Medicare Physician Fee Schedule (PFS) Impact Modeling

Why use PFS impact modeling by DataGen?

Each year, CMS updates the Medicare Physician Fee Schedule (PFS) — and with it, physician reimbursement shifts across the country. But what does that mean for your hospitals, providers and budget?

DataGen’s PFS Impact Model helps you

  • Understand estimated payment changes: Visualize how reimbursement will change year over year for physicians performing services at your hospitals.
  • Identify your top services by provider: Get National Provider Identifier (NPI) level details on which services are driving the biggest impact.
  • Explore geographic and local trends: Drill down by state and locality to see where shifts are happening — and why.
  • Support advocacy and budget planning: Use the model during both the proposed and final rule windows to plan and respond effectively.

What you’ll receive

  • Hospital-level reports: Two key tables, total impact and relative value units RVU component-level changes.
  • Locality analysis: Choose your region and see what percentage of your hospital-associated physician services are tied to it.
  • Top NPI services: Filter and explore your highest-impact codes per associated physician.
  • Exportable detail: Group-level reports and provider exports — just like DataGen’s trusted OPPS and IPPS models.

Let’s talk about your data needs

Fill out the form below and a DataGen policy analyst will be in touch to walk you through what’s included, pricing options and how it fits into your regulatory response strategy.

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