dollars per rvu by specialty 2021

The proposed rule is open for comment through September 13, 2021. . 2021. Midwestern and Southern states, which have the largest aging populations, continue to face the most significant shortages. The Medscape report indicates that the average compensation for foreign trained gastroenterologists $409,000 exceeds that of their U.S.-trained counterparts $384,000 by 7 . Table 136 from the final rule reflects the final estimated combined impact per specialty including Interventional Pain Management, Interventional Radiology, and Radiology regarding RVU changes for . Total wRVUs are projected to increase at a higher rate (or decrease less) than Medicare reimbursement for all 40 of the largest physician specialties. Medical Malpractice Payouts: What to Expect, Full Guide to Physicians Malpractice Tail Coverage, Budgeting 101 How To Lower Administrative Costs In Your Practice, 3 Topics Physicians Should Avoid In Interviews, The Physicians Guide to Disability Insurance, How Female Physicians can Counteract the Gender Pay Gap, When Physicians Should Walk Away From a Job Offer, 2606 N Main Street, Suite 100, Elkhorn, NE 68022. Of those, some specialists are more satisfied with their choice of specialty than others. To isolate the effect of the 2021 Final Rule on wRVUs by physician specialty, HAI utilized the wRVU values from the 2019, 2020 and final 2021 MPFS to estimate the total wRVUs based on the public Medicare utilization data from 2017. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Work with a licensed attorney and an expert financial planner on a full financial and legal review. If this is true, the level of revenue that can be generated by the practice is affected in a downward manner. ( Because RVUs are standardized, a physician who earns 25% more RVUs than a colleague will likely be considered 25% more productive. We often see clients forced into rates and compensation offers that require them to push the limits of what they want to do, but they feel they have to or risk losing valued physicians, or risk not being able to hire new physicians. ( Who Should Be Prioritized To Receive COVID Vaccinations? Specialists earned an average of $344k in 2021, down from $346k in 2020. trackcmp.type = 'text/javascript'; If there were fewer patients per hour, your hourly pay would be less. In 2022, the conversion factor was set at $34.61, a decrease of $0.29 from the 2021 conversion factor of $34.89. Advisory services are offered by Physicians Thrive Investment Advisors, LLC a Registered Investment Advisor in the States of Nebraska, Arizona, California, Florida, Texas or where otherwise legally permitted. Dictumst scelerisque consectetur litora pellentesque vel volutpat proin maximus sodales, dapibus nascetur felis amet ullamcorper eget turpis ornare. 252. The Medicare Resource-Based Relative Value Scale (RBRVS) is the method by which Medicare sets reimbursement rates for each Current Procedural Terminology (CPT) code assigned to every physician encounter; thus physicians' services are counted in RVU's. '&l=' + l : ''; j.async = true; j.src = For many physicians, the work is rewarding and their salary is fair. In both of the above categories, total revenue per wRVU is a driving factor in determining a financially sustainable range for physician compensation. A rate of $57 would require the physician to produce 65th percentile wRVUs in order to earn at the median. document.querySelector('.gravity-forms-form').addEventListener("submit", function (e) { ( w !1AQaq"2B #3Rbr CMS places a much higher value on complex care. Medicare is required to keep overall physician reimbursement constant so when outpatient visits were more highly valued, other procedures and services necessarily had to be lower valued. Whether you are looking for a quick checkup to make sure your organizations strategy is headed in the right direction or a more comprehensive review from clinic financials to patient access and everything in between, our AMGA Consulting team is ready to support you. Nibh amet elit praesent eget himenaeos congue donec phasellus finibus aliquet lectus urna, commodo ligula posuere sodales vestibulum nisi sagittis quam pellentesque consequat gravida. ( Get some help with Student Loan Refinancing today! ( This makes plastic surgeons the most well-compensated physicians in the United States as of. Spend your golden years stress-free when you plan properly for retirement. ( Enter your email address to receive notifications of new posts by email. As presented in the table below, this results in a compensation increase of $31,500 for the physician, or almost 11%. Regardless of whether physicians treat any Medicare patients or not, the wRVU values set by the RUC and adopted by Medicare are still used by EHR vendors, practice management software vendors, and employers to calculate physicians wRVUs. To isolate the effect of the 2021 Final Rule on wRVUs by physician specialty, HAI utilized the wRVU values from the 2019, 2020 and final 2021 MPFS