MSP Information Resource Manual Fee-For-Service Payment Statistics

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

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 MOHanalytics@gov.bc.ca How to Cite This Document B.C. Ministry of Health, Health Sector Information, Analysis & Reporting Division. MSP Information Resource Manual 2015/2016. November 2016.

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... 11 1. Total Number of Practitioners, Services and Expenditure by Specialty, B.C. Table 1-1 2015/2016... 13 Table 1-2 2014/2015... 14 Table 1-3 2013/2014... 15 Table 1-4 2012/2013... 16 Table 1-5 2011/2012... 17 2. Total Number of Practitioners, Services and Expenditure by Specialty, by Health Authority, 2015/2016 Table 2-1 1-Interior... 18 Table 2-2 2-Fraser... 19 Table 2-3 3-Vancouver Coastal... 20 Table 2-4 4-Vancouver Island... 21 Table 2-5 5-Northern... 22 Table 2-6 Unknown Health Authority... 23 3. Total Number of Practitioners, Services and Expenditure by Specialty, by Health Service Delivery Area, 2015/2016 Table 3-1 11-East Kootenay... 24 Table 3-2 12-Kootenay Boundary... 25 Table 3-3 13-Okanagan... 26 Table 3-4 14-Thompson/Cariboo... 27 Table 3-5 21-Fraser East... 28 Table 3-6 22-Fraser North... 29 Table 3-7 23-Fraser East... 30 Table 3-8 31-Richmond... 31 Table 3-9 32-Vancouver... 32

MSP Information Resource Manual 2015/2016 Page ii Table 3-10 33-North Shore/Coast Garibaldi... 33 Table 3-11 41-South Vancouver Island... 34 Table 3-12 42-Central Vancouver Island... 35 Table 3-13 43-North Vancouver Island... 36 Table 3-14 51-Northwest... 37 Table 3-15 52-Northern Interior... 38 Table 3-16 53-Northeast... 39 Table 3-17 Unknown Health Service Delivery Area... 40 4. Distribution of Practitioners by Expenditure Range, B.C. Table 4-1 2015/2016... 41 Table 4-2 2014/2015... 42 Table 4-3 2013/2014... 43 Table 4-4 2012/2013... 44 Table 4-5 2011/2012... 45 5. Population, Practitioners, Services and Expenditure, 2015/2016 Table 5-1 Health Authority... 46 Table 5-2 Health Service Delivery Area... 47 Table 5-3 Local Health Area... 48 6. Services and Expenditure by Service Code Table 6-1 2015/2016... 50 Table 6-2 2014/2015... 52 Table 6-3 2013/2014... 54 Table 6-4 2012/2013... 56 Table 6-5 2011/2012... 58 C. REGISTRANT & PATIENT DATA... 61 7. Medical Services Plan Registrants, 2011/2012-2015/2016 Table 7-1 Health Authority and Gender... 63 Table 7-2 Health Service Delivery Area and Gender... 64 Table 7-3 Age Group and Gender... 65 8. Medical Services by Health Authority and Gender, 2011/2012-2015/2016 Table 8-1 Patient Counts... 66 Table 8-2 Services... 67 Table 8-3 Expenditure... 68 9. Medical Services by Health Service Delivery Area and Gender, 2011/2012-2015/2016 Table 9-1 Patient Counts... 69 Table 9-2 Services... 70 Table 9-3 Expenditure... 71

MSP Information Resource Manual 2015/2016 Page iii 10. Medical Services by Age Group and Gender, 2011/2012-2015/2016 Table 10-1 Patient Counts... 72 Table 10-2 Services... 73 Table 10-3 Expenditure... 74 11. Medical Services by Specialty and Gender, 2011/2012-2015/2016 Table 11-1 Patient Counts... 75 Table 11-2 Services... 77 Table 11-3 Expenditure... 79 12. Medical Services by Service Code and Gender, 2011/2012-2015/2016 Table 12-1 Patient Counts... 81 Table 12-2 Services... 82 Table 12-3 Expenditure... 83 13. Other Health Practitioner Services by Health Authority and Gender, 2011/2012-2015/2016 Table 13-1 Patient Counts... 84 Table 13-2 Services... 85 Table 13-3 Expenditure... 86 14. Other Health Practitioner Services by Health Service Delivery Area and Gender, 2011/2012-2015/2016 Table 14-1 Patient Counts... 87 Table 14-2 Services... 88 Table 14-3 Expenditure... 89 15. Other Health Practitioner Services by Age Group and Gender, 2011/2012-2015/2016 Table 15-1 Patient Counts... 90 Table 15-2 Services... 91 Table 15-3 Expenditure... 92 16. Other Health Practitioner Services by Specialty and Gender, 2011/2012-2015/2016 Table 16-1 Patient Counts... 93 Table 16-2 Services... 94 Table 16-3 Expenditure... 95 17. Other Health Practitioner Services by Service Code and Gender, 2011/2012-2015/2016 Table 17-1 Patient Counts... 96 Table 17-2 Services... 97 Table 17-3 Expenditure... 98

MSP Information Resource Manual 2015/2016 Page iv D. GENERAL PRACTICE SERVICES COMMITTEE & SPECIALIST SERVICES COMMITTEE INITIATIVES... 99 18. General Practice Services Committee and Specialist Services Committee Initiatives Table 18-1 General Practice Services Committee Initiatives, 2011/2012-2015/2016... 101 Table 18-2 Specialist Services Committee Initiatives, 2015/2016... 102 Table 18-3 Specialist Services Committee Initiatives, 2014/2015... 103 Table 18-4 Specialist Services Committee Initiatives, 2013/2014... 104 Table 18-5 Specialist Services Committee Initiatives, 2012/2013... 105 Table 18-6 Specialist Services Committee Initiatives, 2011/2012... 106 GLOSSARY... 107

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 2011/2012-2015/2016 and the MSP Physician Resource Report 2006/2007-2015/2016. All three reports can be found online at this address under Fee-for-Service Payment Statistics: http://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/msp/publications. Questions, comments or suggestions regarding this report may be directed to MOHanalytics@gov.bc.ca.

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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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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 2011/2012-2015/2016 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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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: http://www2.gov.bc.ca/gov/content/health/about-bc-s-health-care-system/partners/healthauthorities.

