Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18

Response to an Ontario Ministry of Health and Long-Term Care Applied Health Research Question

Prepared By Sue Schultz, Rick Glazier, Erin Graves, Michael Schull and Rinku Sutradhar

Submission Date May 3, 2019

Submitted To Negotiations Branch Negotiations and Accountability Management Division Ontario Ministry of Health and Long-Term Care

ICES Project No. 2018 0866 010 004

Corresponding Authors Dr. Michael Schull ICES 2075 Bayview Avenue, G-Wing Toronto, ON M4N 3M5 Tel: 416-480-4055, ext. 4297 [email protected]

Sue Schultz, Senior Epidemiologist [email protected]

Note: This file replaces the 2017 update which contained results to 2015/16.

Acknowledgement This study was supported by ICES (formerly the Institute for Clinical Evaluative Sciences), which is funded by the Ontario Ministry of Health and Long-Term Care (MOHLTC). The opinions, results and conclusions are those of the authors and are independent from the funding source. No endorsement by ICES or the Ontario MOHLTC is intended or should be inferred.

Study Population All active Ontario physicians.

Time Frame The study reports physician payments for Ontario and by specialty for the years 2005/06 to 2017/18. Although previous reports have included payment estimates for 2000/01 to 2004/05 as well, the data for these years are known to be incomplete. The decision was made to exclude these early years to ensure comparable data across all years with respect to trends over time.

Inclusion/Exclusion Criteria Cohort inclusion criteria Physicians were included if they had an Ontario postal code and payments in at least one of the payment databases held at ICES: OHIP, Architected Payments and GAPP/DSS. Physicians whose total payments for the year were negative (-) were not included in the final totals. Cohort exclusion criteria Out of province physicians, out of country physicians and clinical fellows were excluded from the physician totals. Claims that included dummy physician numbers (e.g., for processing reciprocal medical billings), duplicate claims and technical fees were excluded when estimating payment totals and calculating physician full-time equivalents (FTEs). Physicians were excluded if their total payments from all sources was ≤ 0.

Specialty Groupings For the purpose of calculating FTEs, specialties were grouped as follows: · All pediatric medical subspecialties were aggregated as Pediatric Subspecialties. · GP/FP includes Community Medicine/Public Health and physicians from any other specialty whose functional specialty was GP/FP. FP/Emergency Medicine physicians were only included if their functional specialty was GP/FP; otherwise, they were included with Emergency Medicine. · Medical Genetics and Neonatal-Perinatal Medicine were included with Pediatrics. · Gynecological Oncology was included with Obstetrics & Gynecology (OB/GYN). · Pediatric General Surgery was included with General Surgery. · Medical Biochemistry and Medical Microbiology were combined into Laboratory Medicine. · Hematological Pathology and Neuropathology were included with General Pathology. · Occupational Medicine was included with Internal Medicine. No FTE was calculated for physicians or physician numbers identified as ‘Dummy Number,’ ‘Fellow,’ ‘Out of Country’ or ‘Out of Province.’

Analysis The total payment amount for each physician for each year was calculated by summing payments from all sources. For the purpose of calculating FTEs, specialties with small numbers of physicians (such as Pediatric Subspecialties) were grouped together.

Each physician's specialty during a given year was based on their self-reported specialty, which was then compared with their practice-based specialty.

An FTE was calculated for each physician. This is a relative number that indicates where a physician's total payments fall on the distribution of payments within their specialty using the methodology developed by Health Canada.

For each grouped specialty, the mean total payments per physician and per FTE were calculated. We also calculated the median and percentiles for total payments per physician by specialty.

We also report the total payments to all physicians in the specialty for each year and the breakdown by payment source (i.e., Fee-for-Service (FFS), Academic Health Science Centre (AHSC), Alternate Payment Plan (APP), Emergency Department Alternative Funding Agreement (EDAFA), Primary Care Model, and Other). In accordance with the ICES re-identification risk assessment policy, payment sources were combined into an All Others category where there were payment amounts from one or more sources that were based on fewer than 6 physicians. An empty cell indicates no payments from the source in the year indicated.

For primary care physicians, an additional analysis breaks out their mean payments by primary care model and payment category. An empty cell indicates no payments fell within the category in the year indicated. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 3

Total and mean payments per physician and per FTE Median and percentiles of payments per physician Total payments from all Number of Mean payments Mean payments Specialty Year sources physicians FTEs per physician per FTE 10th percentile 25th percentile 40th percentile Median 60th percentile 75th percentile 90th percentile

All Ontario 2005/06 5,808,590,712.53 23,148 21,839.6 250,932.72 265,965.91 36,559.75 117,858.48 180,245.43 226,495.18 269,766.99 348,773.20 484,848.73 All Ontario 2006/07 6,354,870,838.67 23,380 22,179.4 271,807.99 286,520.73 44,342.52 130,626.31 196,861.29 244,903.57 293,393.00 380,042.26 515,419.94 All Ontario 2007/08 6,754,008,998.89 23,939 22,880.9 282,134.13 295,181.64 45,166.90 133,416.55 206,002.22 250,076.34 302,895.13 391,031.66 535,037.22 All Ontario 2008/09 7,690,648,768.88 24,525 23,528.0 313,584.05 326,872.63 53,159.82 151,331.40 223,619.71 277,697.63 336,530.64 434,956.95 592,467.79 All Ontario 2009/10 8,111,121,575.20 25,354 24,322.2 319,914.87 333,486.38 57,126.10 150,676.44 228,185.06 283,418.42 339,968.65 442,017.09 602,341.82 All Ontario 2010/11 8,583,670,949.66 26,151 25,190.4 328,234.90 340,751.13 52,918.63 153,518.11 233,455.71 290,995.37 348,788.79 454,650.79 620,617.85 All Ontario 2011/12 9,328,553,049.97 27,075 26,042.1 344,544.90 358,210.34 59,697.00 162,446.41 247,020.04 304,093.67 365,556.83 472,120.18 648,522.72 All Ontario 2012/13 9,416,901,100.62 27,725 26,738.6 339,653.78 352,183.44 58,498.67 164,368.87 246,455.09 305,031.99 364,776.20 469,752.99 636,687.53 All Ontario 2013/14 9,804,501,805.90 28,621 27,604.1 342,563.22 355,182.44 59,414.65 164,068.04 246,779.05 305,761.59 366,865.51 471,177.78 642,835.50 All Ontario 2014/15 9,942,545,777.38 29,560 28,521.0 336,351.35 348,604.23 51,851.88 155,574.05 237,196.19 297,475.98 358,945.09 464,243.33 639,294.12 All Ontario 2015/16 10,008,870,419.36 30,211 29,244.4 331,298.88 342,249.13 51,881.46 153,514.75 234,912.90 291,974.80 352,354.44 457,293.51 627,414.88 All Ontario 2016/17 10,203,234,263.64 30,994 30,117.4 329,200.31 338,781.86 56,914.29 154,061.30 232,401.91 289,014.01 347,566.04 452,820.59 622,325.09 All Ontario 2017/18 10,657,944,073.05 32,034 31,148.1 332,707.25 342,169.71 56,677.91 155,054.04 234,141.51 289,363.10 350,350.18 455,528.97 632,917.18

