MSP Information Resource Manual Fee-For-Service Payment Statistics

Transcription

1 Medical Services Plan MSP Information Resource Manual Fee-For-Service Payment Statistics 2015/2016 Health Sector Information, Analysis and Reporting Division

2 If you have any questions about the information presented, please contact the B.C. Ministry of Health. Business Analytics Strategies and Operations Health Sector Information, Analysis and Reporting Division Ministry of Health How to Cite This Document B.C. Ministry of Health, Health Sector Information, Analysis & Reporting Division. MSP Information Resource Manual 2015/2016. November 2016.

3 MSP Information Resource Manual 2015/2016 Page i Table of Contents Preface... v Introduction... 1 Methodology... 3 A. BRITISH COLUMBIA GEOGRAPHIC HEALTH GROUPINGS... 5 British Columbia Health Authorities Map... 6 British Columbia Health Service Delivery Areas Map... 7 British Columbia Local Health Areas Map... 8 Listing of Health Authorities, Health Service Delivery Areas and Local Health Areas... 9 B. PRACTITIONER DATA Total Number of Practitioners, Services and Expenditure by Specialty, B.C. Table / Table / Table / Table / Table / Total Number of Practitioners, Services and Expenditure by Specialty, by Health Authority, 2015/2016 Table Interior Table Fraser Table Vancouver Coastal Table Vancouver Island Table Northern Table 2-6 Unknown Health Authority Total Number of Practitioners, Services and Expenditure by Specialty, by Health Service Delivery Area, 2015/2016 Table East Kootenay Table Kootenay Boundary Table Okanagan Table Thompson/Cariboo Table Fraser East Table Fraser North Table Fraser East Table Richmond Table Vancouver... 32

4 MSP Information Resource Manual 2015/2016 Page ii Table North Shore/Coast Garibaldi Table South Vancouver Island Table Central Vancouver Island Table North Vancouver Island Table Northwest Table Northern Interior Table Northeast Table 3-17 Unknown Health Service Delivery Area Distribution of Practitioners by Expenditure Range, B.C. Table / Table / Table / Table / Table / Population, Practitioners, Services and Expenditure, 2015/2016 Table 5-1 Health Authority Table 5-2 Health Service Delivery Area Table 5-3 Local Health Area Services and Expenditure by Service Code Table / Table / Table / Table / Table / C. REGISTRANT & PATIENT DATA Medical Services Plan Registrants, 2011/ /2016 Table 7-1 Health Authority and Gender Table 7-2 Health Service Delivery Area and Gender Table 7-3 Age Group and Gender Medical Services by Health Authority and Gender, 2011/ /2016 Table 8-1 Patient Counts Table 8-2 Services Table 8-3 Expenditure Medical Services by Health Service Delivery Area and Gender, 2011/ /2016 Table 9-1 Patient Counts Table 9-2 Services Table 9-3 Expenditure... 71

5 MSP Information Resource Manual 2015/2016 Page iii 10. Medical Services by Age Group and Gender, 2011/ /2016 Table 10-1 Patient Counts Table 10-2 Services Table 10-3 Expenditure Medical Services by Specialty and Gender, 2011/ /2016 Table 11-1 Patient Counts Table 11-2 Services Table 11-3 Expenditure Medical Services by Service Code and Gender, 2011/ /2016 Table 12-1 Patient Counts Table 12-2 Services Table 12-3 Expenditure Other Health Practitioner Services by Health Authority and Gender, 2011/ /2016 Table 13-1 Patient Counts Table 13-2 Services Table 13-3 Expenditure Other Health Practitioner Services by Health Service Delivery Area and Gender, 2011/ /2016 Table 14-1 Patient Counts Table 14-2 Services Table 14-3 Expenditure Other Health Practitioner Services by Age Group and Gender, 2011/ /2016 Table 15-1 Patient Counts Table 15-2 Services Table 15-3 Expenditure Other Health Practitioner Services by Specialty and Gender, 2011/ /2016 Table 16-1 Patient Counts Table 16-2 Services Table 16-3 Expenditure Other Health Practitioner Services by Service Code and Gender, 2011/ /2016 Table 17-1 Patient Counts Table 17-2 Services Table 17-3 Expenditure... 98

6 MSP Information Resource Manual 2015/2016 Page iv D. GENERAL PRACTICE SERVICES COMMITTEE & SPECIALIST SERVICES COMMITTEE INITIATIVES General Practice Services Committee and Specialist Services Committee Initiatives Table 18-1 General Practice Services Committee Initiatives, 2011/ / Table 18-2 Specialist Services Committee Initiatives, 2015/ Table 18-3 Specialist Services Committee Initiatives, 2014/ Table 18-4 Specialist Services Committee Initiatives, 2013/ Table 18-5 Specialist Services Committee Initiatives, 2012/ Table 18-6 Specialist Services Committee Initiatives, 2011/ GLOSSARY

7 MSP Information Resource Manual 2015/2016 Page v Preface The Medical Services Plan (MSP) Information Resource Manual 2015/2016 is produced by the Health Sector Information, Analysis and Reporting Division. It provides a reference for some of the most frequently asked questions about MSP data including practitioner, patient and registrant fee-for-service statistics. Related publications on MSP data are the MSP Fee-For-Service Payment Analysis 2011/ /2016 and the MSP Physician Resource Report 2006/ /2016. All three reports can be found online at this address under Fee-for-Service Payment Statistics: Questions, comments or suggestions regarding this report may be directed to MOHanalytics@gov.bc.ca.

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9 MSP Information Resource Manual 2015/2016 Page 1 Introduction Under the authority of the Medicare Protection Act, the Medical Services Commission administers MSP. MSP insures registrants for medically required services provided by general practitioners, specialists and other health practitioners. MSP pays practitioners on a fee-forservice and on an alternative payment basis. The Information Resource Manual contains statistics based on fee-for-service payments made to British Columbia practitioners by MSP for services provided to MSP registrants. The manual is arranged in four major sections: A. British Columbia Geographic Health Groupings: contains maps and a listing of health authorities, health service delivery areas (HSDA), and local health areas (LHA); the relationship between health authority, HSDA and LHA is demonstrated in this section. B. Practitioner Data: presents data on expenditure and paid services by specialty, service code and geographic area. C. Registrant & Patient Data: presents data on expenditure and services provided with breakdowns by patient gender/age and geographical area. D. General Practice Services Committee Initiatives & Specialist Services Committee Initiatives: presents data on expenditure and services for practitioner initiatives by specialty. The Methodology section that precedes sections A to D outlines general data inclusions and exclusions that apply throughout the manual. Additional methodology details are provided at the beginning of sections A, B, C and D. A glossary has been provided at the end of the manual to explain terms used in the publication. Readers are encouraged to refer to the glossary to ensure accurate interpretation of the statistics presented. This publication is prepared using specific criteria and therefore may not reconcile with other Ministry of Health documents such as the Medical Services Commission Financial Statements. To maintain confidentiality, the information given does not disclose personally identifiable data.