to estimate the total wRVUs based on the latest public Medicare utilization data from 2017. endobj When wRVUs increase more than reimbursement, physician compensation growth can outpace reimbursement growth and strain margins. Rural areas, which tend to have a more difficult time recruiting top-tier talent, continue to pay some of the highest salaries in the country. If surgeons receive an advance on their salary assuming 1,000 RVUs, but are below that threshold, "they may owe their employer money," Ms. Bittinger said. The financial and business impact of the 2021 MPFS final rule poses a challenge for organizations that are already financially fragile from the recent COVID-19 crisis. Add this to the average of 15.6 hours per week spent on paperwork, and doctors are on average putting in a 53.4-hour . I am an Emeritus Professor of Internal Medicine at the Ohio State University and former Medical Director, OSU East Hospital, Pediatricians and those who practice family medicine continue to be among the lowest-paid physicians. Medicare estimated the effect the final rule changes had on allowed charges (reimbursement) for various physician specialty groups, and the American Medical Association estimated the subsequent effect of the Consolidated Appropriations Act of 2021, as indicated in Figure 2. First, with the 2021 Medicare Physician Fee Schedule, the evaluation and management codes for outpatient visits were revised with a result that office visits are more highly valued than in the past. After receiving this notice, the hospital alleged that he had only performed 35 surgeries in the prior 5 months. Generating 1,000 RVUs in one month and 800 in another, for instance, would mean an $8,000 drop in monthly earnings. 55% of specialists earned an incentive bonus. ( It will be necessary to project the impact of both reimbursement and physician compensation changes accurately to assess the financial risks or opportunities before they are implemented. Get some help with retirement planning today! offered by the organization. If other expenses (such as practice staffing, building expense, or administration expense) are higher than expected, this will put downward pressure on physician rates per wRVU. For example, a procedure valued at 10 RVUs is supposed to involve approximately twice the work and resources involved in a procedure valued at 5 RVUs. The current conversion factor for 2020 is $36.0896. Spending hours pouring through hundreds of pages in pricey compensation reports is usually the only way to find this information but we did the legwork for you. In most cases, physicians are compensated based on the RVU values of work performed, not on the reimbursements received by the hospital or employer for that work. Once the RVU value of a procedure or service is determined, the medical providers reimbursement rate is determined by multiplying the RVU value by a monetary conversion factor to calculate the cash compensation for those medical services. This represents a 3.3% decrease from the 2020 conversion factor. } Specialties with the highest fill rates were radiology (98%), dermatology (98%), otolaryngology (99%), plastic surgery (100%), and thoracic surgery (100%). %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz We have created our annual physician compensation report to save you both time and money looking for the data and statistics you want to know. localStorage.setItem("visitorEmail", submittedEmail); (per 1,000 in current Relative Value Units) 2021 Final Rule Total RVUs 2022 Proposed Rule Total RVUs % Change 2021 Final Rule Modeled Rates 2021 Proposed Rule Modeled Rates % Change Imaging 4 3 -7.1% $129 $116 -10.5% Other Medical Services 1 1 -9.5% $44 $39 -12.9% Procedures 11 10 -10.2% $390 $337 -13.5% Table 3. When this process is repeated for a variety of compensation and wRVU combinations, a range of rates is formed as pictured in the following example: Detailed Rate Range Calculation Using 2018 MGMA: National. A great payer mix and superb payer rates will not do you and your organization any good if your revenue cycle team needs a gun and a ski-mask to collect a dime. Ten percent of physicians expect COVID to have an even greater impact, and believe they will see visits drop by 26% or more as compared to pre-COVID visits. As of Jan. 1 2021 membership purchasers in AZ, CA, HI, NJ and UT are subject to taxation. When reviewing RVUs and collections to understand the impact of the 2021/2022 MFPS changes, Chamblee says practices should review: Current production (wRVUs and professional collections) Analyze the impact of the 2021 and anticipated 2022 MPFS changes using 2020 productivity; Compare 2020 to the estimated 2021 and 2022 results The 2021 Medicare PFS conversion factor was recalculated at $34.8921, down from $36.09 in 2020. RVUs are supposed to allow payors to directly compare the fair market value of one service or procedure to another between different medical practices. MGMA DataDive is your gateway to the unknown. Make sure that you are receiving credit for all procedures that you perform and all patients you see. For example, a Level 4 new outpatient visit with an RVU rate of 2.60 multiplied by the conversion factor of $34.89 would generate $90.71 for the visit. 