MSP Information Resource Manual 2015/2016 Page 6

MSP Information Resource Manual 2015/2016 Page 7

MSP Information Resource Manual 2015/2016 Page 8

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 025 100 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

MSP Information Resource Manual 2015/2016 Page 10 Health Authority Health Service Delivery Area Local Health Area 03 04 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

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: http://www.bcstats.gov.bc.ca/statisticsbysubject/demography/populationprojections.aspx

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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 $961,855,040 01 - Dermatology 65 499,968 $19,831,034 02 - Neurology 145 271,952 $32,339,142 03 - Psychiatry 822 1,290,053 $153,813,577 05 - Obstetrics & Gynaecology 262 746,243 $73,362,987 06 - Ophthalmology 208 2,625,437 $176,060,501 07 - Otolaryngology 97 587,041 $38,797,050 08 - General Surgery 249 730,581 $88,818,432 09 - Neurosurgery 39 60,414 $14,407,075 10 - Orthopaedic Surgery 253 531,212 $69,823,752 11 - Plastic Surgery 97 215,759 $23,968,916 12 - Cardiac Surgery 27 36,465 $10,740,973 13 - Urology 98 393,916 $38,376,086 14 - Paediatrics 280 407,267 $58,607,907 15 - Internal Medicine 306 924,034 $66,881,655 16 - Radiology 330 3,458,714 $230,952,736 17 - Laboratory Medicine 94 37,446,026 $269,312,589 18 - Anaesthesia 510 3,472,518 $131,320,722 19 - Paediatric Cardiology 7 30,952 $2,433,693 20 - Physical Medicine & Rehabilitation 69 104,592 $12,316,229 24 - Geriatric Medicine 40 56,566 $6,024,010 26 - Cardiology 153 1,453,249 $98,065,130 28 - Emergency Medicine 93 204,715 $15,165,413 29 - Medical Microbiology 13 9,328,057 $72,665,148 33 - Nuclear Medicine 26 258,506 $31,334,456 44 - Rheumatology 78 132,860 $13,642,892 45 - Clinical Immunology & Allergy 33 220,661 $11,653,051 46 - Medical Genetics 1 1,240 $198,053 47 - Vascular Surgery 34 80,601 $11,138,857 48 - Thoracic Surgery 16 21,549 $3,619,772 49 - Respirology 87 662,263 $28,294,953 51 - Endocrinology 69 178,315 $18,470,597 53 - Critical Care Medicine 73 230,991 $22,847,823 56 - Gastroenterology 96 368,252 $46,599,115 59 - Nephrology 87 431,142 $28,413,112 67 - Infectious Diseases 57 986,380 $15,027,732 74 - Hematology Oncology 44 96,095 $8,643,521 Subtotal: 10,705 93,715,030 $2,905,823,733 Other Health Practitioners 30 - Chiropractors 1,104 331,093 $7,967,813 31 - Naturopaths 257 9,146 $210,354 32 - Physical Therapy 1,838 174,919 $4,023,029 36 - Paediatric Dentist 24 5,235 $379,478 37 - Oral Surgeons 46 29,355 $4,932,431 38 - Podiatrists 79 101,460 $3,429,876 39 - Optometrist 705 1,173,083 $48,135,920 40 - Dental Surgeons 70 14,746 $1,591,971 41 - Oral Medicine 6 2,379 $290,257 42 - Orthodontists 61 1,055 $1,038,485 43 - Massage Practitioner 2,088 52,799 $1,214,311 68 - Acupuncture 869 243,341 $5,596,564 80 - Midwives 263 55,635 $30,810,908 Subtotal: 7,410 2,194,246 $109,621,396 Total: 18,115 95,909,276 $3,015,445,129

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 $951,309,385 01 - Dermatology 69 520,122 $19,758,859 02 - Neurology 136 252,943 $30,104,956 03 - Psychiatry 801 1,235,807 $148,231,684 05 - Obstetrics & Gynaecology 267 744,347 $73,610,634 06 - Ophthalmology 211 2,438,296 $164,513,866 07 - Otolaryngology 97 562,571 $37,539,350 08 - General Surgery 242 736,367 $88,024,845 09 - Neurosurgery 38 57,734 $13,988,312 10 - Orthopaedic Surgery 242 514,628 $68,366,115 11 - Plastic Surgery 94 211,424 $23,604,769 12 - Cardiac Surgery 26 33,954 $10,584,432 13 - Urology 97 385,955 $37,403,203 14 - Paediatrics 261 406,895 $54,816,043 15 - Internal Medicine 290 901,348 $63,517,207 16 - Radiology 323 3,326,959 $220,214,492 17 - Laboratory Medicine 88 35,780,781 $256,827,142 18 - Anaesthesia 497 3,441,425 $128,437,823 19 - Paediatric Cardiology 7 30,136 $2,451,613 20 - Physical Medicine & Rehabilitation 69 102,646 $12,387,168 24 - Geriatric Medicine 38 58,498 $6,421,143 26 - Cardiology 147 1,458,650 $93,424,358 28 - Emergency Medicine 92 174,164 $12,300,957 29 - Medical Microbiology 13 8,644,237 $69,748,587 33 - Nuclear Medicine 26 248,950 $31,119,016 44 - Rheumatology 71 126,003 $12,568,022 45 - Clinical Immunology & Allergy 35 189,613 $10,717,093 46 - Medical Genetics 1 1,270 $185,583 47 - Vascular Surgery 32 77,717 $10,999,591 48 - Thoracic Surgery 15 22,181 $3,498,450 49 - Respirology 82 597,210 $26,643,265 51 - Endocrinology 67 169,178 $17,303,907 53 - Critical Care Medicine 69 212,309 $21,252,025 56 - Gastroenterology 91 354,302 $44,355,124 59 - Nephrology 84 433,374 $28,562,989 67 - Infectious Diseases 52 1,104,812 $14,868,958 74 - Hematology Oncology 45 170,853 $8,874,958 Subtotal: 10,411 90,843,135 $2,818,535,925 Other Health Practitioners 30 - Chiropractors 1,065 338,928 $8,134,307 31 - Naturopaths 267 10,083 $231,769 32 - Physical Therapy 1,712 177,397 $4,080,091 36 - Paediatric Dentist 23 5,350 $346,615 37 - Oral Surgeons 45 30,266 $4,902,598 38 - Podiatrists 81 106,570 $3,583,406 39 - Optometrist 683 1,093,736 $45,191,275 40 - Dental Surgeons 79 14,864 $1,602,781 41 - Oral Medicine 7 2,353 $437,502 42 - Orthodontists 60 1,220 $1,128,239 43 - Massage Practitioner 1,995 54,981 $1,264,557 68 - Acupuncture 870 239,847 $5,516,262 80 - Midwives 253 51,930 $28,475,031 Subtotal: 7,140 2,127,525 $104,894,433 Total: 17,551 92,970,660 $2,923,430,358