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11 MSP Information Resource Manual 2015/2016 Page 3 Methodology The data used to generate statistics in this manual include MSP fee-for-service payments made to general practitioners, specialists and other health practitioners for insured services provided to MSP registrants. Only services performed in a given fiscal year (April 1st to March 31st) and paid on or before September 30th of the following fiscal year are included. The general data inclusions and exclusions applied throughout the manual are listed below. Additional methodology details are provided at the beginning of sections A, B, C and D. General Data Inclusions Expenditures paid for by MSP, including the adjudicated fee schedule amount, retroactive payments, rural retention program payments and tray fees Expenditures paid to physicians for services referred by registered midwives or nurse practitioners Changes under the three Renewed Laboratory Agreements dated in 2010, 2012, 2014 and a continuation of Laboratory Volume Discounting With the implementation of the Laboratory Services Act on October 1, 2015, fee item values are based on the new Fee-For-Service Outpatient Laboratory Services Payment Schedule and are subject to change by the Minister of Health Fee increases paid up to and including September 30, 2016 for 2011/ /2016 medical services Expenditures for General Practice Services Committee initiatives and Specialist Services Committee initiatives are reported in section D only General Data Exclusions Interest on late payment of claims Services associated with the following service codes as these are charges in addition to the principal fee: o 09 - General Practice Visit Premiums* o 19 - No Charge Referral o 49 - Procedural Premiums* o 71 - Tray Fees* Alternative payments made for contract, salaried, session and other services Payments for services performed out of province * Billings are included in the Total Expenditure statistic but are not counted as services to avoid double counting of services.

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13 MSP Information Resource Manual 2015/2016 Page 5 A. British Columbia Health Boundaries British Columbia (B.C.) is divided into five regional health authorities that are responsible for planning and delivering health care services within their geographic areas: 1. Interior Health Authority 2. Fraser Health Authority 3. Vancouver Coastal Health Authority 4. Vancouver Island Health Authority 5. Northern Health Authority Each health authority consists of three or four Health Service Delivery Areas (HSDAs). There are 16 HSDAs in total. The HSDAs are further divided into 89 Local Health Areas (LHAs). B.C. has two other health authorities that are not defined by geographic boundaries. The Provincial Health Services Authority is responsible for governing and administering provincial programs and highly specialized services, such as those delivered by the Children s and Women s Health Centre, the B.C. Cancer Agency and the B.C. Transplant Society. The First Nations Health Authority is responsible for the programs and services formerly managed by Health Canada s First Nations Inuit Health Branch Pacific Region. Only data for the five regional health authorities are reported in this manual. Health authority, HSDA and LHA maps can be found on the following pages. More information on B.C. s health authorities can be found here:

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17 MSP Information Resource Manual 2015/2016 Page 9 Listing of Health Authorities, Health Services Delivery Areas, and Local Health Areas Health Authority Health Service Delivery Area Local Health Area 01 Interior 02 Fraser 11 East Kootenay 12 Kootenay/Boundary 13 Okanagan 14 Thompson Cariboo Shuswap 21 Fraser East 22 Fraser North 23 Fraser South 001 Fernie 002 Cranbrook 003 Kimberley 004 Windermere 005 Creston 018 Golden 006 Kootenay Lake 007 Nelson 009 Castlegar 010 Arrow Lakes 011 Trail 012 Grand Forks 013 Kettle Valley 014 Southern Okanagan 015 Penticton 016 Keremeos 017 Princeton 021 Armstrong-Spallumcheen 022 Vernon 023 Central Okanagan 077 Summerland 078 Enderby 019 Revelstoke 020 Salmon Arm 024 Kamloops Mile House 026 North Thompson 027 Cariboo-Chilcotin 029 Lillooet 030 South Cariboo 031 Merritt 032 Hope 033 Chilliwack 034 Abbotsford 075 Mission 076 Agassiz-Harrison 040 New Westminster 041 Burnaby 042 Maple Ridge 043 Coquitlam 035 Langley 037 Delta 201 Surrey 202 South Surrey/White Rock

18 MSP Information Resource Manual 2015/2016 Page 10 Health Authority Health Service Delivery Area Local Health Area Vancouver Coastal Vancouver Island 05 Northern 31 Richmond 038 Richmond 161 Vancouver-City Centre 162 Vancouver-Downtown Eastside 32 Vancouver 163 Vancouver-North East 164 Vancouver-Westside 165 Vancouver-Midtown 166 Vancouver-South 044 North Vancouver 045 West Vancouver-Bowen Island 046 Sunshine Coast 33 North Shore/Coast Garibaldi 047 Powell River 048 Howe Sound 049 Bella Coola Valley 083 Central Coast 061 Greater Victoria 41 South Vancouver Island 062 Sooke 063 Saanich 064 Gulf Islands 065 Cowichan 066 Lake Cowichan 42 Central Vancouver Island 067 Ladysmith 068 Nanaimo 069 Qualicum 070 Alberni 071 Courtenay 43 North Vancouver Island 072 Campbell River 084 Vancouver Island West 085 Vancouver Island North 050 Queen Charlotte 051 Snow Country 052 Prince Rupert 053 Upper Skeena 51 Northwest 054 Smithers 080 Kitimat 087 Stikine 088 Terrace 092 Nisga'a 094 Telegraph Creek 028 Quesnel 52 Northern Interior 055 Burns Lake 056 Nechako 057 Prince George 059 Peace River South 53 Northeast 060 Peace River North 081 Fort Nelson

