Authors :
Presenting Author: Marina Azevedo, BSc – University of South Florida
Ana Omura, Bsc – University of South Florida
Melissa Polzer, BSN, RN – University of South Florida
Selim Benbadis, MD – University of South Florida
Rationale:
Compared to private practices, academic medical centers invariably encounter financial challenges, with collection rates typically around 30% [1]. Our objective was to analyze the revenue components of a level-four academic epilepsy center to better understand its financial structure and dynamics.Methods:
A retrospective analysis was performed on all 106 CPT codes utilized by the epilepsy division (4 epileptologists and 1 physician assistant) from 2021 to 2023. Charges and collections were obtained for CPT codes, research activities, and the neurology department as a whole. CPT codes were analyzed both individually and in groups.
Individual CPT Codes Calculations:
The total charges and reimbursements for each CPT code were summed for 2021, 2022 and 2023. The top 5 CPT codes were identified by combining the total charges for each year.
Group CPT Codes Calculations:
CPT codes were categorized into 9 groups detailed in Table 1. The total charges for all CPT codes within each group were combined to determine the CPT group total.
Research Calculations:
Research revenue was divided by the division’s total revenue to determine its relative contribution.Results: From 2021-2023, the top 5 CPT codes for the division were:
95720 Inpatient EEG-video 24hr ($3,379,692) (wRVU 20990.68) 24% of all CPT codes
95819 Routine EEG ($1,461,782) (wRVU 4788.72) 10% of all CPT codes
99214 E&M clinic established ($1,283,942) (wRVU 6680.4) 9% of all CPT codes
G0453 Intraoperative Monitoring ($1,044,140) (wRVU 6323.4) 7% of all CPT codes
95724 Ambulatory EEG-video 3d ($552,446) (wRVU 3546) 4% of all CPT codes
Top 5 CPT codes generated 54% of all charges. The average clinical reimbursement rate over the 3 years was 33%. Research charges comprised 5.1% of total division charges, while research revenue made up 9.7% of total division revenue over the same period. Between clinical and research revenue, the Epilepsy division contributed 13.4% of the entire Neurology department revenue. The clinical and research revenue are summarized in Figure 1.Conclusions:
Despite its complexity, analyzing financial data can serve as a valuable resource for academic centers to improve revenue and compensate for low collection rates. While the exact components of charges likely vary significantly among centers, our top 5 CPT codes generated for 54% of all charges.
Funding: N/A