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 $958,724,969 01 - Dermatology 63 512,976 $19,364,057 02 - Neurology 131 248,211 $31,162,687 03 - Psychiatry 772 1,174,004 $147,033,249 05 - Obstetrics & Gynaecology 257 721,603 $71,287,962 06 - Ophthalmology 209 2,295,102 $154,103,577 07 - Otolaryngology 92 526,351 $35,087,924 08 - General Surgery 236 734,539 $85,549,447 09 - Neurosurgery 38 54,649 $13,408,590 10 - Orthopaedic Surgery 233 505,424 $66,576,796 11 - Plastic Surgery 90 203,659 $23,105,885 12 - Cardiac Surgery 25 37,238 $11,126,408 13 - Urology 94 392,989 $37,677,970 14 - Paediatrics 264 402,591 $55,358,762 15 - Internal Medicine 277 872,107 $58,844,117 16 - Radiology 309 3,239,909 $213,033,438 17 - Laboratory Medicine 94 33,589,722 $246,698,732 18 - Anaesthesia 487 3,320,908 $123,327,229 19 - Paediatric Cardiology 7 33,164 $2,788,829 20 - Physical Medicine & Rehabilitation 66 98,841 $11,585,858 24 - Geriatric Medicine 40 58,477 $6,425,249 26 - Cardiology 137 1,284,911 $84,947,044 28 - Emergency Medicine 86 169,571 $11,026,998 29 - Medical Microbiology 15 6,914,206 $57,165,653 33 - Nuclear Medicine 28 245,161 $30,765,255 44 - Rheumatology 61 128,841 $12,855,614 45 - Clinical Immunology & Allergy 34 204,597 $10,647,935 46 - Medical Genetics 1 1,285 $171,181 47 - Vascular Surgery 32 74,009 $10,251,128 48 - Thoracic Surgery 11 23,110 $2,917,532 49 - Respirology 82 575,604 $26,321,231 51 - Endocrinology 62 159,868 $16,128,229 53 - Critical Care Medicine 71 210,166 $19,873,676 56 - Gastroenterology 89 355,385 $42,989,573 59 - Nephrology 82 438,325 $28,440,589 67 - Infectious Diseases 48 1,455,766 $17,191,264 74 - Hematology Oncology 43 1,672,468 $20,227,333 Subtotal: 10,119 89,696,988 $2,764,191,968 Other Health Practitioners 30 - Chiropractors 1,027 345,401 $8,222,096 31 - Naturopaths 237 9,775 $224,733 32 - Physical Therapy 1,643 180,500 $4,151,497 36 - Paediatric Dentist 24 4,585 $297,520 37 - Oral Surgeons 41 31,768 $5,231,452 38 - Podiatrists 81 110,566 $3,638,631 39 - Optometrist 635 1,030,235 $42,751,545 40 - Dental Surgeons 76 13,869 $1,440,019 41 - Oral Medicine 6 2,692 $450,528 42 - Orthodontists 65 1,206 $1,037,254 43 - Massage Practitioner 1,882 58,982 $1,356,586 68 - Acupuncture 843 239,141 $5,499,839 80 - Midwives 234 47,994 $26,290,266 Subtotal: 6,794 2,076,714 $100,591,967 Total: 16,913 91,773,702 $2,864,783,935

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 $943,485,604 01 - Dermatology 64 510,605 $19,338,618 02 - Neurology 126 232,047 $29,157,718 03 - Psychiatry 747 1,106,394 $139,458,734 05 - Obstetrics & Gynaecology 254 724,964 $71,815,968 06 - Ophthalmology 211 2,117,368 $146,372,550 07 - Otolaryngology 90 512,809 $33,806,800 08 - General Surgery 227 706,121 $81,470,573 09 - Neurosurgery 37 55,189 $13,123,402 10 - Orthopaedic Surgery 233 491,762 $65,334,972 11 - Plastic Surgery 84 179,922 $21,139,498 12 - Cardiac Surgery 26 33,332 $9,842,845 13 - Urology 93 392,301 $36,858,756 14 - Paediatrics 253 396,159 $53,530,433 15 - Internal Medicine 253 809,052 $53,583,718 16 - Radiology 310 3,133,441 $203,484,016 17 - Laboratory Medicine 113 32,798,728 $247,174,101 18 - Anaesthesia 505 3,366,581 $121,567,782 19 - Paediatric Cardiology 7 29,790 $2,484,546 20 - Physical Medicine & Rehabilitation 63 91,856 $10,570,980 24 - Geriatric Medicine 39 55,451 $6,023,740 26 - Cardiology 134 1,200,819 $79,828,936 28 - Emergency Medicine 86 148,714 $9,060,599 29 - Medical Microbiology 15 5,558,791 $46,731,722 33 - Nuclear Medicine 28 907,572 $34,880,716 44 - Rheumatology 60 130,196 $12,781,443 45 - Clinical Immunology & Allergy 31 181,659 $10,311,656 46 - Medical Genetics 1 1,113 $144,229 47 - Vascular Surgery 31 69,975 $10,045,964 48 - Thoracic Surgery 12 23,662 $2,835,589 49 - Respirology 78 553,915 $25,570,822 51 - Endocrinology 60 158,412 $15,606,769 53 - Critical Care Medicine 66 198,404 $17,829,223 56 - Gastroenterology 82 338,150 $39,759,164 59 - Nephrology 81 433,806 $27,668,364 67 - Infectious Diseases 46 538,855 $9,547,195 74 - Hematology Oncology 40 2,012,003 $22,775,801 Subtotal: 9,947 87,076,668 $2,675,003,546 Other Health Practitioners 30 - Chiropractors 1,009 353,268 $8,314,401 31 - Naturopaths 238 10,112 $232,573 32 - Physical Therapy 1,542 185,723 $4,271,629 36 - Paediatric Dentist 24 4,199 $256,935 37 - Oral Surgeons 42 29,935 $5,007,652 38 - Podiatrists 80 113,101 $3,696,993 39 - Optometrist 619 971,573 $40,457,519 40 - Dental Surgeons 84 13,129 $1,327,811 41 - Oral Medicine 5 2,340 $365,084 42 - Orthodontists 62 1,210 $946,260 43 - Massage Practitioner 1,858 62,173 $1,429,958 68 - Acupuncture 835 232,315 $5,343,032 80 - Midwives 201 42,782 $24,080,379 Subtotal: 6,599 2,021,860 $95,730,227 Total: 16,546 89,098,528 $2,770,733,774