19 MSP Information Resource Manual 2015/2016 Page 11 B. Practitioner Data The following tables include statistics on practitioners who provide services insured by MSP. The tables comprise data on expenditure and paid services by specialty, service code and geographic area. The following criteria are applied in addition to those listed in the Methodology section. Practitioner Counts Practitioners are counted only once per fiscal year using the following conditions: Practitioners must be registered with MSP Practitioners must have expenditure total greater than 0 (zero) dollars in the fiscal year Each practitioner is assigned to one LHA using the following logic. Practitioner claims received over the fiscal year are each assigned to LHAs based on the practitioner mailing address for each claim. The practitioner is assigned to the one LHA that is associated with the most payments made in the fiscal year. Practitioners with unknown postal codes or with postal codes that do not map to a LHA are assigned to LHA Unknown, HSDA Unknown or HA Unknown where appropriate Practitioners are assigned one specialty for each fiscal year using their Most Recent Specialty Practitioner Specialty B.C. does not have many practitioners who bill fee-for-service and specialize in Public Health, Occupational Medicine or Osteopathy. They have been grouped with other specialties for the purposes of analytical reporting as follows: Public Health (21) and Occupational Medicine (23) are grouped with General Practice Osteopathy (34) is grouped with Chiropractor (30). Population Population figures are from the PEOPLE 2016 (PEOPLE 41) Estimates and Projections produced by BC Stats. This data can be found online, at the B.C. level and at the sub-provincial level:

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21 MSP Information Resource Manual 2015/2016 Page 13 Table 1-1 Practitioners, Services and Expenditure by Specialty British Columbia, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 5,747 25,170,444 $961,855, Dermatology ,968 $19,831, Neurology ,952 $32,339, Psychiatry 822 1,290,053 $153,813, Obstetrics & Gynaecology ,243 $73,362, Ophthalmology 208 2,625,437 $176,060, Otolaryngology ,041 $38,797, General Surgery ,581 $88,818, Neurosurgery 39 60,414 $14,407, Orthopaedic Surgery ,212 $69,823, Plastic Surgery ,759 $23,968, Cardiac Surgery 27 36,465 $10,740, Urology ,916 $38,376, Paediatrics ,267 $58,607, Internal Medicine ,034 $66,881, Radiology 330 3,458,714 $230,952, Laboratory Medicine 94 37,446,026 $269,312, Anaesthesia 510 3,472,518 $131,320, Paediatric Cardiology 7 30,952 $2,433, Physical Medicine & Rehabilitation ,592 $12,316, Geriatric Medicine 40 56,566 $6,024, Cardiology 153 1,453,249 $98,065, Emergency Medicine ,715 $15,165, Medical Microbiology 13 9,328,057 $72,665, Nuclear Medicine ,506 $31,334, Rheumatology ,860 $13,642, Clinical Immunology & Allergy ,661 $11,653, Medical Genetics 1 1,240 $198, Vascular Surgery 34 80,601 $11,138, Thoracic Surgery 16 21,549 $3,619, Respirology ,263 $28,294, Endocrinology ,315 $18,470, Critical Care Medicine ,991 $22,847, Gastroenterology ,252 $46,599, Nephrology ,142 $28,413, Infectious Diseases ,380 $15,027, Hematology Oncology 44 96,095 $8,643,521 Subtotal: 10,705 93,715,030 $2,905,823,733 Other Health Practitioners 30 - Chiropractors 1, ,093 $7,967, Naturopaths 257 9,146 $210, Physical Therapy 1, ,919 $4,023, Paediatric Dentist 24 5,235 $379, Oral Surgeons 46 29,355 $4,932, Podiatrists ,460 $3,429, Optometrist 705 1,173,083 $48,135, Dental Surgeons 70 14,746 $1,591, Oral Medicine 6 2,379 $290, Orthodontists 61 1,055 $1,038, Massage Practitioner 2,088 52,799 $1,214, Acupuncture ,341 $5,596, Midwives ,635 $30,810,908 Subtotal: 7,410 2,194,246 $109,621,396 Total: 18,115 95,909,276 $3,015,445,129

22 MSP Information Resource Manual 2015/2016 Page 14 Table 1-2 Practitioners, Services and Expenditure by Specialty British Columbia, 2014/2015 Specialty Practitioners Services Expenditure Medical 00 - General Practice 5,596 25,115,476 $951,309, Dermatology ,122 $19,758, Neurology ,943 $30,104, Psychiatry 801 1,235,807 $148,231, Obstetrics & Gynaecology ,347 $73,610, Ophthalmology 211 2,438,296 $164,513, Otolaryngology ,571 $37,539, General Surgery ,367 $88,024, Neurosurgery 38 57,734 $13,988, Orthopaedic Surgery ,628 $68,366, Plastic Surgery ,424 $23,604, Cardiac Surgery 26 33,954 $10,584, Urology ,955 $37,403, Paediatrics ,895 $54,816, Internal Medicine ,348 $63,517, Radiology 323 3,326,959 $220,214, Laboratory Medicine 88 35,780,781 $256,827, Anaesthesia 497 3,441,425 $128,437, Paediatric Cardiology 7 30,136 $2,451, Physical Medicine & Rehabilitation ,646 $12,387, Geriatric Medicine 38 58,498 $6,421, Cardiology 147 1,458,650 $93,424, Emergency Medicine ,164 $12,300, Medical Microbiology 13 8,644,237 $69,748, Nuclear Medicine ,950 $31,119, Rheumatology ,003 $12,568, Clinical Immunology & Allergy ,613 $10,717, Medical Genetics 1 1,270 $185, Vascular Surgery 32 77,717 $10,999, Thoracic Surgery 15 22,181 $3,498, Respirology ,210 $26,643, Endocrinology ,178 $17,303, Critical Care Medicine ,309 $21,252, Gastroenterology ,302 $44,355, Nephrology ,374 $28,562, Infectious Diseases 52 1,104,812 $14,868, Hematology Oncology ,853 $8,874,958 Subtotal: 10,411 90,843,135 $2,818,535,925 Other Health Practitioners 30 - Chiropractors 1, ,928 $8,134, Naturopaths ,083 $231, Physical Therapy 1, ,397 $4,080, Paediatric Dentist 23 5,350 $346, Oral Surgeons 45 30,266 $4,902, Podiatrists ,570 $3,583, Optometrist 683 1,093,736 $45,191, Dental Surgeons 79 14,864 $1,602, Oral Medicine 7 2,353 $437, Orthodontists 60 1,220 $1,128, Massage Practitioner 1,995 54,981 $1,264, Acupuncture ,847 $5,516, Midwives ,930 $28,475,031 Subtotal: 7,140 2,127,525 $104,894,433 Total: 17,551 92,970,660 $2,923,430,358

