Senator Ludwig: The Minister for Health has provided the following answer to the honourable senator's question: Medicare Diagnostic Imaging Services The information on the Medicare benefits paid at in-hospital rates and out‑of‑hospital rates for diagnostic imaging services for 2009-10 and 2010-11 has been provided on the following basis: diagnostic imaging providers have been identified using their Location Specific Practice Number (LSPN); public hospital providers have been identified as diagnostic providers in public hospital facilities, such as radiology, nuclear medicine and radiation oncology departments. It also includes private specialist radiology, nuclear medicine and radiation oncology practices, either co-located with a public hospital or a private hospital co-located with a public hospital. the in-hospital rates represent Medicare benefits paid to private patients in public hospital, diagnostic imaging services provided to public patients are funded through the case-mix funding arrangements agreed by the National Healthcare Agreement with the Commonwealth and States and Territories and do not attract Medicare rebates; Medicare funded diagnostic imaging services provided to private patients in hospital settings attract 75 per cent of the Medical Benefit Schedule (MBS) fee, services provided out-of-hospital attract a MBS fee of 85 per cent of the MBS fee. The table below provides information on: (a) the ten private providers who received the most revenue for each of the broad types of service, including totals for each provider for 2009-10; (b) information on public hospital diagnostic imaging providers as a total figure reflecting diagnostic imaging service provided to private patients in public hospitals; and (c) information on all other providers as a total figure. Medicare Diagnostic Imaging: Financial Year 2009-10 based on date of processing LSPN Total Benefits $ Hospital Benefits $ Non Hospital Benefits $ Top private provider 1 14,588,553 5,123,369 9,465,184 Top private provider 2 11,523,212 1,610,866 9,912,346 Top private provider 3 10,472,221 3,684,368 6,787,852 Top private provider 4 9,889,522 1,141,264 8,748,258 Top private provider 5 9,416,710 3,165,962 6,250,748 Top private provider 6 9,015,120 9,015,120 Top private provider 7 8,627,319 2,032,219 6,595,100 Top private provider 8 8,373,444 1,205,846 7,167,598 Top private provider 9 8,217,296 1,544,217 6,673,079 Top private provider 10 8,099,307 1,608,908 6,490,400 Public Hospital providers 443,447,802 47,966,888 395,480,914 Other providers 1,603,445,696 86,342,338 1,517,103,358 Total 2,145,116,203 155,426,245 1,989,689,958 (1) Location Specific Provider Number is a Diagnostic Imaging practice and may comprise individual or multiple practitioners (2) Benefits paid for Medicare 'fee-for-service' claims (excluding Bulk Bill Incentive payments) Note: Public hospital LSPN's may provide services to private patients The table below provides information on; (a) the ten private providers who received the most revenue for each of the broad types of service, including totals for each provider for 2010-11; (b) information on public hospital diagnostic imaging providers as a total figure reflecting diagnostic imaging services provided to private patients in public hospitals; and (c) information on all other providers as a total figure. Medicare Diagnostic Imaging: Financial Year 2010-11 based on date of processing LSPN Total Benefits $ Hospital Benefits $ Non Hospital Benefits $ Top private provider 1 15,079,645 5,266,425 9,813,219 Top private provider 2 12,724,207 1,747,823 10,976,385 Top private provider 3 10,504,824 4,004,883 6,499,941 Top private provider 4 10,193,418 3,854,208 6,339,209 Top private provider 5 9,496,687 1,062,265 8,434,422 Top private provider 6 9,305,624 9,305,624 Top private provider 7 9,229,967 2,261,166 6,968,801 Top private provider 8 9,214,218 1,941,181 7,273,037 Top private provider 9 8,320,694 1,247,877 7,072,817 Top private provider 10 8,169,653 1,686,553 6,483,100 Public Hospital providers 468,757,861 51,275,511 417,482,350 Other providers 1,719,152,395 92,465,791 