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 $931,946,855 01 - Dermatology 65 539,016 $19,081,954 02 - Neurology 119 234,357 $27,063,600 03 - Psychiatry 717 1,051,803 $127,159,683 05 - Obstetrics & Gynaecology 245 713,945 $70,519,061 06 - Ophthalmology 209 2,009,143 $141,083,613 07 - Otolaryngology 87 518,669 $33,682,390 08 - General Surgery 226 684,449 $80,685,299 09 - Neurosurgery 42 65,231 $16,015,154 10 - Orthopaedic Surgery 238 491,248 $65,961,910 11 - Plastic Surgery 83 162,322 $19,587,195 12 - Cardiac Surgery 26 39,801 $9,631,878 13 - Urology 91 394,921 $36,924,603 14 - Paediatrics 242 396,042 $49,574,745 15 - Internal Medicine 234 827,109 $53,545,102 16 - Radiology 305 3,125,525 $201,878,261 17 - Laboratory Medicine 114 31,197,219 $241,086,644 18 - Anaesthesia 484 3,412,871 $120,787,872 19 - Paediatric Cardiology 6 26,478 $2,199,533 20 - Physical Medicine & Rehabilitation 59 90,912 $10,379,072 24 - Geriatric Medicine 37 51,333 $5,117,147 26 - Cardiology 125 1,150,233 $75,936,755 28 - Emergency Medicine 69 132,606 $7,353,845 29 - Medical Microbiology 15 6,164,611 $52,032,185 33 - Nuclear Medicine 26 909,846 $34,988,653 44 - Rheumatology 54 129,187 $11,762,561 45 - Clinical Immunology & Allergy 29 170,487 $9,651,740 46 - Medical Genetics 1 649 $82,672 47 - Vascular Surgery 29 78,947 $11,839,051 48 - Thoracic Surgery 11 17,267 $3,068,417 49 - Respirology 80 533,799 $23,964,534 51 - Endocrinology 56 152,950 $14,058,588 53 - Critical Care Medicine 59 193,106 $16,272,636 56 - Gastroenterology 82 310,473 $38,120,759 59 - Nephrology 77 416,114 $26,315,967 67 - Infectious Diseases 44 528,911 $9,375,383 74 - Hematology Oncology 38 1,899,864 $21,208,403 Subtotal: 9,628 85,611,516 $2,619,943,719 Other Health Practitioners 30 - Chiropractors 988 358,999 $8,380,148 31 - Naturopaths 240 10,701 $246,114 32 - Physical Therapy 1,475 185,169 $4,258,881 37 - Oral Surgeons 38 30,624 $5,178,948 38 - Podiatrists 81 119,371 $3,895,596 39 - Optometrist 592 940,392 $39,382,660 40 - Dental Surgeons 106 17,916 $1,601,737 41 - Oral Medicine 6 2,163 $340,336 42 - Orthodontists 68 1,344 $1,008,988 43 - Massage Practitioner 1,852 69,562 $1,599,918 68 - Acupuncture 818 271,947 $6,254,591 80 - Midwives 196 36,160 $21,580,440 Subtotal: 6,460 2,044,348 $93,728,356 Total: 16,088 87,655,864 $2,713,672,075

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 $179,273,723 01 - Dermatology 2 29,641 $875,652 02 - Neurology 17 36,503 $4,464,444 03 - Psychiatry 83 157,908 $19,079,946 05 - Obstetrics & Gynaecology 45 103,471 $11,125,729 06 - Ophthalmology 23 311,509 $21,817,025 07 - Otolaryngology 17 96,052 $6,874,411 08 - General Surgery 50 147,084 $19,375,780 09 - Neurosurgery 8 13,948 $3,743,718 10 - Orthopaedic Surgery 42 105,725 $14,758,720 11 - Plastic Surgery 11 23,377 $2,865,901 12 - Cardiac Surgery 4 3,453 $1,148,181 13 - Urology 17 63,425 $6,366,725 14 - Paediatrics 34 46,012 $8,155,468 15 - Internal Medicine 41 201,716 $12,249,483 16 - Radiology 44 508,432 $32,983,640 17 - Laboratory Medicine 34 6,552,786 $41,984,009 18 - Anaesthesia 84 649,884 $21,165,050 20 - Physical Medicine & Rehabilitation 8 20,400 $2,364,329 24 - Geriatric Medicine 1 656 $59,392 26 - Cardiology 14 136,629 $9,203,490 28 - Emergency Medicine 19 53,751 $4,585,897 29 - Medical Microbiology 1 616 $19,654 33 - Nuclear Medicine 5 60,396 $6,690,044 44 - Rheumatology 12 25,107 $2,550,227 45 - Clinical Immunology & Allergy 2 14,464 $1,137,118 47 - Vascular Surgery 6 18,375 $2,582,765 48 - Thoracic Surgery 6 6,189 $1,006,414 49 - Respirology 10 82,214 $3,238,997 51 - Endocrinology 2 2,929 $561,827 53 - Critical Care Medicine 10 42,468 $3,773,720 56 - Gastroenterology 15 55,089 $6,819,825 59 - Nephrology 14 53,752 $3,636,842 67 - Infectious Diseases 6 4,231 $389,524 74 - Hematology Oncology 1 2,315 $215,610 Subtotal: 1,709 13,915,085 $457,143,279 Other Health Practitioners 30 - Chiropractors 209 77,286 $1,777,527 31 - Naturopaths 43 4,693 $107,939 32 - Physical Therapy 290 26,794 $616,262 36 - Paediatric Dentist 2 550 $33,452 37 - Oral Surgeons 4 1,906 $446,277 38 - Podiatrists 8 12,587 $475,605 39 - Optometrist 130 244,583 $9,922,367 40 - Dental Surgeons 22 3,444 $268,643 42 - Orthodontists 10 115 $110,300 43 - Massage Practitioner 443 15,276 $351,323 68 - Acupuncture 63 3,069 $70,558 80 - Midwives 38 8,001 $4,418,421 Subtotal: 1,262 398,304 $18,598,674 Total: 2,971 14,313,389 $475,741,953