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP EDAFA PC model Other

All Ontario 2005/06 5,808,590,712.53 4,929,152,624.17 87,629,599.14 314,327,576.18 201,458,344.70 238,394,634.72 37,627,933.62 All Ontario 2006/07 6,354,870,838.67 5,155,517,637.86 83,570,842.21 341,850,511.90 230,686,825.17 456,613,608.26 86,631,413.27 All Ontario 2007/08 6,754,008,998.89 5,308,558,005.62 108,284,903.39 410,703,095.24 271,772,726.97 567,656,076.36 87,034,191.32 All Ontario 2008/09 7,690,648,768.88 5,599,781,312.63 319,246,123.74 474,694,891.74 294,169,519.28 860,868,502.83 141,888,418.65 All Ontario 2009/10 8,111,121,575.20 5,814,363,487.80 218,777,923.85 482,096,308.00 303,851,688.00 1,126,451,958.08 165,580,209.47 All Ontario 2010/11 8,583,670,949.66 6,122,438,583.19 205,962,804.54 479,795,174.84 308,504,803.69 1,317,667,697.24 149,301,886.15 All Ontario 2011/12 9,328,553,049.97 6,625,390,303.50 232,564,803.57 538,310,031.25 361,808,307.43 1,376,052,677.55 194,426,926.66 All Ontario 2012/13 9,416,901,100.62 6,438,596,042.83 233,555,108.55 549,329,690.86 378,030,657.29 1,623,294,633.48 194,094,967.61 All Ontario 2013/14 9,804,501,805.90 6,660,795,332.67 246,299,091.55 582,119,638.95 410,041,700.63 1,698,317,877.02 206,928,165.07 All Ontario 2014/15 9,942,545,777.38 6,761,414,766.35 227,430,401.62 629,678,335.16 396,396,098.61 1,776,519,465.87 151,106,709.78 All Ontario 2015/16 10,008,870,419.36 6,797,184,670.39 223,694,656.85 622,455,449.55 414,781,031.32 1,815,998,778.39 134,755,832.86 All Ontario 2016/17 10,203,234,263.64 6,935,107,438.58 221,378,775.41 669,946,082.46 420,275,599.37 1,821,328,041.59 135,198,326.24 All Ontario 2017/18 10,657,944,073.05 7,288,923,946.89 225,002,232.42 713,130,735.35 436,039,134.51 1,856,118,764.58 138,729,259.29 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 4

Total and mean payments per physician and per FTE Median and percentiles of payments per physician Total payments Number of Mean payments Mean payments Specialty Year from all sources physicians FTEs per physician per FTE 10th percentile 25th percentile 40th percentile Median 60th percentile 75th percentile 90th percentile

Anatomical pathology 2005/06 9,488,718.54 211 220.8 44,970.23 42,967.06 280 998 5,063 12,758 29,935 49,008 97,399 Anatomical pathology 2006/07 9,540,915.67 175 194.1 54,519.52 49,150.21 326 2,153 5,199 11,487 31,768 47,473 157,901 Anatomical pathology 2007/08 8,813,146.97 196 253.5 44,965.04 34,772.34 8 892 3,180 6,483 11,496 24,653 94,209 Anatomical pathology 2008/09 11,996,798.13 221 270.5 54,284.15 44,352.33 531 2,930 8,277 13,149 21,440 38,673 110,370 Anatomical pathology 2009/10 16,696,751.64 222 282.7 75,210.59 59,068.60 823 4,854 12,451 18,636 31,529 86,918 172,948 Anatomical pathology 2010/11 9,866,236.70 234 300.7 42,163.40 32,810.40 841 3,625 6,887 9,239 12,556 23,136 77,361 Anatomical pathology 2011/12 15,594,511.82 242 276.1 64,440.13 56,485.11 560 5,145 11,504 21,640 40,156 73,841 132,954 Anatomical pathology 2012/13 6,465,687.72 189 220.2 34,209.99 29,356.64 735 3,007 7,152 10,365 15,533 22,798 69,168 Anatomical pathology 2013/14 8,406,855.98 211 270.0 39,842.92 31,141.37 781 3,617 7,206 10,220 14,030 27,582 106,111 Anatomical pathology 2014/15 7,273,389.33 192 232.5 37,882.24 31,277.58 779 3,138 7,955 10,448 14,428 23,500 97,460 Anatomical pathology 2015/16 7,366,288.00 192 248.5 38,366.08 29,637.10 990 3,374 6,273 9,684 14,429 24,372 89,132 Anatomical pathology 2016/17 8,064,780.89 185 240.5 43,593.41 33,530.32 1,081 3,429 8,236 11,530 16,240 30,325 123,955 Anatomical pathology 2017/18 7,749,533.05 177 226.0 43,782.67 34,290.52 1,240 3,588 8,325 13,383 18,679 31,891 128,784

Payments overall and by source

Total payments AHSC/APP/ Specialty Year from all sources FFS EDAFA/PC model Other

