Evidence map›Paper›PMID 40855967›Full record

ArticleThe Laryngoscope2026

Medicare Reimbursement Trends for Mandibular Fracture Repair, 2000-2024.

Om B Tripathi, Aman M Patel, Christopher C Vanison

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Om B TripathiDepartment of Otolaryngology, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID 0009-0004-3250-1552
Aman M PatelDepartment of Otolaryngology, Rutgers New Jersey Medical School, Newark, New Jersey, USA.ORCID 0000-0003-0794-041X
Christopher C VanisonDepartment of Otolaryngology-Head and Neck Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York, USA.ORCID 0009-0006-3075-5430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMedicare physician fee schedule (MPFS) reimbursement, historically subjected to complex policy changes, has decreased in numerous surgical specialties after inflation adjustments. Outpatient prospective payment system (OPPS) reimbursement has largely been uninvestigated. This study aims to evaluate monetary trends in Medicare physician and hospital outpatient reimbursement rates for mandibular facial fracture repairs from 2000 to 2024.

methodsThe Physician Fee Schedule Tool and Quarterly Addenda Updates provided by the Center for Medicare and Medicaid Services (CMS) were queried for the six most common open mandibular facial fracture procedures. Physician reimbursement rates for facility and non-facility clinical settings, hospital outpatient reimbursement rates, work relative value units (RVUs), and total billed services pertaining to these six procedures were collected and analyzed. Monetary data was adjusted for inflation to reflect 2024 dollars based on the consumer price index (CPI) released by the US Department of Labor's Bureau of Labor Statistics.

resultsAverage facility physician reimbursement, after adjusting for inflation, of the six mandibular fracture procedures from 2000 to 2024 decreased by 24.1%. All procedures continuously billed in non-facility settings exhibited physician reimbursement increases, even after post-inflation adjustments. Hospital outpatient reimbursement, after adjusting for inflation, from 2004 to 2024 increased by 110.6%.

conclusionFacility physician reimbursement for mandibular fractures has declined over the past two decades despite increasing hospital compensation and work RVUs. Future reform should incorporate solutions to address declining facility physician compensation in order to mitigate financial strain on providers and barriers to patient access to care.

Indexed as

Insurance, Health, ReimbursementMandibular FracturesMedicareProspective Payment SystemFee SchedulesHumansUnited Statesfacial fracturesmandibleMedicareotolaryngologyreimbursement

Identifiers

PMID40855967
PMCPMC12793948

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.