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 $306,391,273 01 - Dermatology 16 190,014 $6,767,859 02 - Neurology 27 71,075 $8,510,440 03 - Psychiatry 162 382,737 $43,273,182 05 - Obstetrics & Gynaecology 55 221,266 $21,074,793 06 - Ophthalmology 54 822,242 $55,878,258 07 - Otolaryngology 20 165,444 $9,957,511 08 - General Surgery 62 220,529 $26,240,362 09 - Neurosurgery 7 16,929 $4,403,301 10 - Orthopaedic Surgery 69 172,872 $19,880,531 11 - Plastic Surgery 24 71,628 $7,638,513 12 - Cardiac Surgery 4 7,038 $2,957,847 13 - Urology 24 131,567 $11,618,561 14 - Paediatrics 68 127,887 $17,485,079 15 - Internal Medicine 72 256,972 $19,445,408 16 - Radiology 81 965,393 $64,053,034 17 - Laboratory Medicine 25 16,720,217 $119,108,827 18 - Anaesthesia 116 986,514 $33,718,975 19 - Paediatric Cardiology 1 3,914 $308,440 20 - Physical Medicine & Rehabilitation 11 16,704 $1,967,343 24 - Geriatric Medicine 13 20,451 $2,196,506 26 - Cardiology 42 471,448 $32,694,870 28 - Emergency Medicine 24 81,790 $6,459,452 29 - Medical Microbiology 6 9,188,416 $69,503,001 33 - Nuclear Medicine 3 20,715 $4,710,174 44 - Rheumatology 15 28,615 $2,898,115 45 - Clinical Immunology & Allergy 8 42,405 $3,277,606 47 - Vascular Surgery 7 16,852 $2,338,158 48 - Thoracic Surgery 4 5,124 $807,302 49 - Respirology 26 251,737 $11,788,364 51 - Endocrinology 20 61,799 $6,097,853 53 - Critical Care Medicine 11 25,668 $3,678,180 56 - Gastroenterology 21 97,807 $12,284,400 59 - Nephrology 21 139,978 $9,486,610 67 - Infectious Diseases 10 893,567 $8,492,313 74 - Hematology Oncology 11 30,034 $2,408,319 Subtotal: 2,662 41,310,408 $959,800,763 Other Health Practitioners 30 - Chiropractors 342 86,158 $2,113,984 31 - Naturopaths 67 1,828 $42,040 32 - Physical Therapy 582 61,917 $1,424,067 36 - Paediatric Dentist 7 300 $23,098 37 - Oral Surgeons 15 10,518 $1,647,414 38 - Podiatrists 21 23,965 $817,139 39 - Optometrist 233 401,849 $16,584,491 40 - Dental Surgeons 11 2,094 $231,500 41 - Oral Medicine 1 627 $73,194 42 - Orthodontists 25 234 $215,945 43 - Massage Practitioner 618 15,706 $361,204 68 - Acupuncture 291 104,476 $2,402,900 80 - Midwives 64 15,209 $8,586,832 Subtotal: 2,277 724,881 $34,523,807 Total: 4,939 42,035,289 $994,324,570

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 $232,769,134 01 - Dermatology 34 191,357 $9,048,313 02 - Neurology 77 109,082 $12,507,379 03 - Psychiatry 415 511,009 $61,309,021 05 - Obstetrics & Gynaecology 115 312,950 $28,401,922 06 - Ophthalmology 77 981,424 $63,663,543 07 - Otolaryngology 41 218,619 $14,585,205 08 - General Surgery 81 197,132 $21,830,804 09 - Neurosurgery 13 13,107 $3,163,238 10 - Orthopaedic Surgery 84 121,412 $16,963,557 11 - Plastic Surgery 39 58,887 $6,419,207 12 - Cardiac Surgery 15 15,139 $5,152,366 13 - Urology 35 106,988 $11,139,029 14 - Paediatrics 118 150,890 $21,711,819 15 - Internal Medicine 129 214,481 $18,597,757 16 - Radiology 137 1,162,756 $80,294,281 17 - Laboratory Medicine 17 6,036,777 $52,172,796 18 - Anaesthesia 189 1,117,802 $46,845,845 19 - Paediatric Cardiology 4 20,107 $1,488,613 20 - Physical Medicine & Rehabilitation 32 36,662 $4,381,922 24 - Geriatric Medicine 21 30,909 $3,293,920 26 - Cardiology 73 603,421 $39,158,039 28 - Emergency Medicine 36 53,680 $3,569,974 29 - Medical Microbiology 5 40,123 $1,627,952 33 - Nuclear Medicine 12 78,904 $11,706,984 44 - Rheumatology 41 57,787 $5,967,924 45 - Clinical Immunology & Allergy 17 127,877 $5,667,192 47 - Vascular Surgery 14 25,643 $3,170,513 48 - Thoracic Surgery 3 7,238 $704,238 49 - Respirology 37 238,364 $9,345,825 51 - Endocrinology 35 86,431 $8,992,345 53 - Critical Care Medicine 32 80,452 $9,349,813 56 - Gastroenterology 34 141,930 $18,884,352 59 - Nephrology 35 144,935 $9,194,387 67 - Infectious Diseases 32 43,439 $3,173,937 74 - Hematology Oncology 23 51,020 $4,977,316 Subtotal: 3,695 19,861,594 $851,230,460 Other Health Practitioners 30 - Chiropractors 262 67,160 $1,600,078 31 - Naturopaths 87 1,004 $23,092 32 - Physical Therapy 598 51,189 $1,177,263 36 - Paediatric Dentist 5 3,418 $240,357 37 - Oral Surgeons 15 6,914 $1,424,803 38 - Podiatrists 33 45,404 $1,554,376 39 - Optometrist 177 275,448 $11,372,468 40 - Dental Surgeons 16 3,382 $427,139 41 - Oral Medicine 5 1,752 $217,063 42 - Orthodontists 8 444 $468,670 43 - Massage Practitioner 518 10,493 $241,339 68 - Acupuncture 375 128,412 $2,953,389 80 - Midwives 88 18,124 $9,932,358 Subtotal: 2,187 613,144 $31,632,395 Total: 5,882 20,474,738 $882,862,855

