 1.014 1.013 -0.10% 1.077 1.074 -0.28% 0.822 0.945 14.96% 0.4%
Oakland/Berkley, CA 1.053 1.055 0.19% 1.286 1.286 0.00% 0.425 0.469 10.35% 0.5%
Portland, OR 1.002 1.003 0.10% 1.015 1.016 0.10% 0.472 0.542 14.83% 0.7%
Virgin Islands 1.000 1.000 0.00% 0.978 0.994 1.64% 1.009 1.007 -0.20% 0.7%
Marin/Napa/Solano, CA 1.034 1.042 0.77% 1.265 1.272 0.55% 0.432 0.443 2.55% 0.7%
Fort Lauderdale, FL 1.000 1.000 0.00% 1.018 1.041 2.26% 2.250 2.112 -6.13% 0.7%
Minnesota 1.000 1.000 0.00% 0.983 0.994 1.12% 0.245 0.262 6.94% 0.8%
Galveston, TX 1.000 1.000 0.00% 0.959 0.985 2.71% 1.223 1.100 -10.06% 0.8%
Fort Worth, TX 1.000 1.000 0.00% 0.953 0.982 3.04% 1.110 0.966 -12.97% 0.8%
Nevada 1.002 1.000 -0.20% 1.026 1.042 1.56% 1.083 1.149 6.09% 0.8%
Southern Maine 1.000 1.000 0.00% 1.025 1.029 0.39% 0.492 0.584 18.70% 0.9%
Colorado 1.000 1.000 0.00% 0.992 0.997 0.50% 0.641 0.754 17.63% 0.9%
Queens, NY 1.032 1.047 1.45% 1.239 1.233 -0.48% 1.220 1.351 10.74% 1.0%
Santa Clara, CA 1.083 1.080 -0.28% 1.294 1.310 1.24% 0.377 0.445 18.04% 1.1%
Vermont 1.000 1.000 0.00% 0.983 1.002 1.93% 0.489 0.523 6.95% 1.1%
Rest of Washington 1.000 1.000 0.00% 0.974 0.991 1.75% 0.693 0.770 11.11% 1.2%
Rest of California 1.007 1.016 0.89% 1.058 1.078 1.89% 0.549 0.546 -0.55% 1.3%
Seattle King County, WA 1.014 1.020 0.59% 1.085 1.098 1.20% 0.706 0.785 11.19% 1.3%
Metropolitan Kansas City, MO 1.000 1.000 0.00% 0.945 0.973 2.96% 1.188 1.204 1.35% 1.4%
Brazoria, TX 1.019 1.014 -0.49% 0.922 0.967 4.88% 1.223 1.070 -12.51% 1.4%
Hawaii/Guam 1.000 1.000 0.00% 1.161 1.198 3.19% 0.665 0.685 3.01% 1.5%
Rest of Florida 1.000 1.000 0.00% 0.939 0.976 3.94% 1.724 1.635 -5.16% 1.5%
Ohio 1.000 1.000 0.00% 0.927 0.961 3.67% 1.232 1.230 -0.16% 1.6%
Arizona 1.000 1.000 0.00% 0.957 0.983 2.72% 0.822 0.913 11.07% 1.6%
Rest of Pennsylvania 1.000 1.000 0.00% 0.925 0.958 3.57% 1.081 1.101 1.85% 1.6%
Metropolitan St Louis, MO 1.000 1.000 0.00% 0.931 0.968 3.97% 1.075 1.064 -1.02% 1.7%
Baltimore/Surr. Cntys, MD 1.012 1.019 0.69% 1.057 1.084 2.55% 1.086 1.147 5.62% 1.7%
Rest of Michigan 1.000 1.000 0.00% 0.923 0.960 4.01% 1.083 1.075 -0.74% 1.7%
Rest of Maryland 1.000 1.002 0.20% 0.982 1.013 3.16% 0.874 0.930 6.41% 1.7%
North Carolina 1.000 1.000 0.00% 0.925 0.960 3.78% 0.634 0.664 4.73% 1.9%
Virginia 1.000 1.000 0.00% 0.942 0.978 3.82% 0.657 0.692 5.33% 1.9%