23 MSP Information Resource Manual 2015/2016 Page 15 Table 1-3 Practitioners, Services and Expenditure by Specialty British Columbia, 2013/2014 Specialty Practitioners Services Expenditure Medical 00 - General Practice 5,453 26,761,251 $958,724, Dermatology ,976 $19,364, Neurology ,211 $31,162, Psychiatry 772 1,174,004 $147,033, Obstetrics & Gynaecology ,603 $71,287, Ophthalmology 209 2,295,102 $154,103, Otolaryngology ,351 $35,087, General Surgery ,539 $85,549, Neurosurgery 38 54,649 $13,408, Orthopaedic Surgery ,424 $66,576, Plastic Surgery ,659 $23,105, Cardiac Surgery 25 37,238 $11,126, Urology ,989 $37,677, Paediatrics ,591 $55,358, Internal Medicine ,107 $58,844, Radiology 309 3,239,909 $213,033, Laboratory Medicine 94 33,589,722 $246,698, Anaesthesia 487 3,320,908 $123,327, Paediatric Cardiology 7 33,164 $2,788, Physical Medicine & Rehabilitation 66 98,841 $11,585, Geriatric Medicine 40 58,477 $6,425, Cardiology 137 1,284,911 $84,947, Emergency Medicine ,571 $11,026, Medical Microbiology 15 6,914,206 $57,165, Nuclear Medicine ,161 $30,765, Rheumatology ,841 $12,855, Clinical Immunology & Allergy ,597 $10,647, Medical Genetics 1 1,285 $171, Vascular Surgery 32 74,009 $10,251, Thoracic Surgery 11 23,110 $2,917, Respirology ,604 $26,321, Endocrinology ,868 $16,128, Critical Care Medicine ,166 $19,873, Gastroenterology ,385 $42,989, Nephrology ,325 $28,440, Infectious Diseases 48 1,455,766 $17,191, Hematology Oncology 43 1,672,468 $20,227,333 Subtotal: 10,119 89,696,988 $2,764,191,968 Other Health Practitioners 30 - Chiropractors 1, ,401 $8,222, Naturopaths 237 9,775 $224, Physical Therapy 1, ,500 $4,151, Paediatric Dentist 24 4,585 $297, Oral Surgeons 41 31,768 $5,231, Podiatrists ,566 $3,638, Optometrist 635 1,030,235 $42,751, Dental Surgeons 76 13,869 $1,440, Oral Medicine 6 2,692 $450, Orthodontists 65 1,206 $1,037, Massage Practitioner 1,882 58,982 $1,356, Acupuncture ,141 $5,499, Midwives ,994 $26,290,266 Subtotal: 6,794 2,076,714 $100,591,967 Total: 16,913 91,773,702 $2,864,783,935

24 MSP Information Resource Manual 2015/2016 Page 16 Table 1-4 Practitioners, Services and Expenditure by Specialty British Columbia, 2012/2013 Specialty Practitioners Services Expenditure Medical 00 - General Practice 5,361 26,876,750 $943,485, Dermatology ,605 $19,338, Neurology ,047 $29,157, Psychiatry 747 1,106,394 $139,458, Obstetrics & Gynaecology ,964 $71,815, Ophthalmology 211 2,117,368 $146,372, Otolaryngology ,809 $33,806, General Surgery ,121 $81,470, Neurosurgery 37 55,189 $13,123, Orthopaedic Surgery ,762 $65,334, Plastic Surgery ,922 $21,139, Cardiac Surgery 26 33,332 $9,842, Urology ,301 $36,858, Paediatrics ,159 $53,530, Internal Medicine ,052 $53,583, Radiology 310 3,133,441 $203,484, Laboratory Medicine ,798,728 $247,174, Anaesthesia 505 3,366,581 $121,567, Paediatric Cardiology 7 29,790 $2,484, Physical Medicine & Rehabilitation 63 91,856 $10,570, Geriatric Medicine 39 55,451 $6,023, Cardiology 134 1,200,819 $79,828, Emergency Medicine ,714 $9,060, Medical Microbiology 15 5,558,791 $46,731, Nuclear Medicine ,572 $34,880, Rheumatology ,196 $12,781, Clinical Immunology & Allergy ,659 $10,311, Medical Genetics 1 1,113 $144, Vascular Surgery 31 69,975 $10,045, Thoracic Surgery 12 23,662 $2,835, Respirology ,915 $25,570, Endocrinology ,412 $15,606, Critical Care Medicine ,404 $17,829, Gastroenterology ,150 $39,759, Nephrology ,806 $27,668, Infectious Diseases ,855 $9,547, Hematology Oncology 40 2,012,003 $22,775,801 Subtotal: 9,947 87,076,668 $2,675,003,546 Other Health Practitioners 30 - Chiropractors 1, ,268 $8,314, Naturopaths ,112 $232, Physical Therapy 1, ,723 $4,271, Paediatric Dentist 24 4,199 $256, Oral Surgeons 42 29,935 $5,007, Podiatrists ,101 $3,696, Optometrist ,573 $40,457, Dental Surgeons 84 13,129 $1,327, Oral Medicine 5 2,340 $365, Orthodontists 62 1,210 $946, Massage Practitioner 1,858 62,173 $1,429, Acupuncture ,315 $5,343, Midwives ,782 $24,080,379 Subtotal: 6,599 2,021,860 $95,730,227 Total: 16,546 89,098,528 $2,770,733,774

