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ATTACHMENT B of CPM 2004-07

PHYSICIANS' COMPARABILITY ALLOWANCE REPORTING WORKSHEET


 

Part I. PHYSICIANS ELIGIBLE FOR PCA

Part II. PHYSICIANS RECEIVING PCA

 
FY 03
FY 04
FY 03
FY 04
1) Total Number Employed

Category I
Category II
Category III
Category IV-A
Category IV-B
Total Number Employed

 
FY 03
FY 04
FY 03
FY 04
2) Number of Physicians Signing:

One-year service agreement
Two-year service agreement

 
FY 03
FY 04
FY 03
FY 04
3) Average Compensation per Physician:

(Excluding PCA)
Category I
Category II
Category III
Category IV-A
Category IV-B
Average Compensation

 
FY 03
FY 04
FY 03
FY 04
4) Average PCA Amount per Physician

Category I
Category II
Category III
Category IV-A
Category IV-B
Average PCA Amount

 

FY 03
FY 04
FY 03
FY 04
5) Average PCA Amount per Physicians Signing:

One-year service agreement
Two-year service agreement

 
FY 03
FY 04
FY 03
FY 04
6) Average PCA Amount per Physician with Federal Service of:

Less than Two Years
Two or More Years

       
FY 03
FY 04
FY 03
FY 04

7) Average Number of Years

Continuous Service Per Physician:

 

FY 03
FY 04
FY 03
FY 04

8) Number and Rate of Accessions:

Category I
Category II
Category III
Category IV-A
Category IV-B
Total Number of Accessions
Accession Rate (for all      categories in %)

 

FY 03
FY 04
FY 03
FY 04
9) Number and Rate of Separations:

Category I
Category II
Category III
Category IV-A
Category IV-B
Total Number of Separations
Separation Rate (for all      categories as %)

 
FY 03
FY 04
FY 03
FY 04
10) Number and Rate of Unfilled FTEs:

Category I
Category II
Category III
Category IV-A
Category IV-B
Total Unfilled FTEs
Unfilled FTE Rate (for all      categories as %)

 
FY 03
FY 04
FY 03
FY 04
11) Average Length of Time (months)

Physician Position Vacant

 
12)What is the estimated number of physicians in FY 2004 who will be receiving PCA's in the following dollar ranges: (a) $20,000-$24,999 and (b) $25,000-$30,000?

 

 

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