Independent data for academic clinical departments
A department chair negotiating a compensation plan, defending a funds flow arrangement, or evaluating a service line's economics has no independent data source. The institution's figures come from the institution.
The problem
Physician compensation in academic settings rests on a comparison between what the institution says it collects for a specialty's work and what a physician's contribution to that revenue is worth. Neither number has traditionally been independently verifiable.
Since 2021, federal regulations require hospitals to publish the rates they have negotiated with commercial payers — for every procedure, every payer, every site of service. Those filings are public. Most institutions have not made them easy to read.
What Junto provides
Junto normalises those filings into queryable rate data. For any procedure a department performs at any covered hospital:
- The commercial rate the institution receives — facility component, referenced against CMS OPPS, the schedule that actually governs outpatient facility payments.
- The professional component where filed, referenced against the Physician Fee Schedule for the applicable specialty.
- Peer distributions across comparable hospitals in the same market.
- The questions those figures support in a compensation or funds-flow conversation — specific, defensible, grounded in the institution's own reported numbers.
The analysis supports the questions a department chair, a faculty representative, or an advisor should be asking. It does not answer those questions by itself — rate data is one input into a negotiation that has many others.
Specialty coverage
Coverage depends on the Medicare mix in each specialty — procedures with low Medicare volume produce benchmarks that are not representative. We publish this table as written, including the specialties where data is limited.
| Specialty | Data strength | Why |
|---|---|---|
| Orthopaedic surgery | Strong | High Medicare mix; all sub-specialty baskets present |
| Cardiology | Strong | High Medicare mix; interventional and EP baskets present |
| Gastroenterology | Strong | High Medicare mix |
| Ophthalmology | Strong | High Medicare mix |
| Urology | Strong | High Medicare mix |
| Neurosurgery / spine | Moderate | Lower Medicare mix; findings require disclosure |
| Sports medicine | Limited | Medicare volume too low for representative benchmarks |
| Obstetrics | Limited | Medicare volume too low for representative benchmarks |
| Pediatrics | Limited | Medicare volume too low for representative benchmarks |
A department chair who sees us decline to claim coverage we lack will trust the coverage we do claim.
How we work with departments
Academic clinical departments rarely have a standalone analytics budget. They do retain advisors for compensation plan work, service line reviews, and funds-flow negotiations.
Junto works as an engagement — analysis, peer benchmarking, and funds-flow context delivered as a report and a structured conversation. The output is information you can bring into an institutional discussion with a clear description of where it comes from and what it does and does not show.
No prices on this page. Scope and structure depend on the department's situation. Use the contact form below.
Full methodology: How the rate data is constructed, what sources are used, and what the numbers mean and do not mean is documented in detail. Read the methodology →
Get in touch
Describe your department's situation — specialty, institution type, the question you're trying to answer. We'll follow up to discuss scope and fit.