And Mr. Kapoor digs himself in deeper:
Integrated Medical received $26.7 million from Medicare for the care of those 601 patients, according to the Journal’s calculations. If Integrated Medical’s urologists hadn’t owned radiation equipment and had referred these patients for radiation treatment outside of their practice, Medicare would have paid them only $2.6 million.
After being presented with the Journal’s data, Dr. Kapoor denied earlier giving a one-in-six estimate, and said he believed Integrated Medical’s utilization rate for IMRT was in “line with what’s practiced in the community.”
Nice work. And I’m not sure I remember seeing the Journal team up with an outside journalism organization for a story, so this is interesting:
The Wall Street Journal, together with the nonprofit Center for Public Integrity, obtained a 5% sample of all Medicare billing, but was unable to form an accurate picture of self-referring urology groups’ treatment patterns from the sample. The Journal subsequently obtained 100% of these groups’ billings from the Department of Health and Human Services for an additional fee. The Journal agreed not to publish billings of individual doctors. Instead, it is restricted to analyzing groups of 10 or more physicians.