25 MSP Information Resource Manual 2015/2016 Page 17 Table 1-5 Practitioners, Services and Expenditure by Specialty British Columbia, 2011/2012 Specialty Practitioners Services Expenditure Medical 00 - General Practice 5,204 26,790,072 $931,946, Dermatology ,016 $19,081, Neurology ,357 $27,063, Psychiatry 717 1,051,803 $127,159, Obstetrics & Gynaecology ,945 $70,519, Ophthalmology 209 2,009,143 $141,083, Otolaryngology ,669 $33,682, General Surgery ,449 $80,685, Neurosurgery 42 65,231 $16,015, Orthopaedic Surgery ,248 $65,961, Plastic Surgery ,322 $19,587, Cardiac Surgery 26 39,801 $9,631, Urology ,921 $36,924, Paediatrics ,042 $49,574, Internal Medicine ,109 $53,545, Radiology 305 3,125,525 $201,878, Laboratory Medicine ,197,219 $241,086, Anaesthesia 484 3,412,871 $120,787, Paediatric Cardiology 6 26,478 $2,199, Physical Medicine & Rehabilitation 59 90,912 $10,379, Geriatric Medicine 37 51,333 $5,117, Cardiology 125 1,150,233 $75,936, Emergency Medicine ,606 $7,353, Medical Microbiology 15 6,164,611 $52,032, Nuclear Medicine ,846 $34,988, Rheumatology ,187 $11,762, Clinical Immunology & Allergy ,487 $9,651, Medical Genetics $82, Vascular Surgery 29 78,947 $11,839, Thoracic Surgery 11 17,267 $3,068, Respirology ,799 $23,964, Endocrinology ,950 $14,058, Critical Care Medicine ,106 $16,272, Gastroenterology ,473 $38,120, Nephrology ,114 $26,315, Infectious Diseases ,911 $9,375, Hematology Oncology 38 1,899,864 $21,208,403 Subtotal: 9,628 85,611,516 $2,619,943,719 Other Health Practitioners 30 - Chiropractors ,999 $8,380, Naturopaths ,701 $246, Physical Therapy 1, ,169 $4,258, Oral Surgeons 38 30,624 $5,178, Podiatrists ,371 $3,895, Optometrist ,392 $39,382, Dental Surgeons ,916 $1,601, Oral Medicine 6 2,163 $340, Orthodontists 68 1,344 $1,008, Massage Practitioner 1,852 69,562 $1,599, Acupuncture ,947 $6,254, Midwives ,160 $21,580,440 Subtotal: 6,460 2,044,348 $93,728,356 Total: 16,088 87,655,864 $2,713,672,075

26 MSP Information Resource Manual 2015/2016 Page 18 Table 2-1 Practitioners, Services and Expenditure by Specialty Health Authority 1 - Interior, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 1,021 4,284,578 $179,273, Dermatology 2 29,641 $875, Neurology 17 36,503 $4,464, Psychiatry ,908 $19,079, Obstetrics & Gynaecology ,471 $11,125, Ophthalmology ,509 $21,817, Otolaryngology 17 96,052 $6,874, General Surgery ,084 $19,375, Neurosurgery 8 13,948 $3,743, Orthopaedic Surgery ,725 $14,758, Plastic Surgery 11 23,377 $2,865, Cardiac Surgery 4 3,453 $1,148, Urology 17 63,425 $6,366, Paediatrics 34 46,012 $8,155, Internal Medicine ,716 $12,249, Radiology ,432 $32,983, Laboratory Medicine 34 6,552,786 $41,984, Anaesthesia ,884 $21,165, Physical Medicine & Rehabilitation 8 20,400 $2,364, Geriatric Medicine $59, Cardiology ,629 $9,203, Emergency Medicine 19 53,751 $4,585, Medical Microbiology $19, Nuclear Medicine 5 60,396 $6,690, Rheumatology 12 25,107 $2,550, Clinical Immunology & Allergy 2 14,464 $1,137, Vascular Surgery 6 18,375 $2,582, Thoracic Surgery 6 6,189 $1,006, Respirology 10 82,214 $3,238, Endocrinology 2 2,929 $561, Critical Care Medicine 10 42,468 $3,773, Gastroenterology 15 55,089 $6,819, Nephrology 14 53,752 $3,636, Infectious Diseases 6 4,231 $389, Hematology Oncology 1 2,315 $215,610 Subtotal: 1,709 13,915,085 $457,143,279 Other Health Practitioners 30 - Chiropractors ,286 $1,777, Naturopaths 43 4,693 $107, Physical Therapy ,794 $616, Paediatric Dentist $33, Oral Surgeons 4 1,906 $446, Podiatrists 8 12,587 $475, Optometrist ,583 $9,922, Dental Surgeons 22 3,444 $268, Orthodontists $110, Massage Practitioner ,276 $351, Acupuncture 63 3,069 $70, Midwives 38 8,001 $4,418,421 Subtotal: 1, ,304 $18,598,674 Total: 2,971 14,313,389 $475,741,953

27 MSP Information Resource Manual 2015/2016 Page 19 Table 2-2 Practitioners, Services and Expenditure by Specialty Health Authority 2 - Fraser, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 1,522 8,383,060 $306,391, Dermatology ,014 $6,767, Neurology 27 71,075 $8,510, Psychiatry ,737 $43,273, Obstetrics & Gynaecology ,266 $21,074, Ophthalmology ,242 $55,878, Otolaryngology ,444 $9,957, General Surgery ,529 $26,240, Neurosurgery 7 16,929 $4,403, Orthopaedic Surgery ,872 $19,880, Plastic Surgery 24 71,628 $7,638, Cardiac Surgery 4 7,038 $2,957, Urology ,567 $11,618, Paediatrics ,887 $17,485, Internal Medicine ,972 $19,445, Radiology ,393 $64,053, Laboratory Medicine 25 16,720,217 $119,108, Anaesthesia ,514 $33,718, Paediatric Cardiology 1 3,914 $308, Physical Medicine & Rehabilitation 11 16,704 $1,967, Geriatric Medicine 13 20,451 $2,196, Cardiology ,448 $32,694, Emergency Medicine 24 81,790 $6,459, Medical Microbiology 6 9,188,416 $69,503, Nuclear Medicine 3 20,715 $4,710, Rheumatology 15 28,615 $2,898, Clinical Immunology & Allergy 8 42,405 $3,277, Vascular Surgery 7 16,852 $2,338, Thoracic Surgery 4 5,124 $807, Respirology ,737 $11,788, Endocrinology 20 61,799 $6,097, Critical Care Medicine 11 25,668 $3,678, Gastroenterology 21 97,807 $12,284, Nephrology ,978 $9,486, Infectious Diseases ,567 $8,492, Hematology Oncology 11 30,034 $2,408,319 Subtotal: 2,662 41,310,408 $959,800,763 Other Health Practitioners 30 - Chiropractors ,158 $2,113, Naturopaths 67 1,828 $42, Physical Therapy ,917 $1,424, Paediatric Dentist $23, Oral Surgeons 15 10,518 $1,647, Podiatrists 21 23,965 $817, Optometrist ,849 $16,584, Dental Surgeons 11 2,094 $231, Oral Medicine $73, Orthodontists $215, Massage Practitioner ,706 $361, Acupuncture ,476 $2,402, Midwives 64 15,209 $8,586,832 Subtotal: 2, ,881 $34,523,807 Total: 4,939 42,035,289 $994,324,570