Anatomical pathology 2005/06 9,488,718.54 7,219,624.09 2,164,172.02 104,922.43 Anatomical pathology 2006/07 9,540,915.67 7,294,606.68 2,236,881.26 9,427.73 Anatomical pathology 2007/08 8,813,146.97 7,411,783.71 1,388,098.17 13,265.09 Anatomical pathology 2008/09 11,996,798.13 7,705,193.18 1,191,710.09 3,099,894.85 Anatomical pathology 2009/10 16,696,751.64 7,942,822.13 1,671,087.33 7,082,842.18 Anatomical pathology 2010/11 9,866,236.70 6,847,211.02 2,474,921.62 544,104.06 Anatomical pathology 2011/12 15,594,511.82 6,889,885.57 2,438,696.72 6,265,929.53 Anatomical pathology 2012/13 6,465,687.72 4,221,323.87 2,230,256.14 14,107.71 Anatomical pathology 2013/14 8,406,855.98 4,704,133.65 3,641,562.40 61,159.93 Anatomical pathology 2014/15 7,273,389.33 4,213,575.54 2,896,022.85 163,790.94 Anatomical pathology 2015/16 7,366,288.00 4,564,183.85 2,614,317.77 187,786.38 Anatomical pathology 2016/17 8,064,780.89 4,650,620.57 3,194,431.90 219,728.41 Anatomical pathology 2017/18 7,749,533.05 4,659,891.43 2,869,871.90 219,769.72

Note: All pathology numbers should be treated with caution due to inconsistent payment information. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 5

Total and mean payments per physician and per FTE Median and percentiles of payments by physician Total payments Number of Mean payments Mean payments Specialty Year from all sources physicians FTEs per physician per FTE 10th percentile 25th percentile 40th percentile Median 60th percentile 75th percentile 90th percentile

Anesthesiology 2005/06 304,513,895.25 1,018 949.3 299,129.56 320,763.71 105,173 202,346 274,375 300,138 331,315 378,741 469,327 Anesthesiology 2006/07 323,926,023.87 1,052 991.7 307,914.47 326,627.98 122,988 211,505 279,986 310,893 338,595 393,970 478,510 Anesthesiology 2007/08 357,091,797.18 1,087 1,021.2 328,511.31 349,682.70 119,300 234,712 301,229 333,361 362,604 410,644 498,448 Anesthesiology 2008/09 439,018,711.13 1,143 1,087.4 384,093.36 403,718.41 172,161 268,203 343,604 387,354 421,102 492,681 591,010 Anesthesiology 2009/10 446,752,071.81 1,176 1,113.9 379,891.22 401,052.99 152,206 266,866 340,101 380,452 418,652 483,382 581,801 Anesthesiology 2010/11 463,209,016.28 1,217 1,143.0 380,615.46 405,258.94 141,948 266,766 346,145 383,756 419,736 486,714 575,042 Anesthesiology 2011/12 506,771,652.00 1,251 1,198.3 405,093.25 422,916.42 175,478 289,232 358,641 401,002 440,183 509,753 614,724 Anesthesiology 2012/13 500,357,033.92 1,271 1,218.9 393,671.94 410,496.44 168,780 281,314 348,560 387,772 428,094 497,979 600,652 Anesthesiology 2013/14 534,097,975.75 1,321 1,265.6 404,313.38 422,018.81 173,354 279,044 357,820 399,752 439,005 511,979 621,511 Anesthesiology 2014/15 528,073,536.12 1,322 1,265.3 399,450.48 417,348.91 170,710 270,376 353,937 393,771 432,735 508,879 623,023 Anesthesiology 2015/16 534,578,226.48 1,348 1,294.3 396,571.38 413,024.21 158,760 273,527 347,823 388,171 432,154 504,208 614,657 Anesthesiology 2016/17 545,665,776.35 1,396 1,326.3 390,878.06 411,417.68 157,533 267,342 345,127 385,522 430,474 498,229 611,864 Anesthesiology 2017/18 568,444,887.93 1,425 1,360.3 398,908.69 417,879.60 160,374 271,139 353,974 394,844 433,053 507,102 624,178

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP EDAFA All others

Anesthesiology 2005/06 304,513,895.25 270,935,117.08 10,565,888.83 21,563,902.99 482,994.69 965,991.67 Anesthesiology 2006/07 323,926,023.87 294,349,094.14 10,465,820.44 17,887,650.19 392,155.57 831,303.53 Anesthesiology 2007/08 357,091,797.18 319,685,643.66 14,113,595.52 21,057,139.99 514,799.15 1,720,618.86 Anesthesiology 2008/09 439,018,711.13 353,394,113.25 49,078,595.40 28,833,642.18 511,555.89 7,200,804.41 Anesthesiology 2009/10 446,752,071.81 372,769,987.36 32,354,096.71 30,765,006.70 742,890.71 10,120,090.33 Anesthesiology 2010/11 463,209,016.28 394,746,557.90 30,230,957.12 29,800,716.61 781,164.58 7,649,620.08 Anesthesiology 2011/12 506,771,652.00 427,375,172.63 34,534,922.49 33,074,255.34 880,623.60 10,906,677.94 Anesthesiology 2012/13 500,357,033.92 418,787,241.93 34,437,228.35 34,194,737.77 564,211.32 12,373,614.55 Anesthesiology 2013/14 534,097,975.75 448,855,969.73 36,277,603.75 35,548,591.20 769,742.33 12,646,068.75 Anesthesiology 2014/15 528,073,536.12 448,049,836.36 34,546,175.16 38,773,646.42 525,478.65 6,178,399.53 Anesthesiology 2015/16 534,578,226.48 455,126,080.32 33,895,671.76 38,203,804.36 988,470.47 6,364,199.57 Anesthesiology 2016/17 545,665,776.35 466,584,710.82 33,643,826.49 38,453,431.20 818,627.23 6,165,180.61 Anesthesiology 2017/18 568,444,887.93 487,034,298.94 33,903,897.93 40,253,705.75 824,499.33 6,428,485.97 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 6