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 $174,088,132 01 - Dermatology 13 88,956 $3,139,210 02 - Neurology 19 49,252 $6,108,892 03 - Psychiatry 141 201,503 $25,140,171 05 - Obstetrics & Gynaecology 34 85,750 $9,817,871 06 - Ophthalmology 46 459,395 $30,751,788 07 - Otolaryngology 16 92,518 $6,122,193 08 - General Surgery 37 114,393 $14,678,171 09 - Neurosurgery 11 16,430 $3,096,818 10 - Orthopaedic Surgery 43 105,770 $13,722,259 11 - Plastic Surgery 20 56,338 $6,241,790 12 - Cardiac Surgery 3 3,090 $1,245,199 13 - Urology 16 80,047 $7,942,731 14 - Paediatrics 50 68,520 $8,955,448 15 - Internal Medicine 44 166,193 $10,145,914 16 - Radiology 48 632,707 $39,531,722 17 - Laboratory Medicine 15 5,978,495 $42,691,847 18 - Anaesthesia 96 604,513 $24,539,307 19 - Paediatric Cardiology 2 6,931 $636,641 20 - Physical Medicine & Rehabilitation 17 30,192 $3,508,541 24 - Geriatric Medicine 5 4,550 $474,191 26 - Cardiology 22 226,968 $15,690,532 28 - Emergency Medicine 13 15,493 $549,988 29 - Medical Microbiology 1 98,902 $1,514,541 33 - Nuclear Medicine 6 98,491 $8,227,255 44 - Rheumatology 10 21,351 $2,226,626 45 - Clinical Immunology & Allergy 5 35,751 $1,549,113 46 - Medical Genetics 1 1,240 $198,053 47 - Vascular Surgery 4 11,109 $1,814,294 48 - Thoracic Surgery 3 2,998 $1,101,818 49 - Respirology 11 68,970 $3,054,482 51 - Endocrinology 12 27,156 $2,818,572 53 - Critical Care Medicine 19 73,855 $5,377,094 56 - Gastroenterology 18 60,948 $7,093,478 59 - Nephrology 15 76,760 $5,009,590 67 - Infectious Diseases 6 22,020 $1,676,450 74 - Hematology Oncology 9 12,726 $1,042,276 Subtotal: 2,050 14,249,971 $491,522,997 Other Health Practitioners 30 - Chiropractors 250 84,986 $2,119,655 31 - Naturopaths 53 1,518 $34,914 32 - Physical Therapy 310 27,261 $627,003 36 - Paediatric Dentist 9 859 $75,044 37 - Oral Surgeons 11 8,081 $1,162,096 38 - Podiatrists 15 12,707 $406,590 39 - Optometrist 128 191,655 $7,862,587 40 - Dental Surgeons 13 5,495 $640,752 42 - Orthodontists 12 183 $158,187 43 - Massage Practitioner 459 10,481 $241,056 68 - Acupuncture 133 7,177 $164,956 80 - Midwives 65 12,560 $6,898,813 Subtotal: 1,458 362,963 $20,391,654 Total: 3,508 14,612,934 $511,914,651

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 $67,924,774 02 - Neurology 3 5,410 $657,431 03 - Psychiatry 20 36,608 $4,970,426 05 - Obstetrics & Gynaecology 11 22,186 $2,867,067 06 - Ophthalmology 8 50,867 $3,949,886 07 - Otolaryngology 3 14,408 $1,257,730 08 - General Surgery 18 51,324 $6,679,964 10 - Orthopaedic Surgery 12 25,077 $4,462,931 11 - Plastic Surgery 2 5,322 $787,559 13 - Urology 5 11,708 $1,291,049 14 - Paediatrics 10 13,958 $2,300,094 15 - Internal Medicine 18 81,696 $6,081,827 16 - Radiology 17 179,886 $13,552,779 17 - Laboratory Medicine 3 2,157,751 $13,355,110 18 - Anaesthesia 17 106,220 $4,784,864 26 - Cardiology 1 12,834 $1,201,786 28 - Emergency Medicine 1 1 $101 47 - Vascular Surgery 3 8,622 $1,233,128 49 - Respirology 2 13,234 $581,575 53 - Critical Care Medicine 1 8,548 $669,016 56 - Gastroenterology 3 10,053 $1,233,994 59 - Nephrology 2 15,717 $1,085,684 67 - Infectious Diseases 3 23,123 $1,295,508 Subtotal: 511 4,295,194 $142,224,283 Other Health Practitioners 30 - Chiropractors 41 15,503 $356,569 31 - Naturopaths 7 103 $2,369 32 - Physical Therapy 55 7,282 $167,486 36 - Paediatric Dentist 1 108 $7,526 37 - Oral Surgeons 1 1,936 $251,842 38 - Podiatrists 2 6,797 $176,165 39 - Optometrist 35 54,269 $2,193,017 40 - Dental Surgeons 8 331 $23,938 42 - Orthodontists 6 79 $85,383 43 - Massage Practitioner 50 843 $19,389 68 - Acupuncture 7 207 $4,761 80 - Midwives 8 1,741 $974,483 Subtotal: 221 89,199 $4,262,928 Total: 732 4,384,393 $146,487,211

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 $1,408,004 02 - Neurology 2 630 $90,556 03 - Psychiatry 1 288 $40,830 05 - Obstetrics & Gynaecology 2 620 $75,606 08 - General Surgery 1 119 $13,351 10 - Orthopaedic Surgery 3 356 $35,754 11 - Plastic Surgery 1 207 $15,946 12 - Cardiac Surgery 1 7,745 $237,380 13 - Urology 1 181 $17,991 15 - Internal Medicine 2 2,976 $361,266 16 - Radiology 3 9,540 $537,281 18 - Anaesthesia 8 7,585 $266,681 20 - Physical Medicine & Rehabilitation 1 634 $94,094 26 - Cardiology 1 1,949 $116,415 45 - Clinical Immunology & Allergy 1 164 $22,023 49 - Respirology 1 7,744 $285,710 56 - Gastroenterology 5 2,425 $283,065 Subtotal: 78 82,778 $3,901,952 Other Health Practitioners 32 - Physical Therapy 3 476 $10,948 39 - Optometrist 2 5,279 $200,989 Subtotal: 5 5,755 $211,937 Total: 83 88,533 $4,113,888

