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CMS-1403-FC
being taken, the kinds and number of small entities the
rule affects, and an explanation of any meaningful options
that achieve the objectives with less significant adverse
economic impact on the small entities.
For purposes of the RFA, physicians, NPPs, and
suppliers including IDTFs are considered small businesses
if they generate revenues of $7 million or less based on
SBA size standards. Approximately 95 percent of physicians
are considered to be small entities. There are about
980,000 physicians, other practitioners, and medical
suppliers that receive Medicare payment under the PFS.
For purposes of the RFA, approximately 85 percent of
suppliers of durable medical equipment, prosthetics,
orthotics and supplies (DMEPOS) are considered small
businesses according to the Small Business Administration’s
(SBA) size standards. We estimate that approximately
66,000 entities bill Medicare for DMEPOS each year. Total
annual estimated Medicare revenues for DMEPOS suppliers are
approximately $10.8 billion in 2007 for which $8.3 billion
was for fee-for-service and $2.5 billion was for managed
care. However the therapeutic shoe, oxygen and oxygen
equipment, and low vision aids provisions in this rule do
not have a significant economic impact on a substantial
number of small entities. In the case of therapeutic
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