Cardiac and thoracic surgery 2005/06 37,180,110.44 84 76.3 442,620.36 487,277.58 74,436 192,378 348,535 429,383 518,591 682,571 791,527 Cardiac and thoracic surgery 2006/07 37,743,859.86 81 75.5 465,973.58 499,598.05 144,694 258,969 395,141 444,209 525,049 650,655 814,292 Cardiac surgery 2007/08 40,170,132.55 86 81.7 467,094.56 491,499.96 116,224 242,180 380,980 474,933 506,311 651,238 837,700 Cardiac surgery 2008/09 47,148,954.93 94 82.6 501,584.63 570,702.73 90,702 246,350 477,363 527,484 586,477 676,393 892,904 Cardiac surgery 2009/10 45,899,931.56 92 83.8 498,912.30 547,711.70 132,290 286,517 454,913 521,361 563,811 670,320 824,884 Cardiac surgery 2010/11 47,123,259.20 97 86.7 485,806.80 543,231.37 70,706 299,967 446,996 521,801 565,688 625,420 867,186 Cardiac surgery 2011/12 47,960,891.15 95 85.5 504,851.49 560,916.64 113,275 300,306 455,763 531,286 586,874 666,152 874,608 Cardiac surgery 2012/13 49,303,700.94 95 87.0 518,986.33 566,700.75 175,468 320,010 469,412 520,422 602,114 675,504 890,147 Cardiac surgery 2013/14 52,453,799.99 98 90.7 535,242.86 578,128.07 199,504 321,110 433,240 543,865 637,375 722,133 921,393 Cardiac surgery 2014/15 51,078,072.34 100 91.5 510,780.72 557,935.52 150,413 256,947 375,550 525,032 631,484 731,956 898,445 Cardiac surgery 2015/16 51,550,447.54 99 91.4 520,711.59 564,231.18 139,887 303,410 458,050 517,929 593,733 717,683 881,575 Cardiac surgery 2016/17 52,331,403.96 101 93.8 518,132.71 557,752.71 171,291 315,024 440,805 519,177 597,266 732,046 885,542 Cardiac surgery 2017/18 53,721,789.79 104 95.8 516,555.67 560,553.94 135,516 292,624 426,987 532,519 600,204 744,386 860,129

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC All others

Cardiac and thoracic surgery 2005/06 37,180,110.44 34,394,505.15 1,043,865.81 1,741,739.48 Cardiac and thoracic surgery 2006/07 37,743,859.86 34,529,035.85 957,040.69 2,257,783.32 Cardiac surgery 2007/08 40,170,132.55 35,855,461.77 1,388,744.61 2,925,926.18 Cardiac surgery 2008/09 47,148,954.93 38,915,870.72 4,888,695.76 3,344,388.45 Cardiac surgery 2009/10 45,899,931.56 38,933,888.86 3,197,447.08 3,768,595.62 Cardiac surgery 2010/11 47,123,259.20 40,104,049.92 2,950,591.29 4,068,617.99 Cardiac surgery 2011/12 47,960,891.15 40,846,228.98 3,242,200.17 3,872,462.00 Cardiac surgery 2012/13 49,303,700.94 41,456,453.13 3,359,231.27 4,488,016.54 Cardiac surgery 2013/14 52,453,799.99 44,419,447.64 3,350,399.89 4,683,952.47 Cardiac surgery 2014/15 51,078,072.34 43,201,834.79 3,260,363.07 4,615,874.47 Cardiac surgery 2015/16 51,550,447.54 43,717,239.73 3,242,070.40 4,591,137.41 Cardiac surgery 2016/17 52,331,403.96 44,791,642.52 3,108,767.52 4,430,993.92 Cardiac surgery 2017/18 53,721,789.79 45,850,080.47 3,063,098.71 4,808,610.62 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 7

Cardiology 2005/06 213,895,321.16 502 486.6 426,086.30 439,593.22 117,391 253,953 344,729 393,086 456,199 582,454 731,631 Cardiology 2006/07 241,644,062.15 521 513.3 463,808.18 470,733.49 147,380 289,371 380,024 427,211 488,268 621,401 787,979 Cardiology 2007/08 259,688,164.81 529 519.4 490,903.90 499,943.86 150,303 303,309 400,867 450,514 519,293 652,309 828,616 Cardiology 2008/09 298,922,108.50 538 527.5 555,617.30 566,666.68 196,941 352,851 466,432 524,936 591,927 710,887 926,470 Cardiology 2009/10 316,006,354.62 564 564.1 560,294.95 560,147.78 180,656 343,660 452,382 513,564 581,543 736,939 968,935 Cardiology 2010/11 340,670,321.58 583 577.7 584,340.17 589,709.19 176,468 371,786 476,416 531,202 614,114 780,192 967,462 Cardiology 2011/12 368,109,787.18 596 603.3 617,633.87 610,192.52 211,659 386,718 496,863 553,056 626,111 781,539 1,051,820 Cardiology 2012/13 345,290,350.83 606 608.0 569,786.06 567,947.65 192,321 339,141 452,768 510,930 590,640 740,714 971,136 Cardiology 2013/14 362,420,706.17 629 623.7 576,185.54 581,126.54 173,069 355,510 459,869 513,657 602,493 764,275 1,003,831 Cardiology 2014/15 363,923,015.15 633 623.9 574,917.88 583,312.74 137,215 346,631 466,736 526,414 616,309 756,553 991,167 Cardiology 2015/16 350,579,516.34 634 625.7 552,964.54 560,264.80 149,844 327,837 447,922 507,846 574,422 735,862 938,339 Cardiology 2016/17 364,341,329.18 680 664.3 535,796.07 548,460.32 132,786 292,061 424,173 490,641 563,277 716,858 957,492 Cardiology 2017/18 392,929,429.05 693 681.4 566,997.73 576,637.87 146,930 321,654 449,562 521,745 595,258 753,076 985,388