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 131 402,823 $18,993,869 02 - Neurology 1 122 $15,150 03 - Psychiatry 4 10,138 $1,369,031 05 - Obstetrics & Gynaecology 4 8,179 $1,022,356 06 - Ophthalmology 2 24,009 $1,771,880 07 - Otolaryngology 3 25,790 $1,700,789 08 - General Surgery 7 22,427 $2,722,530 10 - Orthopaedic Surgery 5 15,117 $2,010,149 13 - Urology 1 3,600 $466,949 14 - Paediatrics 2 457 $115,144 15 - Internal Medicine 4 18,715 $1,004,272 16 - Radiology 5 55,655 $3,800,436 17 - Laboratory Medicine 1 564,931 $3,463,178 18 - Anaesthesia 5 27,293 $1,242,496 44 - Rheumatology 2 5,534 $363,344 56 - Gastroenterology 2 1,987 $227,207 59 - Nephrology 1 129 $20,777 Subtotal: 180 1,186,906 $40,309,557 Other Health Practitioners 30 - Chiropractors 24 5,222 $120,106 31 - Naturopaths 2 11 $253 32 - Physical Therapy 41 2,021 $46,483 39 - Optometrist 18 28,171 $1,149,721 40 - Dental Surgeons 4 306 $17,280 43 - Massage Practitioner 38 764 $17,572 68 - Acupuncture 5 24 $552 80 - Midwives 5 986 $559,283 Subtotal: 137 37,505 $1,911,249 Total: 317 1,224,411 $42,220,806

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 140 448,747 $20,425,014 02 - Neurology 1 3,232 $392,530 03 - Psychiatry 8 9,001 $1,272,263 05 - Obstetrics & Gynaecology 5 2,053 $244,402 06 - Ophthalmology 3 22,350 $1,600,035 07 - Otolaryngology 1 6,131 $462,973 08 - General Surgery 6 13,006 $1,972,375 10 - Orthopaedic Surgery 5 12,015 $1,846,587 11 - Plastic Surgery 1 2,888 $381,373 13 - Urology 1 3,237 $364,437 14 - Paediatrics 3 2,590 $464,070 15 - Internal Medicine 8 38,816 $2,226,824 16 - Radiology 5 39,686 $2,777,121 17 - Laboratory Medicine 1 5 $471 18 - Anaesthesia 6 30,737 $1,405,502 33 - Nuclear Medicine 1 13,360 $1,253,436 53 - Critical Care Medicine 1 8,544 $172,537 59 - Nephrology 2 11,115 $717,408 Subtotal: 198 667,513 $37,979,358 Other Health Practitioners 30 - Chiropractors 25 10,947 $251,781 31 - Naturopaths 7 167 $3,841 32 - Physical Therapy 46 3,633 $83,559 38 - Podiatrists 1 217 $6,439 39 - Optometrist 12 27,977 $1,128,268 40 - Dental Surgeons 4 316 $16,727 42 - Orthodontists 1 22 $25,265 43 - Massage Practitioner 50 2,643 $60,789 68 - Acupuncture 24 786 $18,078 80 - Midwives 9 1,448 $813,218 Subtotal: 179 48,156 $2,407,965 Total: 377 715,669 $40,387,323

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 $90,151,978 01 - Dermatology 2 29,641 $875,652 02 - Neurology 11 19,333 $2,421,501 03 - Psychiatry 43 84,304 $10,371,067 05 - Obstetrics & Gynaecology 23 62,752 $6,262,252 06 - Ophthalmology 13 190,661 $13,373,930 07 - Otolaryngology 10 52,713 $3,789,324 08 - General Surgery 20 64,538 $8,324,735 09 - Neurosurgery 3 6,893 $1,978,805 10 - Orthopaedic Surgery 22 54,527 $7,706,547 11 - Plastic Surgery 7 10,528 $1,340,221 12 - Cardiac Surgery 4 3,453 $1,148,181 13 - Urology 10 38,364 $3,602,755 14 - Paediatrics 21 28,345 $5,283,616 15 - Internal Medicine 15 86,912 $5,342,710 16 - Radiology 23 250,705 $15,903,131 17 - Laboratory Medicine 24 4,893,212 $31,386,704 18 - Anaesthesia 56 491,103 $14,458,592 20 - Physical Medicine & Rehabilitation 6 15,527 $1,865,466 26 - Cardiology 12 112,936 $8,082,665 28 - Emergency Medicine 17 50,693 $4,302,815 29 - Medical Microbiology 1 616 $19,654 33 - Nuclear Medicine 4 47,036 $5,436,608 44 - Rheumatology 7 12,200 $1,361,111 45 - Clinical Immunology & Allergy 2 14,464 $1,137,118 47 - Vascular Surgery 4 11,719 $1,645,925 48 - Thoracic Surgery 6 6,189 $1,006,414 49 - Respirology 8 55,124 $2,295,914 51 - Endocrinology 2 2,929 $561,827 53 - Critical Care Medicine 7 30,133 $3,036,646 56 - Gastroenterology 10 38,116 $4,770,000 59 - Nephrology 8 33,078 $2,235,961 67 - Infectious Diseases 5 2,220 $228,659 74 - Hematology Oncology 1 2,315 $215,610 Subtotal: 891 9,047,481 $261,924,095 Other Health Practitioners 30 - Chiropractors 110 39,281 $903,463 31 - Naturopaths 28 4,012 $92,276 32 - Physical Therapy 155 17,601 $404,823 36 - Paediatric Dentist 2 550 $33,452 37 - Oral Surgeons 3 1,547 $362,569 38 - Podiatrists 6 10,601 $416,935 39 - Optometrist 61 107,648 $4,397,590 40 - Dental Surgeons 2 439 $28,632 42 - Orthodontists 5 74 $57,798 43 - Massage Practitioner 246 7,323 $168,404 68 - Acupuncture 23 1,388 $31,895 80 - Midwives 17 4,159 $2,293,265 Subtotal: 658 194,623 $9,191,102 Total: 1,549 9,242,104 $271,115,198

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 $49,702,863 02 - Neurology 4 13,816 $1,635,264 03 - Psychiatry 28 54,465 $6,067,585 05 - Obstetrics & Gynaecology 13 30,487 $3,596,719 06 - Ophthalmology 5 74,489 $5,071,180 07 - Otolaryngology 3 11,418 $921,324 08 - General Surgery 17 47,113 $6,356,140 09 - Neurosurgery 5 7,055 $1,764,913 10 - Orthopaedic Surgery 10 24,066 $3,195,437 11 - Plastic Surgery 3 9,961 $1,144,306 13 - Urology 5 18,224 $1,932,583 14 - Paediatrics 8 14,620 $2,292,638 15 - Internal Medicine 14 57,273 $3,675,677 16 - Radiology 11 162,386 $10,502,952 17 - Laboratory Medicine 8 1,094,638 $7,133,656 18 - Anaesthesia 17 100,751 $4,058,460 20 - Physical Medicine & Rehabilitation 2 4,873 $498,863 24 - Geriatric Medicine 1 656 $59,392 26 - Cardiology 2 23,693 $1,120,824 28 - Emergency Medicine 2 3,058 $283,082 44 - Rheumatology 3 7,373 $825,772 47 - Vascular Surgery 2 6,656 $936,840 49 - Respirology 2 27,090 $943,083 53 - Critical Care Medicine 2 3,791 $564,537 56 - Gastroenterology 3 14,986 $1,822,618 59 - Nephrology 3 9,430 $662,696 67 - Infectious Diseases 1 2,011 $160,865 Subtotal: 440 3,013,185 $116,930,269 Other Health Practitioners 30 - Chiropractors 50 21,836 $502,177 31 - Naturopaths 6 503 $11,569 32 - Physical Therapy 48 3,539 $81,397 37 - Oral Surgeons 1 359 $83,708 38 - Podiatrists 1 1,769 $52,231 39 - Optometrist 39 80,787 $3,246,788 40 - Dental Surgeons 12 2,383 $206,005 42 - Orthodontists 4 19 $27,237 43 - Massage Practitioner 109 4,546 $104,558 68 - Acupuncture 11 871 $20,033 80 - Midwives 7 1,408 $752,655 Subtotal: 288 118,020 $5,088,358 Total: 728 3,131,205 $122,018,627