28 MSP Information Resource Manual 2015/2016 Page 20 Table 2-3 Practitioners, Services and Expenditure by Specialty Health Authority 3 - Vancouver Coastal, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 1,593 6,472,860 $232,769, Dermatology ,357 $9,048, Neurology ,082 $12,507, Psychiatry ,009 $61,309, Obstetrics & Gynaecology ,950 $28,401, Ophthalmology ,424 $63,663, Otolaryngology ,619 $14,585, General Surgery ,132 $21,830, Neurosurgery 13 13,107 $3,163, Orthopaedic Surgery ,412 $16,963, Plastic Surgery 39 58,887 $6,419, Cardiac Surgery 15 15,139 $5,152, Urology ,988 $11,139, Paediatrics ,890 $21,711, Internal Medicine ,481 $18,597, Radiology 137 1,162,756 $80,294, Laboratory Medicine 17 6,036,777 $52,172, Anaesthesia 189 1,117,802 $46,845, Paediatric Cardiology 4 20,107 $1,488, Physical Medicine & Rehabilitation 32 36,662 $4,381, Geriatric Medicine 21 30,909 $3,293, Cardiology ,421 $39,158, Emergency Medicine 36 53,680 $3,569, Medical Microbiology 5 40,123 $1,627, Nuclear Medicine 12 78,904 $11,706, Rheumatology 41 57,787 $5,967, Clinical Immunology & Allergy ,877 $5,667, Vascular Surgery 14 25,643 $3,170, Thoracic Surgery 3 7,238 $704, Respirology ,364 $9,345, Endocrinology 35 86,431 $8,992, Critical Care Medicine 32 80,452 $9,349, Gastroenterology ,930 $18,884, Nephrology ,935 $9,194, Infectious Diseases 32 43,439 $3,173, Hematology Oncology 23 51,020 $4,977,316 Subtotal: 3,695 19,861,594 $851,230,460 Other Health Practitioners 30 - Chiropractors ,160 $1,600, Naturopaths 87 1,004 $23, Physical Therapy ,189 $1,177, Paediatric Dentist 5 3,418 $240, Oral Surgeons 15 6,914 $1,424, Podiatrists 33 45,404 $1,554, Optometrist ,448 $11,372, Dental Surgeons 16 3,382 $427, Oral Medicine 5 1,752 $217, Orthodontists $468, Massage Practitioner ,493 $241, Acupuncture ,412 $2,953, Midwives 88 18,124 $9,932,358 Subtotal: 2, ,144 $31,632,395 Total: 5,882 20,474,738 $882,862,855

29 MSP Information Resource Manual 2015/2016 Page 21 Table 2-4 Practitioners, Services and Expenditure by Specialty Health Authority 4 - Vancouver Island, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 1,219 4,549,690 $174,088, Dermatology 13 88,956 $3,139, Neurology 19 49,252 $6,108, Psychiatry ,503 $25,140, Obstetrics & Gynaecology 34 85,750 $9,817, Ophthalmology ,395 $30,751, Otolaryngology 16 92,518 $6,122, General Surgery ,393 $14,678, Neurosurgery 11 16,430 $3,096, Orthopaedic Surgery ,770 $13,722, Plastic Surgery 20 56,338 $6,241, Cardiac Surgery 3 3,090 $1,245, Urology 16 80,047 $7,942, Paediatrics 50 68,520 $8,955, Internal Medicine ,193 $10,145, Radiology ,707 $39,531, Laboratory Medicine 15 5,978,495 $42,691, Anaesthesia ,513 $24,539, Paediatric Cardiology 2 6,931 $636, Physical Medicine & Rehabilitation 17 30,192 $3,508, Geriatric Medicine 5 4,550 $474, Cardiology ,968 $15,690, Emergency Medicine 13 15,493 $549, Medical Microbiology 1 98,902 $1,514, Nuclear Medicine 6 98,491 $8,227, Rheumatology 10 21,351 $2,226, Clinical Immunology & Allergy 5 35,751 $1,549, Medical Genetics 1 1,240 $198, Vascular Surgery 4 11,109 $1,814, Thoracic Surgery 3 2,998 $1,101, Respirology 11 68,970 $3,054, Endocrinology 12 27,156 $2,818, Critical Care Medicine 19 73,855 $5,377, Gastroenterology 18 60,948 $7,093, Nephrology 15 76,760 $5,009, Infectious Diseases 6 22,020 $1,676, Hematology Oncology 9 12,726 $1,042,276 Subtotal: 2,050 14,249,971 $491,522,997 Other Health Practitioners 30 - Chiropractors ,986 $2,119, Naturopaths 53 1,518 $34, Physical Therapy ,261 $627, Paediatric Dentist $75, Oral Surgeons 11 8,081 $1,162, Podiatrists 15 12,707 $406, Optometrist ,655 $7,862, Dental Surgeons 13 5,495 $640, Orthodontists $158, Massage Practitioner ,481 $241, Acupuncture 133 7,177 $164, Midwives 65 12,560 $6,898,813 Subtotal: 1, ,963 $20,391,654 Total: 3,508 14,612,934 $511,914,651

30 MSP Information Resource Manual 2015/2016 Page 22 Table 2-5 Practitioners, Services and Expenditure by Specialty Health Authority 5 - Northern, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 348 1,440,641 $67,924, Neurology 3 5,410 $657, Psychiatry 20 36,608 $4,970, Obstetrics & Gynaecology 11 22,186 $2,867, Ophthalmology 8 50,867 $3,949, Otolaryngology 3 14,408 $1,257, General Surgery 18 51,324 $6,679, Orthopaedic Surgery 12 25,077 $4,462, Plastic Surgery 2 5,322 $787, Urology 5 11,708 $1,291, Paediatrics 10 13,958 $2,300, Internal Medicine 18 81,696 $6,081, Radiology ,886 $13,552, Laboratory Medicine 3 2,157,751 $13,355, Anaesthesia ,220 $4,784, Cardiology 1 12,834 $1,201, Emergency Medicine 1 1 $ Vascular Surgery 3 8,622 $1,233, Respirology 2 13,234 $581, Critical Care Medicine 1 8,548 $669, Gastroenterology 3 10,053 $1,233, Nephrology 2 15,717 $1,085, Infectious Diseases 3 23,123 $1,295,508 Subtotal: 511 4,295,194 $142,224,283 Other Health Practitioners 30 - Chiropractors 41 15,503 $356, Naturopaths $2, Physical Therapy 55 7,282 $167, Paediatric Dentist $7, Oral Surgeons 1 1,936 $251, Podiatrists 2 6,797 $176, Optometrist 35 54,269 $2,193, Dental Surgeons $23, Orthodontists 6 79 $85, Massage Practitioner $19, Acupuncture $4, Midwives 8 1,741 $974,483 Subtotal: ,199 $4,262,928 Total: 732 4,384,393 $146,487,211

