Physician Certification Pattern Review

Physician Certification Pattern Review, 2024 Annual Report 9 There were 300,950 medical conditions reported in 285,518 certifications for 216,908 patients by 658 physicians that met the Panel’s request. Medical conditions reported by physicians for 1% or more of patients with qualifying condition (k) certifications were grouped into six categories. Table 7: Number and percentage of patient medical conditions physicians reported as being the “same kind, or class” as qualifying condition (f) PTSD under qualifying condition (k) requirements between July 1, 2022, through June 30, 2023. Medical conditions listed under qualifying condition (k) certifications that do not use (f) PTSD are provided for comparison. Patient medical conditions1 by category using the World Health Organization’s International Statistical Classification of Diseases and Related Health Problems FY 2023 Listed PTSD No PTSD listed Number Percent2 Number Percent2 1. One form of “anxiety” (e.g., generalized anxiety disorder, depression, insomnia, panic attacks, sleep disorders). 205,734 68.4% 2,257 1.3% 2. Two or more forms of “anxiety” as listed. 34,100 11.3% 152 0.1% 3. One or more forms of “anxiety” AND one or more forms of “chronic pain from neuro or muscular degeneration or injury.” 25,344 8.4% 4,424 2.5% 4. Only “chronic pain” or “pain” reported. 10,729 3.6% 33,343 19.0% 5. One or more symptoms, diseases, or disorders for “chronic pain from neuro or muscular degeneration or injury” (e.g., cervical or lumbar pain, degenerative disc/joint disease, muscle spasms, myopathic encephalopathy, restless leg syndrome, rheumatoid/osteoarthritis). 2,855 0.9% 105,368 60.1% 6. Digestive (e.g., abdominal pain, anorexia, loss of appetite, celiac disease, colitis, diabetes, diverticulitis, irritable bowel syndrome, nausea, pancreatitis, vomiting, wasting syndrome) 3,664 1.2% 9,912 5.7% Combined total for medical conditions identified 647 times1 or less: autoimmune, circulatory, genetic, genitourinary, infectious disease, ophthalmological, respiratory, and/or skin and connective tissue. 3,254 1.1% 10,156 5.8% Unable to determine 15,269 5.1% 9,974 5.6% Number of medical conditions: 300,950 175,406 Number of distinct patients: 216,908 118,258 1 Patients may have multiple certifications and one to five medical conditions. 2 Percent of total medical conditions reported.

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