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Cardiology 2005/06 213,895,321.16 204,967,684.24 4,965,231.25 2,586,529.94 1,375,875.73 Cardiology 2006/07 241,644,062.15 232,408,088.21 4,779,124.32 3,810,145.90 646,703.71 Cardiology 2007/08 259,688,164.81 248,703,964.79 6,516,844.51 3,848,015.19 619,340.32 Cardiology 2008/09 298,922,108.50 272,361,024.39 20,302,382.33 5,309,558.13 949,143.65 Cardiology 2009/10 316,006,354.62 296,449,693.56 14,052,185.88 4,847,127.17 657,348.00 Cardiology 2010/11 340,670,321.58 322,349,290.46 13,296,651.37 4,431,683.75 592,696.00 Cardiology 2011/12 368,109,787.18 347,260,057.68 15,157,495.66 5,071,193.94 621,039.90 Cardiology 2012/13 345,290,350.83 324,792,505.26 14,745,334.03 4,928,837.62 823,673.92 Cardiology 2013/14 362,420,706.17 341,101,697.73 15,728,252.30 4,797,001.87 793,754.27 Cardiology 2014/15 363,923,015.15 342,656,646.83 14,902,294.06 5,594,569.75 769,504.51 Cardiology 2015/16 350,579,516.34 328,780,637.20 14,100,450.49 7,414,221.14 284,207.51 Cardiology 2016/17 364,341,329.18 342,861,840.60 13,532,949.75 7,658,799.10 287,739.73 Cardiology 2017/18 392,929,429.05 371,128,554.89 13,527,669.15 8,070,182.31 203,022.69 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 8

Clinical immunology 2005/06 17,561,543.01 62 58.7 283,250.69 298,933.66 61,892 160,600 233,719 256,580 305,583 385,357 483,118 Clinical immunology 2006/07 17,724,045.66 59 56.6 300,407.55 313,017.12 88,283 175,111 240,555 267,271 335,026 422,826 523,124 Clinical immunology 2007/08 18,490,173.82 59 59.3 313,392.78 311,824.18 113,434 184,484 247,554 282,511 325,025 436,284 512,728 Clinical immunology 2008/09 21,606,409.31 61 60.5 354,203.43 357,260.37 125,521 200,429 271,802 328,584 368,803 484,670 571,405 Clinical immunology 2009/10 22,567,363.04 61 59.9 369,956.77 376,700.12 142,101 219,597 296,805 329,430 386,831 490,441 592,834 Clinical immunology 2010/11 23,506,558.18 62 60.1 379,138.04 391,182.29 132,945 200,360 301,628 353,652 404,657 511,806 633,913 Clinical immunology 2011/12 25,314,910.81 63 60.2 401,823.98 420,570.41 131,491 205,271 322,910 372,298 435,505 522,516 684,660 Clinical immunology 2012/13 24,449,074.49 62 59.3 394,339.91 411,978.22 134,459 182,848 303,871 354,751 437,982 526,823 667,024 Clinical immunology 2013/14 25,018,798.09 69 67.8 362,591.28 368,869.08 72,851 176,545 263,176 310,082 382,780 492,246 702,789 Clinical immunology 2014/15 24,410,818.53 64 63.5 381,419.04 384,620.35 105,089 193,273 271,237 321,394 409,254 530,471 732,473 Clinical immunology 2015/16 24,891,803.78 65 65.8 382,950.83 378,284.41 114,565 209,799 262,167 363,017 400,843 512,959 761,976 Clinical immunology 2016/17 28,347,012.08 75 74.7 377,960.16 379,521.99 107,260 181,702 255,585 339,360 406,038 541,990 786,392 Clinical immunology 2017/18 29,518,828.91 74 71.3 398,903.09 414,179.95 115,878 198,717 323,671 375,230 425,456 546,856 756,371

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC All others

Clinical immunology 2005/06 17,561,543.01 16,867,154.35 354,621.20 339,767.46 Clinical immunology 2006/07 17,724,045.66 16,842,408.11 353,660.49 527,977.06 Clinical immunology 2007/08 18,490,173.82 17,374,469.01 519,807.26 595,897.54 Clinical immunology 2008/09 21,606,409.31 19,211,895.03 1,371,202.84 1,023,311.44 Clinical immunology 2009/10 22,567,363.04 20,638,206.15 840,027.12 1,089,129.76 Clinical immunology 2010/11 23,506,558.18 21,620,547.41 769,419.58 1,116,591.19 Clinical immunology 2011/12 25,314,910.81 23,463,884.36 795,873.55 1,055,152.90 Clinical immunology 2012/13 24,449,074.49 22,584,217.44 851,783.73 1,013,073.33 Clinical immunology 2013/14 25,018,798.09 23,098,173.13 866,183.98 1,054,440.98 Clinical immunology 2014/15 24,410,818.53 22,601,769.89 872,375.67 936,672.97 Clinical immunology 2015/16 24,891,803.78 22,731,422.67 861,774.25 1,298,606.86 Clinical immunology 2016/17 28,347,012.08 26,192,671.22 938,755.26 1,215,585.60 Clinical immunology 2017/18 29,518,828.91 27,263,509.95 1,091,723.99 1,163,594.97 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 9

Critical care medicine 2009/10 34,700,686.61 99 96.0 350,511.99 361,525.80 189,608 252,055 315,320 343,736 377,567 420,322 488,961 Critical care medicine 2010/11 39,927,643.05 106 103.4 376,675.88 386,044.49 201,106 297,707 342,781 365,007 397,956 443,077 503,562 Critical care medicine 2011/12 56,955,303.03 139 141.8 409,750.38 401,731.70 228,804 306,259 345,109 379,934 415,837 469,706 608,139 Critical care medicine 2012/13 57,362,192.96 139 140.4 412,677.65 408,640.85 242,450 313,929 361,736 389,785 412,886 469,641 582,902 Critical care medicine 2013/14 69,977,194.33 167 166.4 419,025.12 420,497.39 212,953 334,327 368,336 403,116 431,567 484,589 605,357 Critical care medicine 2014/15 61,358,778.26 142 145.1 432,104.07 422,771.93 235,414 320,157 372,714 396,302 425,127 501,465 617,834 Critical care medicine 2015/16 65,750,035.94 157 159.8 418,790.04 411,405.77 222,717 322,249 364,320 391,029 419,909 472,987 595,524 Critical care medicine 2016/17 66,262,115.53 163 165.6 406,516.05 400,074.89 231,706 311,898 347,433 374,982 408,224 463,463 573,353 Critical care medicine 2017/18 66,025,130.84 161 162.1 410,093.98 407,232.42 204,410 305,056 353,612 379,890 413,177 475,580 578,616