31 MSP Information Resource Manual 2015/2016 Page 23 Table 2-6 Practitioners, Services and Expenditure by Specialty Health Authority Unknown, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 44 39,615 $1,408, Neurology $90, Psychiatry $40, Obstetrics & Gynaecology $75, General Surgery $13, Orthopaedic Surgery $35, Plastic Surgery $15, Cardiac Surgery 1 7,745 $237, Urology $17, Internal Medicine 2 2,976 $361, Radiology 3 9,540 $537, Anaesthesia 8 7,585 $266, Physical Medicine & Rehabilitation $94, Cardiology 1 1,949 $116, Clinical Immunology & Allergy $22, Respirology 1 7,744 $285, Gastroenterology 5 2,425 $283,065 Subtotal: 78 82,778 $3,901,952 Other Health Practitioners 32 - Physical Therapy $10, Optometrist 2 5,279 $200,989 Subtotal: 5 5,755 $211,937 Total: 83 88,533 $4,113,888

32 MSP Information Resource Manual 2015/2016 Page 24 Table 3-1 Practitioners, Services and Expenditure by Specialty Health Service Delivery Area 11 - East Kootenay, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice ,823 $18,993, Neurology $15, Psychiatry 4 10,138 $1,369, Obstetrics & Gynaecology 4 8,179 $1,022, Ophthalmology 2 24,009 $1,771, Otolaryngology 3 25,790 $1,700, General Surgery 7 22,427 $2,722, Orthopaedic Surgery 5 15,117 $2,010, Urology 1 3,600 $466, Paediatrics $115, Internal Medicine 4 18,715 $1,004, Radiology 5 55,655 $3,800, Laboratory Medicine 1 564,931 $3,463, Anaesthesia 5 27,293 $1,242, Rheumatology 2 5,534 $363, Gastroenterology 2 1,987 $227, Nephrology $20,777 Subtotal: 180 1,186,906 $40,309,557 Other Health Practitioners 30 - Chiropractors 24 5,222 $120, Naturopaths 2 11 $ Physical Therapy 41 2,021 $46, Optometrist 18 28,171 $1,149, Dental Surgeons $17, Massage Practitioner $17, Acupuncture 5 24 $ Midwives $559,283 Subtotal: ,505 $1,911,249 Total: 317 1,224,411 $42,220,806

33 MSP Information Resource Manual 2015/2016 Page 25 Table 3-2 Practitioners, Services and Expenditure by Specialty Health Service Delivery Area 12 - Kootenay Boundary, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice ,747 $20,425, Neurology 1 3,232 $392, Psychiatry 8 9,001 $1,272, Obstetrics & Gynaecology 5 2,053 $244, Ophthalmology 3 22,350 $1,600, Otolaryngology 1 6,131 $462, General Surgery 6 13,006 $1,972, Orthopaedic Surgery 5 12,015 $1,846, Plastic Surgery 1 2,888 $381, Urology 1 3,237 $364, Paediatrics 3 2,590 $464, Internal Medicine 8 38,816 $2,226, Radiology 5 39,686 $2,777, Laboratory Medicine 1 5 $ Anaesthesia 6 30,737 $1,405, Nuclear Medicine 1 13,360 $1,253, Critical Care Medicine 1 8,544 $172, Nephrology 2 11,115 $717,408 Subtotal: ,513 $37,979,358 Other Health Practitioners 30 - Chiropractors 25 10,947 $251, Naturopaths $3, Physical Therapy 46 3,633 $83, Podiatrists $6, Optometrist 12 27,977 $1,128, Dental Surgeons $16, Orthodontists 1 22 $25, Massage Practitioner 50 2,643 $60, Acupuncture $18, Midwives 9 1,448 $813,218 Subtotal: ,156 $2,407,965 Total: ,669 $40,387,323

34 MSP Information Resource Manual 2015/2016 Page 26 Table 3-3 Practitioners, Services and Expenditure by Specialty Health Service Delivery Area 13 - Okanagan, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 484 2,244,202 $90,151, Dermatology 2 29,641 $875, Neurology 11 19,333 $2,421, Psychiatry 43 84,304 $10,371, Obstetrics & Gynaecology 23 62,752 $6,262, Ophthalmology ,661 $13,373, Otolaryngology 10 52,713 $3,789, General Surgery 20 64,538 $8,324, Neurosurgery 3 6,893 $1,978, Orthopaedic Surgery 22 54,527 $7,706, Plastic Surgery 7 10,528 $1,340, Cardiac Surgery 4 3,453 $1,148, Urology 10 38,364 $3,602, Paediatrics 21 28,345 $5,283, Internal Medicine 15 86,912 $5,342, Radiology ,705 $15,903, Laboratory Medicine 24 4,893,212 $31,386, Anaesthesia ,103 $14,458, Physical Medicine & Rehabilitation 6 15,527 $1,865, Cardiology ,936 $8,082, Emergency Medicine 17 50,693 $4,302, Medical Microbiology $19, Nuclear Medicine 4 47,036 $5,436, Rheumatology 7 12,200 $1,361, Clinical Immunology & Allergy 2 14,464 $1,137, Vascular Surgery 4 11,719 $1,645, Thoracic Surgery 6 6,189 $1,006, Respirology 8 55,124 $2,295, Endocrinology 2 2,929 $561, Critical Care Medicine 7 30,133 $3,036, Gastroenterology 10 38,116 $4,770, Nephrology 8 33,078 $2,235, Infectious Diseases 5 2,220 $228, Hematology Oncology 1 2,315 $215,610 Subtotal: 891 9,047,481 $261,924,095 Other Health Practitioners 30 - Chiropractors ,281 $903, Naturopaths 28 4,012 $92, Physical Therapy ,601 $404, Paediatric Dentist $33, Oral Surgeons 3 1,547 $362, Podiatrists 6 10,601 $416, Optometrist ,648 $4,397, Dental Surgeons $28, Orthodontists 5 74 $57, Massage Practitioner 246 7,323 $168, Acupuncture 23 1,388 $31, Midwives 17 4,159 $2,293,265 Subtotal: ,623 $9,191,102 Total: 1,549 9,242,104 $271,115,198

