Physician Certification Pattern Review

Physician Certification Pattern Review, 2024 Annual Report 23 Table 32: Trends in the total number and percentage of qualifying conditions reported in certifications containing at least one order for smoking. Patients may have more than one qualifying condition per certification. Conditions listed in bold font are the top three qualifying conditions reported by physicians. Qualifying Condition FY 2021 FY 2022 FY 2023 Number Percent1 Number Percent1 Number Percent1 (a) Cancer 51,713 3.5% 59,224 3.5% 65,131 3.4% (b) Epilepsy 17,165 1.2% 15,513 0.9% 17,461 0.9% (c) Glaucoma 11,870 0.8% 14,126 0.8% 15,293 0.8% (d) Positive status for human immunodeficiency virus (HIV) 8,509 0.6% 8,426 0.5% 8,785 0.5% (e) Acquired immune deficiency syndrome (AIDS) 1,825 0.1% 1,651 0.1% 1,653 0.1% (f) Post‐traumatic stress disorder (PTSD) 576,442 39.3% 670,199 40.0% 787,288 40.7% (g) Amyotrophic lateral sclerosis (ALS) 11,423 0.8% 3,559 0.2% 4,508 0.2% (h) Crohn’s disease 27,065 1.8% 31,483 1.9% 31,161 1.6% (i) Parkinson’s disease 6,810 0.5% 5,896 0.4% 6,212 0.3% (j) Multiple sclerosis (MS) 169,059 11.5% 148,922 8.9% 168,759 8.7% (k) Medical conditions of the same kind or class as or comparable to those enumerated in paragraphs (a)‐(j) 389,109 26.5% 485,470 28.9% 569,008 29.4% (l) A terminal condition diagnosed by a physician other than the qualified physician issuing the physician certification 3,100 0.2% 3,043 0.2% 2,641 0.1% (m) Chronic nonmalignant pain 193,155 13.2% 229,990 13.7% 258,082 13.3% Total qualifying conditions reported: Total number of certifications: Total number of patients: (with smoking certifications) 1,467,245 860,291 575,095 1,677,502 1,089,072 728,655 1,935,982 1,266,276 832,636 1 Percent of total qualifying conditions reported.

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