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP EDAFA Other

Critical care medicine 2009/10 34,700,686.61 29,679,736.14 3,255,184.04 1,058,838.90 337,204.05 369,723.48 Critical care medicine 2010/11 39,927,643.05 34,577,115.11 3,065,591.35 1,453,384.10 436,027.75 395,524.74 Critical care medicine 2011/12 56,955,303.03 48,617,887.51 3,668,171.76 2,633,849.54 1,477,377.95 558,016.27 Critical care medicine 2012/13 57,362,192.96 48,364,158.84 3,744,109.34 3,129,383.15 1,460,141.32 664,400.32 Critical care medicine 2013/14 69,977,194.33 59,881,531.21 3,786,464.22 4,221,067.52 1,435,186.55 652,944.84 Critical care medicine 2014/15 61,358,778.26 50,724,206.16 4,030,761.75 4,975,456.54 1,379,577.15 248,776.66 Critical care medicine 2015/16 65,750,035.94 54,889,567.78 4,001,279.10 5,320,922.04 1,229,462.73 308,804.29 Critical care medicine 2016/17 66,262,115.53 55,232,819.23 3,914,363.58 5,425,447.26 1,336,946.02 352,539.44 Critical care medicine 2017/18 66,025,130.84 55,663,310.25 3,794,099.18 4,955,927.40 1,270,303.35 341,490.65

Note: There were very few physicians whose specialty was critical care medicine prior to 2009/10. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 10

Dermatology 2005/06 53,935,684.46 184 170.7 293,128.72 316,059.72 56,756 176,916 243,816 292,595 337,280 402,527 478,931 Dermatology 2006/07 55,281,635.19 181 171.3 305,423.40 322,759.20 75,090 181,756 254,420 295,997 340,548 417,260 527,265 Dermatology 2007/08 57,324,476.45 192 179.8 298,564.98 318,903.37 51,782 166,760 235,594 280,021 339,882 424,727 508,374 Dermatology 2008/09 66,642,021.17 195 186.4 341,753.95 357,476.27 82,647 181,703 264,076 321,283 376,797 477,545 593,289 Dermatology 2009/10 70,287,377.80 194 191.7 362,306.07 366,656.61 95,397 197,539 259,805 314,836 391,757 486,498 695,275 Dermatology 2010/11 74,320,815.89 205 204.9 362,540.57 362,647.33 91,897 185,257 258,919 326,705 368,810 477,344 677,999 Dermatology 2011/12 80,152,528.49 214 212.1 374,544.53 377,967.27 75,104 195,955 264,103 343,359 401,361 503,538 679,928 Dermatology 2012/13 80,028,763.36 217 207.9 368,796.14 384,920.15 52,883 185,910 272,865 335,264 401,121 491,929 741,395 Dermatology 2013/14 84,351,776.01 219 209.8 385,167.93 402,072.09 79,602 182,698 281,947 338,021 417,209 534,598 776,065 Dermatology 2014/15 83,168,628.72 223 217.0 372,953.49 383,306.08 61,550 172,693 275,297 328,068 387,399 503,385 738,635 Dermatology 2015/16 83,714,252.56 225 220.3 372,063.34 380,030.53 71,090 177,334 273,835 321,164 391,604 499,390 699,335 Dermatology 2016/17 83,375,302.92 227 222.4 367,292.08 374,940.06 78,357 165,575 268,770 321,692 391,464 514,970 694,627 Dermatology 2017/18 85,325,473.02 240 240.3 355,522.80 355,036.69 79,956 159,915 258,375 288,856 355,414 493,185 720,233

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC All others

Dermatology 2005/06 53,935,684.46 52,833,056.48 456,904.21 645,723.77 Dermatology 2006/07 55,281,635.19 54,082,548.43 536,691.11 662,395.65 Dermatology 2007/08 57,324,476.45 55,785,602.82 790,051.27 748,822.36 Dermatology 2008/09 66,642,021.17 62,298,884.42 2,826,992.42 1,516,144.33 Dermatology 2009/10 70,287,377.80 65,919,928.53 1,925,984.24 2,441,465.04 Dermatology 2010/11 74,320,815.89 69,994,580.99 1,929,064.38 2,397,170.52 Dermatology 2011/12 80,152,528.49 74,946,844.59 2,190,117.03 3,015,566.87 Dermatology 2012/13 80,028,763.36 75,519,265.48 2,198,355.38 2,311,142.50 Dermatology 2013/14 84,351,776.01 79,960,516.33 2,034,948.46 2,356,311.22 Dermatology 2014/15 83,168,628.72 78,948,010.17 1,854,552.73 2,366,065.82 Dermatology 2015/16 83,714,252.56 79,684,991.94 1,687,935.07 2,341,325.55 Dermatology 2016/17 83,375,302.92 79,662,001.52 1,520,666.60 2,192,634.79 Dermatology 2017/18 85,325,473.02 80,708,901.06 1,623,627.76 2,992,944.20 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 11