1 0 obj Medicares final rule reduces its conversion factor from $36.09 per RVU to $32.41 per RVU to keep the wRVU changes budget-neutral from a reimbursement standpoint. Physician compensation under this model will increase commensurate to the new wRVU values, irrespective of the associated change in reimbursement. ( The AMGA survey's findings were similar. ( ( This is especially the case with cities on the eastern seaboard, such as D.C., Baltimore, Philadelphia, and Boston, as large groups of people are moving out of these more expensive cities in favor of more affordable cities in the South and Midwest. We then divide this median compensation by differing levels of wRVU production. The biggest salary increases are in plastic surgery and oncology. Magna vehicula nam justo cubilia mus, habitant posuere ornare vestibulum enim, gravida congue torquent mi. Practices with many surgeons and emergency medicine physicians will likely be impacted the worst. Small changes to wRVU rates have a big impact on providers paychecks, organizations income statements, and potential compliance risks. These data are adjusted to a 1.0 FTE basis prior to being analyzed for physicians working less than full time. console.log('submittedEmail'+submittedEmail); For example, a primary care provider might make between $30 and $40 per RVU while an orthopedic surgeon is paid closer to $60 per RVU. . x0sU1Z'EP !jJH}=-(RbM=p{wwpiCd Wq#ZH-X!YMn`G>e\?i"$Wqfy/qa4gR+*mG#aN)cJ#[GH`|+"|"a0^'q3q4%w.9Gq%1"QAh2w~>%c My total RVUs for 2021 were 5,046. Regardless of whether physicians treat any Medicare patients or not, the wRVU values set by the RUC and adopted by Medicare are still used by EHR vendors, practice management software vendors, and employers to calculate physicians wRVUs. To maximize RVU compensation incentives, it would be helpful to learn which procedures in each of the medical specialties generate the highest wRVU values. ( median of 70 patients per week, or 3,640 patients per year. % ( jQuery( document ).ready(function() { Because of the increase in RVUs associated with outpatient E/M codes, the Medicare conversion factor (the amount that Medicare pays physicians per RVU) will drop from $36.09 to $32.41 in order to stay budget neutral. (RVUs). In other words, physician contracts that set base salaries as the median compensation under Sullivan Cotter and then adds bonus compensation after a certain RVU level will provide more income security than a physician contract setting reimbursement strictly on RVU generation. Seldom are RVU production goals decreased. ( ( August 6th 2021. The demand for physicians is expected to increase. Hospitals should anticipate receiving increased Medicare reimbursement for the E/M services. jQuery( document ).ready(function() { Medicare's final rule reduces its conversion factor from $36.09 per RVU to $32.41 per RVU to keep the wRVU changes budget-neutral from a reimbursement standpoint. While hospitals are crowded with patients, physicians outside of hospital settings have experienced major decreases in appointments. In late December 2021, the CMS announced a conversion factor of $34.6062 for 2022. Therefore, radiologists and pathologists in solo or small group private practices will see the biggest drop in take-home income. Because provider compensation is based upon both CPT codes and E/M codes, failing to capture the complexity of a service or the severity of a patient visit will adversely affect physician payments. ( ( While many physicians are satisfied with their professions and their salaries, burnout is still common in the medical profession. RVU. Keeping meticulous logs of patients/procedures will help you to address any discrepancies in RVU production. The 2021 Medicare conversion factor, following a last minute revision relative to the Consolidated Appropriations Act, 2021, was finalized at $34.89. In contrast, physician practices using compensation-to-collections models and fixed salary models will only be affected by changes in reimbursement and not wRVUs directly. Additionally, some E/M office work RVUs have increased. In addition to having more medical professionals overall, the metro areas paying the smallest salaries have a few other things in common. Simple unbilled services such as EKG interpretations or pulse oximeter interpretations or downcoded charts can add up quickly. This posts contained on this site are for INFORMATIONAL PURPOSES ONLY. While relocation expenses have been scaled back, the following benefits are up across the board for new hires: COVID-19 has had significant impacts on the healthcare industry. Which specialties are in the greatest demand, Which regions of the country are hiring the most, Where physicians are being offered the biggest bonuses, How physicians in different medical