35 MSP Information Resource Manual 2015/2016 Page 27 Table 3-4 Practitioners, Services and Expenditure by Specialty Health Service Delivery Area 14 - Thompson Cariboo Shuswap, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 266 1,188,806 $49,702, Neurology 4 13,816 $1,635, Psychiatry 28 54,465 $6,067, Obstetrics & Gynaecology 13 30,487 $3,596, Ophthalmology 5 74,489 $5,071, Otolaryngology 3 11,418 $921, General Surgery 17 47,113 $6,356, Neurosurgery 5 7,055 $1,764, Orthopaedic Surgery 10 24,066 $3,195, Plastic Surgery 3 9,961 $1,144, Urology 5 18,224 $1,932, Paediatrics 8 14,620 $2,292, Internal Medicine 14 57,273 $3,675, Radiology ,386 $10,502, Laboratory Medicine 8 1,094,638 $7,133, Anaesthesia ,751 $4,058, Physical Medicine & Rehabilitation 2 4,873 $498, Geriatric Medicine $59, Cardiology 2 23,693 $1,120, Emergency Medicine 2 3,058 $283, Rheumatology 3 7,373 $825, Vascular Surgery 2 6,656 $936, Respirology 2 27,090 $943, Critical Care Medicine 2 3,791 $564, Gastroenterology 3 14,986 $1,822, Nephrology 3 9,430 $662, Infectious Diseases 1 2,011 $160,865 Subtotal: 440 3,013,185 $116,930,269 Other Health Practitioners 30 - Chiropractors 50 21,836 $502, Naturopaths $11, Physical Therapy 48 3,539 $81, Oral Surgeons $83, Podiatrists 1 1,769 $52, Optometrist 39 80,787 $3,246, Dental Surgeons 12 2,383 $206, Orthodontists 4 19 $27, Massage Practitioner 109 4,546 $104, Acupuncture $20, Midwives 7 1,408 $752,655 Subtotal: ,020 $5,088,358 Total: 728 3,131,205 $122,018,627

36 MSP Information Resource Manual 2015/2016 Page 28 Table 3-5 Practitioners, Services and Expenditure by Specialty Health Service Delivery Area 21 - Fraser East, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 292 1,715,450 $66,679, Neurology 4 12,466 $1,511, Psychiatry 24 64,707 $7,860, Obstetrics & Gynaecology 13 56,123 $5,481, Ophthalmology 6 134,493 $9,165, Otolaryngology 4 36,662 $2,450, General Surgery 10 33,593 $4,143, Orthopaedic Surgery 13 29,987 $3,506, Plastic Surgery 3 12,879 $1,054, Urology 6 24,419 $2,287, Paediatrics 12 29,740 $3,638, Internal Medicine 14 76,464 $5,803, Radiology ,293 $15,332, Laboratory Medicine 5 2,411,371 $15,837, Anaesthesia ,492 $5,316, Geriatric Medicine 2 7,191 $738, Cardiology 3 42,951 $3,391, Emergency Medicine 2 4,836 $420, Nuclear Medicine 1 8,399 $1,812, Rheumatology 2 2,433 $277, Vascular Surgery 1 3,860 $514, Respirology 4 42,801 $1,842, Endocrinology 3 7,826 $1,046, Critical Care Medicine 3 1,991 $316, Gastroenterology 3 17,948 $1,945, Nephrology 5 34,000 $2,347, Infectious Diseases 2 7,291 $710,974 Subtotal: 476 5,252,666 $165,433,229 Other Health Practitioners 30 - Chiropractors 60 24,989 $574, Naturopaths $7, Physical Therapy 89 11,298 $259, Paediatric Dentist 1 84 $4, Oral Surgeons 4 2,546 $369, Podiatrists 2 2,879 $89, Optometrist 32 60,950 $2,467, Dental Surgeons 2 35 $4, Orthodontists 7 58 $54, Massage Practitioner 86 3,567 $82, Acupuncture 15 2,181 $50, Midwives 21 4,478 $2,562,400 Subtotal: ,386 $6,526,775 Total: 800 5,366,052 $171,960,004

37 MSP Information Resource Manual 2015/2016 Page 29 Table 3-6 Practitioners, Services and Expenditure by Specialty Health Service Delivery Area 22 - Fraser North, 2015/2016 Specialty Practitioners Services Expenditure Medical 00 - General Practice 571 2,845,475 $101,470, Dermatology 9 95,100 $3,577, Neurology 14 37,730 $4,496, Psychiatry ,265 $15,826, Obstetrics & Gynaecology 23 84,330 $7,809, Ophthalmology ,162 $33,365, Otolaryngology 5 34,964 $2,192, General Surgery 25 92,990 $10,456, Neurosurgery 7 16,929 $4,403, Orthopaedic Surgery 30 68,265 $8,987, Plastic Surgery 10 26,045 $2,945, Cardiac Surgery 4 7,038 $2,957, Urology 8 49,144 $4,334, Paediatrics 18 32,918 $5,169, Internal Medicine 28 68,496 $5,736, Radiology ,276 $23,517, Laboratory Medicine 10 7,752,613 $57,010, Anaesthesia ,539 $15,831, Paediatric Cardiology 1 3,914 $308, Physical Medicine & Rehabilitation 6 6,711 $792, Geriatric Medicine 7 9,304 $887, Cardiology ,266 $19,271, Emergency Medicine 11 21,034 $1,702, Medical Microbiology 3 6,885,217 $50,029, Nuclear Medicine 2 12,316 $2,898, Rheumatology 12 25,004 $2,497, Clinical Immunology & Allergy 4 25,560 $1,812, Vascular Surgery 2 5,895 $914, Thoracic Surgery 3 5,123 $807, Respirology ,851 $4,736, Endocrinology 10 26,726 $2,786, Critical Care Medicine 5 18,686 $2,685, Gastroenterology 11 46,480 $5,714, Nephrology 8 69,014 $4,464, Infectious Diseases 4 6,699 $639, Hematology Oncology 10 29,228 $2,312,672 Subtotal: 1,083 20,173,307 $415,347,974 Other Health Practitioners 30 - Chiropractors ,617 $721, Naturopaths $20, Physical Therapy ,488 $471, Paediatric Dentist $17, Oral Surgeons $107, Podiatrists 9 13,984 $466, Optometrist ,992 $6,882, Dental Surgeons $110, Orthodontists 8 51 $54, Massage Practitioner 287 6,098 $140, Acupuncture ,631 $1,739, Midwives 17 4,381 $2,480,875 Subtotal: 1, ,897 $13,212,312 Total: 2,124 20,487,204 $428,560,286