Diagnostic radiology 2005/06 379,216,503.65 877 807.6 432,401.94 469,579.30 81,880 261,489 373,594 434,412 493,560 575,812 736,126 Diagnostic radiology 2006/07 409,536,720.30 900 836.9 455,040.80 489,362.25 90,174 258,820 384,940 442,260 509,341 621,790 791,138 Diagnostic radiology 2007/08 455,244,283.25 922 865.1 493,757.36 526,209.71 111,435 268,150 398,206 481,844 553,880 675,375 849,119 Diagnostic radiology 2008/09 516,297,196.49 947 891.4 545,192.39 579,192.16 139,036 310,805 455,253 530,548 605,445 745,509 919,560 Diagnostic radiology 2009/10 548,557,718.56 968 905.5 566,691.86 605,780.05 135,103 313,714 469,625 558,934 639,959 780,173 953,642 Diagnostic radiology 2010/11 579,722,999.84 993 929.7 583,809.67 623,549.81 126,367 304,562 479,312 562,418 656,787 810,833 1,008,455 Diagnostic radiology 2011/12 619,595,100.67 1,002 947.5 618,358.38 653,919.56 139,105 351,799 507,251 595,700 698,260 840,711 1,038,591 Diagnostic radiology 2012/13 588,835,829.75 1,036 974.0 568,374.35 604,556.25 136,955 324,721 466,914 554,472 635,828 751,807 969,129 Diagnostic radiology 2013/14 625,630,006.31 1,025 989.9 610,370.74 631,982.18 170,371 364,811 505,067 587,703 666,076 816,851 1,016,628 Diagnostic radiology 2014/15 626,852,638.59 1,033 989.2 606,827.34 633,668.50 149,912 346,197 486,310 580,168 669,465 819,673 1,040,625 Diagnostic radiology 2015/16 626,412,150.36 1,056 1,005.6 593,193.32 622,930.96 127,633 345,324 486,522 569,022 645,351 808,703 1,017,406 Diagnostic radiology 2016/17 633,853,758.31 1,067 1,010.6 594,052.26 627,212.99 143,633 342,261 492,365 584,157 652,844 792,312 997,881 Diagnostic radiology 2017/18 676,806,916.63 1,122 1,044.2 603,214.72 648,187.11 138,364 328,643 492,029 589,335 687,385 827,661 1,037,736

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Diagnostic radiology 2005/06 379,216,503.65 373,679,820.39 930,577.15 1,157,494.28 3,448,611.82 Diagnostic radiology 2006/07 409,536,720.30 406,619,470.93 1,368,290.95 1,325,877.94 223,080.48 Diagnostic radiology 2007/08 455,244,283.25 450,702,212.99 1,913,689.23 1,636,246.79 992,134.24 Diagnostic radiology 2008/09 516,297,196.49 499,164,758.86 13,042,897.64 2,879,525.43 1,210,014.56 Diagnostic radiology 2009/10 548,557,718.56 536,003,379.05 8,765,744.48 2,700,905.72 1,087,689.31 Diagnostic radiology 2010/11 579,722,999.84 567,606,460.62 8,402,270.20 2,487,183.07 1,227,085.95 Diagnostic radiology 2011/12 619,595,100.67 605,872,308.32 9,661,794.09 2,426,496.24 1,634,502.02 Diagnostic radiology 2012/13 588,835,829.75 574,366,244.22 10,163,167.91 2,371,556.98 1,934,860.64 Diagnostic radiology 2013/14 625,630,006.31 610,141,308.25 10,428,135.20 2,647,968.47 2,412,594.39 Diagnostic radiology 2014/15 626,852,638.59 612,585,010.80 10,498,632.93 3,049,740.61 719,254.25 Diagnostic radiology 2015/16 626,412,150.36 609,220,623.33 13,010,350.49 3,134,030.14 1,047,146.40 Diagnostic radiology 2016/17 633,853,758.31 617,055,338.05 12,462,778.00 3,336,911.86 998,730.40 Diagnostic radiology 2017/18 676,806,916.63 659,323,502.76 12,967,752.75 3,397,133.15 1,118,527.98 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 12

Emergency medicine 2005/06 115,911,172.77 549 576.0 211,131.46 201,251.69 74,867 116,549 152,038 174,061 200,838 261,428 391,167 Emergency medicine 2006/07 131,640,191.45 576 596.4 228,542.00 220,728.76 89,745 120,974 165,022 196,147 227,484 304,073 435,309 Emergency medicine 2007/08 160,810,683.91 627 657.5 256,476.37 244,592.07 99,192 133,074 186,028 212,098 245,771 330,457 476,508 Emergency medicine 2008/09 205,377,479.42 778 812.5 263,981.34 252,774.44 103,915 138,561 186,890 214,528 259,295 336,290 506,985 Emergency medicine 2009/10 208,215,668.42 801 835.8 259,944.65 249,131.41 95,512 136,213 182,397 209,482 254,597 327,928 515,206 Emergency medicine 2010/11 264,442,626.83 1,028 1,092.5 257,239.91 242,049.31 95,596 136,329 179,029 204,236 241,503 316,397 505,307 Emergency medicine 2011/12 305,596,613.41 1,045 1,110.6 292,436.95 275,166.42 111,374 157,353 203,658 229,642 275,784 369,714 572,271 Emergency medicine 2012/13 311,347,789.97 1,077 1,134.4 289,088.01 274,450.87 110,879 159,058 205,151 237,110 276,528 360,724 550,358 Emergency medicine 2013/14 334,135,844.99 1,116 1,183.4 299,404.88 282,363.51 114,464 163,008 208,696 238,344 285,414 377,232 572,548 Emergency medicine 2014/15 382,153,655.33 1,256 1,354.5 304,262.46 282,130.90 104,188 158,332 199,363 232,518 281,848 387,501 602,297 Emergency medicine 2015/16 393,001,851.56 1,311 1,404.7 299,772.58 279,783.74 94,222 153,964 198,169 231,778 280,442 394,565 576,504 Emergency medicine 2016/17 401,240,001.62 1,344 1,449.4 298,541.67 276,837.63 98,558 151,861 195,015 231,242 273,671 388,690 565,863 Emergency medicine 2017/18 412,598,599.67 1,362 1,471.0 302,935.83 280,495.67 98,670 152,271 195,430 235,943 280,072 387,650 568,903