specialties and regions of the United States are being compensated for their work, How much physicians are earning in bonuses and incentives, Net collections: 23% (up from 13% last year), Patient encounters: 10% (down from 12% last year). Your email address will not be published. j = d.createElement(s), dl = l != 'dataLayer' ? This difference in RVU values could amount to hundreds of dollars in income for a single procedure. } ( I found data from two surveys that are summarized below. Relative Value Unit (RVU) compensation plans are increasingly more common in physician contract terms. The finalized increases in wRVUs took effect immediately for all physician services performed on or after January 1, 2021, unless a different years wRVU values are specified for use in individual physician employment contracts. If pediatricians utilization emulates family medicine, then pediatricians may also experience a 19 percent increase in wRVUs during 2021. }); This phenomenon is illustrated in detail for family medicine physicians in supplemental Figure 4 and hematologists/medical oncologists in Figure 5. The 2021 Medicare Physician Fee Schedule (PFS) final rule, modified by an economic aid law signed Dec. 27, 2020, has numerous impacts for healthcare providers, particularly those coding for outpatient E/M office visits. <> endobj ( Physicians in neurological surgery received 71.81 U.S. dollars per RVU while pathology physicians received 47.23 U.S. dollars per RVU. There are two reasons. On December 1, Medicare released the 2021 MPFS final rule, which includes recommendations by the RUC to increase the wRVU values for the common E&M office visit codes identified in Figure 1. K*yy1[C Similarly, postsurgical care often does not have separate procedure codes or wRVU values. Our core services focus on the key areas that influence high performance: Fine-tuning your provider compensation models, optimizing clinic operations, or finding your next medical group executive. How Much Does Malpractice Insurance Cost? Because RVU compensation is based upon clinical activity, if you are not credited with performing that clinical activity, you wont be paid for that activity. ( The Medicare conversion factor is the dollar amount that is multiplied by the total RVU values for each physician service to determine Medicare reimbursement. According to an e-mail survey of 92,000 physicians by SullivanCotter and the AMGA published in Beckers Hospital Review in 2017, and summarized on Statista.com, the average annual RVUs generated by US physicians in 2016 is as follows (note how procedure-heavy specialties are at the top of the list): This 2021 MGMA report lists the following annual RVU generation for hospital-based specialties: This 146 page document from the Veterans Administration contains the 2020 RVU values for every single CPT code available. e.preventDefault() RVUs tend to value procedures, overtesting, and overdocumentation rather than valuing quality of care. About to sign a physician contract for the first time? Procedure-oriented specialties such as surgical specialties will see a decrease in Medicare payments. For example, if you are an emergency physician, suppose that on average you are able to evaluate and admit one Level 5 patient per hour plus one Level 3 patient per hour. For physicians in solo or small group private practice, a decrease in total RVUs has the biggest impact on physician income since those physicians still have the same overhead expenses in 2021 as they had in 2020. As you know wRVUs increased for office visits for 2021. I anticipate that in this group, there will be increasing pressure to become hospital-employed next year as a consequence of the significant drop in private practice income. You'll also want to know if the dollar per RVU rate is flat or if it varies by payer. Specialists earned an average of $344k in 2021, down from $346k in 2020. ( ( Because multiplication is distributive, an estimated 7% decrease in general surgery Medicare rates would also result in a 7% decrease in existing commercial insurance reimbursement from current levels, regardless of what markup on Medicare is being paid. This is one of the most common questions for any organization paying providers based on the number of wRVUs produced and for good reason. Post-Pandemic Healthcare Operations: Are You Ready? Table 1 below compares the 2020 and 2021 E&M code time allocation and wRVUs. Multi-specialty group practices saw the biggest growth of any practice setting, at 4.1%. In the future, we can expect students to be drawn to those specialties that have an increasing reimbursement and away from those with lower reimbursement. In an emergency department setting, how will RVUs be divided between physicians and advanced practice providers who both contribute to the same medical service? Medical Group Compensation and Productivity, The Primary Care Compensation Paradigm Shift That Was Meant to Be. Many of these specialties top the recruitment list because they generated some of