Indiana 1.000 1.000 0.00% 0.918 0.957 4.25% 0.599 0.603 0.67% 1.9%
New Hampshire 1.000 1.000 0.00% 1.039 1.046 0.67% 0.462 0.658 42.42% 2.0%
East St Louis, IL 1.000 1.000 0.00% 0.919 0.962 4.68% 1.793 1.851 3.23% 2.2%
Utah 1.000 1.000 0.00% 0.907 0.953 5.07% 1.026 1.059 3.22% 2.4%
Beaumont, TX 1.000 1.000 0.00% 0.875 0.937 7.09% 1.346 1.131 -15.97% 2.5%
Tennessee 1.000 1.000 0.00% 0.889 0.945 6.30% 0.608 0.566 -6.91% 2.5%
Rest of Oregon 1.000 1.000 0.00% 0.927 0.968 4.42% 0.472 0.542 14.83% 2.5%
South Carolina 1.000 1.000 0.00% 0.906 0.952 5.08% 0.446 0.482 8.07% 2.6%
Rest of Louisiana 1.000 1.000 0.00% 0.878 0.936 6.61% 0.892 0.816 -8.52% 2.6%
New Mexico 1.000 1.000 0.00% 0.890 0.947 6.40% 1.096 1.054 -3.83% 2.7%
Rest of New York 1.000 1.000 0.00% 0.921 0.964 4.67% 0.425 0.492 15.76% 2.7%
Rest of Texas 1.000 1.000 0.00% 0.879 0.943 7.28% 1.065 0.936 -12.11% 2.7%
Wisconsin 1.000 1.000 0.00% 0.921 0.966 4.89% 0.409 0.476 16.38% 2.8%
Idaho 1.000 1.000 0.00% 0.883 0.943 6.80% 0.546 0.572 4.76% 3.2%
Nebraska 1.000 1.000 0.00% 0.890 0.943 5.96% 0.245 0.280 14.29% 3.2%
Rest of Georgia 1.000 1.000 0.00% 0.883 0.943 6.80% 0.829 0.876 5.67% 3.2%
Rest of Illinois 1.000 1.000 0.00% 0.880 0.941 6.93% 1.219 1.274 4.51% 3.2%
Iowa 1.000 1.000 0.00% 0.870 0.934 7.36% 0.434 0.443 2.07% 3.3%
Rest of Maine 1.000 1.000 0.00% 0.893 0.947 6.05% 0.492 0.584 18.70% 3.4%
Mississippi 1.000 1.000 0.00% 0.854 0.929 8.78% 0.808 0.782 -3.22% 3.7%
Alabama 1.000 1.000 0.00% 0.853 0.928 8.79% 0.496 0.484 -2.42% 3.8%
Kentucky 1.000 1.000 0.00% 0.860 0.932 8.37% 0.652 0.701 7.52% 4.0%
Arkansas 1.000 1.000 0.00% 0.846 0.923 9.10% 0.446 0.444 -0.45% 4.0%
Kansas 1.000 1.000 0.00% 0.882 0.939 6.46% 0.557 0.746 33.93% 4.2%
Oklahoma 1.000 1.000 0.00% 0.850 0.927 9.06% 0.627 0.671 7.02% 4.3%
West Virginia 1.000 1.000 0.00% 0.827 0.912 10.28% 1.353 1.279 -5.47% 4.3%
Rest of Missouri* 1.000 1.000 0.00% 0.821 0.913 11.21% 0.997 1.004 0.70% 5.0%
South Dakota 1.000 1.000 0.00% 0.864 1.000 15.74% 0.420 0.424 0.95% 7.0%
North Dakota 1.000 1.000 0.00% 0.844 1.000 18.48% 0.387 0.453 17.05% 8.8%
Wyoming 1.000 1.000 0.00% 0.842 1.000 18.76% 0.889 1.052 18.34% 9.0%
Montana 1.000 1.000 0.00% 0.847 1.000 18.06% 0.673 0.887 31.80% 9.2%
Puerto Rico 1.000 1.000 0.00% 0.694 0.845 21.76% 0.250 0.249 -0.40% 9.6%