The Patient Protection and Affordable Care Act created
the Primary Care Incentive Payment Program (PCIP). For
the years 2011 through 2015, if certain evaluation and
management services represent 60% or more of Medicare
allowable charges, then the provider qualifies for a 10%
bonus calculated on the primary care portion of allowable
charges. Based on analysis of 2009 Medicare claims data,
more than 70% of rural primary care physicians and
non-physician practitioners (NPPs) qualify for payments.
The average incentive payment for qualifying rural
primary care physicians would result in an additional
$8,000 in Medicare patient revenue per year. For
qualifying NPPs, the result is an additional $3,000 in
Medicare patient revenue per year.