the highest amounts of revenue for hospitals and practices. The survey data used to calculate the example range above is based entirely on cash compensation (W-2 compensation) and does not take into account fringe benefits (i.e., health insurance, retirement plan, payroll taxes, etc.) There are, however, some mid-sized metro areas that saw a salary increase. We help clients determine appropriate rates by evaluating three factors: Fortunately, there exists ample survey data detailing compensation and wRVUs for almost all specialties and sub-specialties. Our industry-leading surveys consistently producing reliable, high-quality and comprehensive surveys that are regarded as best in class.. endobj Connect with industry experts to help solve your most difficult medical practice challenges. None of them are photographs of current or former Clients. 2021 brought many updates to the Medicare Physician Fee Schedule, notably the increase to the work relative value units (wRVU) of most office based new and established patient evaluation and management services (E/M), including current procedural terminology codes (CPT) 99202-99205 and 99211-99215. At the very least, this must be acknowledged and expected. Weve compiled data from nearly a dozen different sources from data made available as of 2021 to offer you: Physicians salaries vary by region, specialty, gender, and a variety of other factors. In 2019/2020, 97% of all recruitment offers included relocation expenses. JFIF ` ` C We tabulated total cash compensation statistics for two different samplesall records and This, in turn, allows for financial sustainability even with higher physician costs per wRVU. To determine how much a provider will be paid for providing a given service, the total RVU value of the service must be multiplied by the Medicare monetary conversion factor. CMS changes the amount of the dollar conversion factor each year. Entering your specialty and 2020 wRVU value will automatically calculate the wRVU value for 2021 based on the estimates provided in Table 106 of the CMS PFS. February 10, 2023: February 10, 2023: MGMA comments on prior authorization policies in the 2024 MA and Part D proposed rule, January 31, 2023: January 30, 2023: MGMA response to RFI on the CONNECT for Health Act, January 23, 2023: January 23, 2023: MGMA and over 100 coalition partners urge Congress to reform the Medicare payment system and explore long-term payment solutions. Neurological surgeons also worked an average of. ( ]c\RbKSTQ C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ ." Your email address will not be published. Physicians most likely to choose the same specialty again: Physicians Least Likely to Choose the Same Specialty Again. 2023 What I've Learned As A Hospital Medical Director, A blog about hospital management, medical economics, and medical education, Creating A COVID-19 Monoclonal Antibody Infusion Program. Therefore, critical care physicians, anesthesiologists, and radiologists who are hospital-employed will see the greatest drop in their income. ( RVU stands for relative value unit. For example, when surgery is performed on a patient, how will RVUs be divided between the surgeon and the assistant surgeon? In 2021, heres how bonuses compared to the previous year: Amongst specialists, 55% reported earning an incentive bonus in 2021. This article details our approach to finding the right balance between these sometimes competing, but equally important priorities. ( We are proud to have seasoned medical group executives, physician leaders, talented analysts, and experts in operations,physician compensation, strategy, and organizational development support our clients on their respective engagements. Hospital recruitment: 33% in 2021 (up from 26% in 2020), Medical group recruitment: 29% in 2021 (up from 28% in 2020), Academic medical center recruitment: 20% in 2021 (up from 18% in 2020), Federally qualified health center recruitment: 8% in 2021 (up from 6% in 2020). if (localStorage.getItem("visitorEmail")) { This year, Medicare was delayed in releasing the final rule that dictates how physicians will be paid and the final report was not released until earlier this month (December 2020). Heres how the average salary varies by employment setting for some of the top-earning specialists: Its important to note that new recruits are being denied some benefits that were standard before the pandemic. Most practices utilize relative value units (RVUs), a standard used by Medicare to determine the amount to pay physicians according to their productivity. ( Contact me. ( By 2030, the overall shortage of physicians in the United States is expected to reach 121,300. ( endobj If you increase the average number of patients you see per hour from 2 to 3, your RVUs will increase by about 50%. In 2022, the conversion factor was set at $34.61, a decrease of $0.29 from the 2021 conversion factor of $34.89, In this example, using the 2021 conversion factor of $34.89, the value of the procedure increases from $45.36 to $262.05, this article on how RVUs undervalue cognitive physician visits, this study showed that RVUs may not be an accurate measurement of the complexity of physician work, This 146 page document from the Veterans Administration contains the 2020 RVU values for every single CPT code available, Locum Tenens Contract Clause May Cause Significant Pay Loss, Doctor Agrees to No Job Security In Contract, 7 Dangerous Physician Employment Contract Terms, Denver Hospital Offering Emergency Physicians $21 Per Hour, State Medicaid Reimbursement Rates for Emergency Department Medical Services, Nurse Practitioner and Physician Assistant Standard of Care. Advanced . ( If reimbursement increases or decreases, compensation under a compensation-to-collections model will adjust up or down with collections. ( Plastic surgeons and orthopedic surgeons are the highest earners and are the only specialties with an average compensation of over $500,000. If working in an environment where multiple providers are involved in performing clinical services to the same patient, apportioning RVUs may be difficult. Need some help reviewing your compensation? With lower proportions of Medicare and Medicaid, these organizations may collect more dollars per wRVU. ( Medicares 2021 Physician Fee Schedule final rule, and the Consolidated Appropriations Act of 2021, reallocated Medicares reimbursement budget to increase reimbursement for E&M office visits, while decreasing reimbursement for specialists performing few or no office visits. Physician recruitment for solo, partnership, and concierge practices remained unchanged at 3% in 2021 and 2020. HealthCare Appraisers notes that large increases in wRVUs for certain codes (99213, 99214) are diluted among specialties by the overall mix of procedures performed. If given the chance to change careers, 78% of physicians said they would choose to work in medicine again. 3 0 obj In reality, he averaged more than 35 surgeries per month, plus more than 50 clinic visits per week. Audits, Reviews, and Financial Reporting Services, SOX Compliance & Internal Control Reviews, SSAE 18 & System and Organization Control (SOC) Reports, 2021 Physician Fee Schedule Changes and the Impact to wRVU Physician Compensation Agreements. RVUs may allow a hospital or employer to compare physician performance. Rather, RVUs define the value of one service or procedure compared to others. !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? I generated one of the highest RVU levels for our group in 2021. However, providers tend to spend more time caring for higher acuity patients, so the number of patients that can be evaluated in a given time period will likely decrease and that decrease in volume may offset the increased RVUs earned by caring for high acuity patients. Medicares final rule, and the subsequent Consolidated Appropriations Act of 2021, reduced the Medicare conversion factor from $36.09 to $34.89, a reduction of 3.3 percent, but rebasing wRVU values has greater implications. As a condition precedent to using any information contained on this web site, the reader agrees not to rely on such information without first being advised by personal legal counsel or medical providers. Total wRVUs are projected to increase at a higher rate (or decrease less) than Medicare reimbursement for all 40 of the largest physician specialties. ( Depending on the volume of E/M services reported for a particular provider or group, the hospital may discover that physician wRVU base thresholds could be met sooner than prior years. Compensation under fixed salary models will obviously not change when reimbursement increases or decreases. Most often, this involves blending multiple surveysconsistent with Stark Phase III commentary, in which CMS offered the following guidance for determining fair market value: Reference to multiple, objective, independently published salary surveys remains a prudent practice for evaluating fair market value.. ( ( The Eastern part of the country and most major metropolitan areas have the greatest number of trained physicians. Every year, different physician specialty societies lobby for increasing their own specialties compensation. ( ( In general, more complicated procedures and services are worth more RVUs under the CMS Physician Fee Schedule. Small changes to these rates have a big impact on providers' paychecks and organizations' income statements, as well as potentially creating compliance risks if set too high. ( ( (, >()iR1 >i)?pM@Q@$Hc*gO=sIP. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Regardless of your specialty or what city you work in, most physicians are curious about how their salary stacks up against the competition. Table 1: Time Allocations and wRVUs Adjustments: Current versus 2021 CPT Code 2020 Minimum Minutes per Visit 2020 wRVU Value 2021 Minimum Minutes per Visit 2021 wRVU Value Percentage Change in wRVU Value 992011 17 0.48 N/A N/A N/A 99202 22 0.93 22 0.93 0%

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