Sadeem&Ali1,&Xiangming&Fang1,&Pankaj&Jawa1,&and&Tejas&Desai1,2.&&1Division'of'Nephrology'&'Hypertension,'East'Carolina'University,'Greenville,'NC,'United'States'
2Nephrology'On>Demand,'h@p://goo.gl/mfziXG.'
&&&&&&&&&&&Quan%fying*the*gender*reimbursement*gap*in*Nephrology**
The&2015&Medscape&CompensaBon&Report&suggests&that&female&providers&earn&less&than&male&providers&but&the&sample&size&was&19,657;&only&1%&Nephrologists.&To&analyze&the&nancial&dispariBes,&we&compared&total&Medicare&reimbursements&paid&to&males&and&females.&
Background*
*Conclusion*When&adjusted&for&the&number&of&beneciaries&seen&and&services&provided,&female&Nephrologists&endure&the&largest&reimbursement&gap&by&gender&in&any&specialty.&&This&gap&should&be&followed&yearly&and&steps&should&be&considered&to&help&close&this&gap.&
Methods*We&obtained&reimbursement&data&from&2014&Medicare&FeeUForUService&Provider&UBlizaBon&and&Payment&Data&Physician&Public&Use&File.&&We&consolidated&all&reimbursements&by&NPI&number&and&categorized&them&by&specialty&and&gender.&&We&adjusted&reimbursement&dierenBals&against&the&number&of&Medicare&beneciaries&seen&and&services&provided.&&We&used&linear®ression&models&to&compare&reimbursements&collected&by&male&and&female&providers.&
Results*We&analyzed&246,996&providers&in&13&specialBes;&3%&were&Nephrologists.&Female&Nephrologists&were&reimbursed&less&$41,776.96&(unadjusted);&the&6th&worst&reimbursement&dierenBal.&&In&the&adjusted&analysis,&female&Nephrologists&had&the&worst&reimbursement&dierenBal:&less&$17,971.66.&&Moreover,&in&11&of&the&13&specialBes&analyzed,&female&physicians&had&a&staBsBcally&lower&reimbursement&rate&than&their&male&counterparts.&&&
Contact*Informa%on*Sadeem&Ali;&Tejas&Desai&&
[email protected];&[email protected]&
Authors*have*no*conicts*of*interest*to*disclose.*
Unadjusted! Lower! Upper ! Adjusted! Lower! Upper!
All! $34,125.68! $34,991.61 ! $33,259.76 ! $19,980.23!
$20,599.45 ! $19,361.00 !
Cardiology! $49,532.75! $54,955.76 ! $44,109.75 ! $8,455.53!
$11,946.07 ! $4,964.98 !
Endocrinology! $21,583.72! $24,379.99 ! $18,787.44 ! $6,217.03!
$7,598.03 ! $4,836.03 !
Critical Care! $21,161.13! $28,712.74 ! $13,609.52 ! $4,532.58!
$8,341.91 ! $723.24 !
Family Practice! $15,029.77! $15,627.83 ! $14,431.70 !
$8,505.32! $8,957.32 ! $8,053.33 !
Gastroenterology! $26,556.29! $28,968.12 ! $24,144.45 !
$4,931.95! $6,055.77 ! $3,808.14 !
Hematology/Oncology! $94,350.55! $109,996 ! $78,705.13 !
$7,824.90! $13,788.98 ! $1,860.82 !
Infectious Disease! $19,176.82! $23,177.82 ! $15,175.83 !
$6,849.35! $9,562.13 ! $4,136.56 !
Internal Medicine! $24,158.97! $25,003.32 ! $23,314.62 !
$11,202.12! $11,792.19 ! $10,612.05 !
Nephrology! $41,776.96! $47,751.56 ! $35,802.36 ! $17,971.66!
$22,675.94 ! $13,267.37 !
Hematology! $52,257.03! $86,317.14 ! $18,196.91 ! $10,160.85!
$21,535.90 ! +$1,214.21 !
Medical Oncology! $81,433.39! $106,482.80 !$56,383.97 !
$6,330.41! $16,167.31 ! +$3506.49!
Rheumatology! $85,356.80! $98,925.86 ! $71,787.74 ! $17,127.52!
$23,448.97 ! $10,806.07 !
Pulmonary! $32,543.52! $36,514.82 ! $28,572.21 ! $11,461.55!
$13,870.45 ! $9,052.66 !
Table&1.&&Mean&female&reimbursement&decits&($).&Lower&&&Upper&refer&to&95%&Condence&Interval.&Top&three&highest&decits:&1st&&&&&&&&2nd&&&&&&&&&3rd&&&&&&&&&Numbers&are&NegaBve&unless&otherwise&stated.&
Figure*1.**Characteris%cs*of*data*set*