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 $66,679,272 02 - Neurology 4 12,466 $1,511,755 03 - Psychiatry 24 64,707 $7,860,003 05 - Obstetrics & Gynaecology 13 56,123 $5,481,625 06 - Ophthalmology 6 134,493 $9,165,506 07 - Otolaryngology 4 36,662 $2,450,987 08 - General Surgery 10 33,593 $4,143,854 10 - Orthopaedic Surgery 13 29,987 $3,506,343 11 - Plastic Surgery 3 12,879 $1,054,688 13 - Urology 6 24,419 $2,287,809 14 - Paediatrics 12 29,740 $3,638,463 15 - Internal Medicine 14 76,464 $5,803,392 16 - Radiology 21 234,293 $15,332,036 17 - Laboratory Medicine 5 2,411,371 $15,837,675 18 - Anaesthesia 18 198,492 $5,316,068 24 - Geriatric Medicine 2 7,191 $738,244 26 - Cardiology 3 42,951 $3,391,089 28 - Emergency Medicine 2 4,836 $420,158 33 - Nuclear Medicine 1 8,399 $1,812,066 44 - Rheumatology 2 2,433 $277,926 47 - Vascular Surgery 1 3,860 $514,882 49 - Respirology 4 42,801 $1,842,142 51 - Endocrinology 3 7,826 $1,046,798 53 - Critical Care Medicine 3 1,991 $316,316 56 - Gastroenterology 3 17,948 $1,945,303 59 - Nephrology 5 34,000 $2,347,857 67 - Infectious Diseases 2 7,291 $710,974 Subtotal: 476 5,252,666 $165,433,229 Other Health Practitioners 30 - Chiropractors 60 24,989 $574,747 31 - Naturopaths 5 321 $7,383 32 - Physical Therapy 89 11,298 $259,854 36 - Paediatric Dentist 1 84 $4,976 37 - Oral Surgeons 4 2,546 $369,014 38 - Podiatrists 2 2,879 $89,965 39 - Optometrist 32 60,950 $2,467,255 40 - Dental Surgeons 2 35 $4,720 42 - Orthodontists 7 58 $54,256 43 - Massage Practitioner 86 3,567 $82,041 68 - Acupuncture 15 2,181 $50,163 80 - Midwives 21 4,478 $2,562,400 Subtotal: 324 113,386 $6,526,775 Total: 800 5,366,052 $171,960,004

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 $101,470,601 01 - Dermatology 9 95,100 $3,577,020 02 - Neurology 14 37,730 $4,496,577 03 - Psychiatry 71 135,265 $15,826,952 05 - Obstetrics & Gynaecology 23 84,330 $7,809,290 06 - Ophthalmology 31 484,162 $33,365,603 07 - Otolaryngology 5 34,964 $2,192,923 08 - General Surgery 25 92,990 $10,456,675 09 - Neurosurgery 7 16,929 $4,403,301 10 - Orthopaedic Surgery 30 68,265 $8,987,911 11 - Plastic Surgery 10 26,045 $2,945,067 12 - Cardiac Surgery 4 7,038 $2,957,847 13 - Urology 8 49,144 $4,334,903 14 - Paediatrics 18 32,918 $5,169,037 15 - Internal Medicine 28 68,496 $5,736,254 16 - Radiology 32 341,276 $23,517,031 17 - Laboratory Medicine 10 7,752,613 $57,010,604 18 - Anaesthesia 53 444,539 $15,831,897 19 - Paediatric Cardiology 1 3,914 $308,440 20 - Physical Medicine & Rehabilitation 6 6,711 $792,056 24 - Geriatric Medicine 7 9,304 $887,177 26 - Cardiology 23 251,266 $19,271,096 28 - Emergency Medicine 11 21,034 $1,702,353 29 - Medical Microbiology 3 6,885,217 $50,029,174 33 - Nuclear Medicine 2 12,316 $2,898,108 44 - Rheumatology 12 25,004 $2,497,018 45 - Clinical Immunology & Allergy 4 25,560 $1,812,690 47 - Vascular Surgery 2 5,895 $914,399 48 - Thoracic Surgery 3 5,123 $807,162 49 - Respirology 12 107,851 $4,736,998 51 - Endocrinology 10 26,726 $2,786,478 53 - Critical Care Medicine 5 18,686 $2,685,300 56 - Gastroenterology 11 46,480 $5,714,075 59 - Nephrology 8 69,014 $4,464,188 67 - Infectious Diseases 4 6,699 $639,096 74 - Hematology Oncology 10 29,228 $2,312,672 Subtotal: 1,083 20,173,307 $415,347,974 Other Health Practitioners 30 - Chiropractors 134 25,617 $721,541 31 - Naturopaths 33 874 $20,102 32 - Physical Therapy 238 20,488 $471,224 36 - Paediatric Dentist 5 202 $17,303 37 - Oral Surgeons 3 731 $107,884 38 - Podiatrists 9 13,984 $466,100 39 - Optometrist 103 164,992 $6,882,139 40 - Dental Surgeons 4 848 $110,434 42 - Orthodontists 8 51 $54,992 43 - Massage Practitioner 287 6,098 $140,254 68 - Acupuncture 200 75,631 $1,739,465 80 - Midwives 17 4,381 $2,480,875 Subtotal: 1,041 313,897 $13,212,312 Total: 2,124 20,487,204 $428,560,286