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It is not uncommon for a physician to be performing these procedures in the office; however, we have seen numerous physicians make the decision to perform this service in the hospital because it is simply easier, less of a headache and represents greater reimbursement for them.  As an example, we have a group of vascular surgeon’s in Huntsville, Alabama who transitioned from office-based procedures to a hospital-based vein center and they have seen a 30% increase in their revenue.  Your Physician can earn an additional $280,000 and 5,700 RVU’s per year assuming our conservative proforma.