1,626,686,605 Total 2,290,149,193 166,813,683 2,123,335,510 (1) Location Specific Provider Number is a Diagnostic Imaging practice and may comprise individual or multiple practitioners (2) Benefits paid for Medicare 'fee-for-service' claims (excluding Bulk Bill Incentive payments) Note: Public hospital LSPN's may provide services to private patients Medicare Pathology Services The information on the Medicare benefits paid at in-hospital rates and out‑of‑hospital rates for pathology services for 2009-10 and 2010-11 has been provided on the following basis: pathology providers have been identified by Approved Pathology Authority (APA), which is an entity that may comprise multiple practitioners and laboratories; 'State or Territory Government or Other Public Body' have been used as a proxy for public hospital pathology providers given the way the data is collected (ie. some State Governments have centralised pathology providers that undertake services for public hospitals); Medicare funded pathology services provided to private patients in hospital settings attract 75 per cent of the Medical Benefit Schedule (MBS) fee, services provided out-of-hospital attract a MBS fee of 85 per cent of the MBS fee. The table below provides information on; (a) the ten private providers who received the most revenue for each of the broad types of service, including totals for each provider for 2009-10; (b) information on public hospital pathology providers as a total figure; and (c) information on all other private providers as a total figure. Medicare Pathology: Financial Year 2009-10 based on date of processing APA Total Benefits $ Hospital Benefits $ Non Hospital Benefits $ Top private provider 1 654,734,880 59,469,552 595,265,329 Top private provider 2 11,211,171 11,211,171 Top private provider 3 540,845,538 24,505,305 516,340,233 Top private provider 4 207,633,164 15,747,006 191,886,158 Top private provider 5 69,705,476 13,058,702 56,646,774 Top private provider 6 25,733,203 258 25,732,946 Top private provider 7 19,133,238 4,260,603 14,872,635 Top private provider 8 14,323,926 4,484,276 9,839,650 Top private provider 9 13,939,068 3,265,808 10,673,260 Top private provider 10 11,946,830 3,243,527 8,703,303 State or Territory Government or Other Public Body 264,359,837 56,772,194 207,587,643 All other private providers 129,887,598 32,629,714 97,257,885 Total 1,963,453,930 217,436,944 1,746,016,986 (1) Approved Pathology Authority is an entity that may comprise multiple practitioners (2) Benefits paid for Medicare 'fee-for-service' claims (excluding Bulk Bill Incentive payments) Note: Public hospital APA's may provide services to private patients The table below provides information on; (a) the ten private providers who received the most revenue for each of the broad types of service, including totals for each provider for 2010-11; (b) information on public pathology providers as a total figure; and (c) information on all other providers as a total figure. Medicare Pathology: Financial Year 2010-11 based on date of processing APA Total Benefits $ Hospital Benefits $ Non Hospital Benefits $ Top private provider 1 676,140,907 72,118,633 604,022,274 Top private provider 2 535,959,277 27,948,005 508,011,272 Top private provider 3 218,253,076 15,598,711 202,654,365 Top private provider 4 70,103,169 12,126,673 57,976,497 Top private provider 5 28,583,902 87 28,583,815 Top private provider 6 18,568,266 4,037,047 14,531,220 Top private provider 7 13,396,877 3,424,629 9,972,248 Top private provider 8 11,280,467 5,617,931 5,662,537 Top private provider 9 11,241,256 2,911,746 8,329,510 Top private provider 10 8,548,805 714,833 7,833,972 State or Territory Government or Other Public Body 280,570,018 62,710,783 217,859,235 All other private providers 139,914,287 35,854,422 104,059,865 Total 2,012,560,308 243,063,500 1,769,496,808 (1) Approved Pathology Authority is an entity that may comprise multiple practitioners (2) Benefits paid for Medicare 'fee-for-service' claims (excluding Bulk Bill Incentive payments) Note: Public hospital APA's may provide services to private patients