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* * * * * (viii) Recalculates benchmark year expenditures to account for the impact of improper payments, for the benchmark year corresponding to a performance year for which CMS issued a revised initial determination under 425.315

We also do not use the PPIS data for reproductive endocrinology and spine surgery since these specialties are not ( separately recognized by Medicare, nor do we have a method to blend the PPIS data with Medicare-recognized specialty data

D.QuinnN.SampsonC.SmithA.WingO.SosaJ.et al (2021)

Those who smoke more than 20 cigarettes per day have a 7cm greater waist circumference, and a 48% higher level of stomach fat, compared to those who smoke less than 20 cigarettes per day (15)