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP EDAFA PC model Other

Emergency medicine 2005/06 115,911,172.77 42,961,889.16 13,611,205.07 58,093,908.42 737,135.27 507,034.86 Emergency medicine 2006/07 131,640,191.45 46,601,774.22 14,061,630.41 69,979,783.44 286,698.37 710,305.02 Emergency medicine 2007/08 160,810,683.91 49,631,598.90 18,056,406.26 89,405,033.48 819,408.27 2,898,236.99 Emergency medicine 2008/09 205,377,479.42 58,094,882.86 484,359.51 24,931,393.49 117,845,733.65 1,515,581.75 2,505,528.16 Emergency medicine 2009/10 208,215,668.42 60,432,958.78 254,439.68 21,881,055.33 121,909,629.98 1,917,392.13 1,820,192.51 Emergency medicine 2010/11 264,442,626.83 80,616,751.72 378,383.48 21,088,398.89 156,405,032.45 3,455,569.18 2,498,491.11 Emergency medicine 2011/12 305,596,613.41 92,777,835.09 532,941.14 25,699,691.02 180,015,175.96 3,536,302.08 3,034,668.12 Emergency medicine 2012/13 311,347,789.97 91,133,903.91 475,260.35 27,253,153.95 185,537,209.32 4,042,908.45 2,905,353.99 Emergency medicine 2013/14 334,135,844.99 96,766,342.46 1,626,225.83 30,195,467.35 197,296,807.15 5,271,111.15 2,979,891.05 Emergency medicine 2014/15 382,153,655.33 136,621,428.14 1,371,688.88 30,374,609.30 193,787,295.98 17,353,653.95 2,644,979.09 Emergency medicine 2015/16 393,001,851.56 141,710,344.52 1,406,678.95 20,266,531.92 206,517,932.12 20,282,765.11 2,817,598.94 Emergency medicine 2016/17 401,240,001.62 146,039,809.43 1,372,633.65 21,726,489.73 208,007,704.09 21,324,986.37 2,768,378.36 Emergency medicine 2017/18 412,598,599.67 152,966,487.32 1,315,560.39 23,344,494.32 210,150,022.48 21,856,600.82 2,965,434.34

Note: This specialty includes Family Physicians with an Emergency Medicine subspecialty if their functional speciality was Emergency Medicine. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 13

Endocrinology 2005/06 32,599,835.63 152 150.6 214,472.60 216,403.73 56,017 113,014 158,689 193,489 220,711 293,098 393,968 Endocrinology 2006/07 37,732,954.88 164 159.0 230,078.99 237,263.69 73,753 138,611 181,832 221,346 246,757 292,971 412,936 Endocrinology 2007/08 39,984,903.61 165 165.9 242,332.75 240,950.41 84,778 149,181 189,319 216,553 245,470 325,875 428,407 Endocrinology 2008/09 47,292,279.02 166 166.2 284,893.25 284,537.32 122,822 185,857 228,072 255,182 297,554 353,381 471,501 Endocrinology 2009/10 48,852,064.65 173 173.5 282,381.88 281,604.10 111,788 166,883 227,077 261,000 284,295 358,976 513,877 Endocrinology 2010/11 52,072,083.45 173 171.1 300,994.70 304,381.46 117,579 181,709 247,847 276,429 313,616 388,841 552,155 Endocrinology 2011/12 58,890,349.36 184 184.5 320,056.25 319,211.28 127,699 184,306 246,720 297,806 330,858 405,011 582,652 Endocrinology 2012/13 58,690,879.03 193 186.9 304,097.82 313,985.42 91,238 167,272 235,682 283,963 330,659 396,242 539,465 Endocrinology 2013/14 64,940,822.67 202 197.9 321,489.22 328,222.31 122,036 182,702 253,666 292,342 342,908 404,932 576,646 Endocrinology 2014/15 63,200,757.71 200 196.8 316,003.79 321,086.22 102,796 172,321 238,358 287,608 335,240 408,476 574,530 Endocrinology 2015/16 65,248,684.21 204 204.7 319,846.49 318,689.18 115,368 173,825 234,261 285,937 337,491 418,690 577,023 Endocrinology 2016/17 74,846,112.39 236 234.6 317,144.54 319,095.56 94,339 156,085 228,270 285,263 332,366 427,657 590,958 Endocrinology 2017/18 77,302,292.30 237 243.7 326,170.01 317,144.23 113,745 176,260 226,110 273,538 333,784 436,997 598,092

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Endocrinology 2005/06 32,599,835.63 29,348,338.03 1,731,200.98 1,363,522.05 156,774.57 Endocrinology 2006/07 37,732,954.88 34,620,869.85 1,659,657.00 1,345,571.20 106,856.83 Endocrinology 2007/08 39,984,903.61 36,131,430.16 2,320,218.80 1,494,534.56 38,720.08 Endocrinology 2008/09 47,292,279.02 38,906,545.23 6,284,837.76 1,994,559.30 106,336.73 Endocrinology 2009/10 48,852,064.65 41,941,050.33 4,388,801.17 2,366,510.40 155,702.75 Endocrinology 2010/11 52,072,083.45 45,955,043.00 4,131,772.04 1,868,220.26 117,048.15 Endocrinology 2011/12 58,890,349.36 51,676,209.08 4,946,583.53 2,097,729.15 169,827.60 Endocrinology 2012/13 58,690,879.03 51,328,088.10 5,028,957.28 2,140,451.88 193,381.77 Endocrinology 2013/14 64,940,822.67 57,645,621.11 4,911,679.20 2,230,710.30 152,812.06 Endocrinology 2014/15 63,200,757.71 56,113,964.52 4,870,312.46 2,186,281.65 30,199.08 Endocrinology 2015/16 65,248,684.21 58,366,023.33 4,539,981.22 2,308,695.16 33,984.50 Endocrinology 2016/17 74,846,112.39 67,985,898.11 4,461,120.20 2,370,826.88 28,267.21 Endocrinology 2017/18 77,302,292.30 70,493,299.95 4,457,388.42 2,327,367.11 24,236.82 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 14

Gastroenterology 2005/06 98,648,030.15 228 216.5 432,666.80 455,751.11 165,403 296,484 381,264 431,609 483,700 576,508 700,613 Gastroenterology 2006/07 111,799,480.60 248 231.4 450,804.36 483,190.25 150,863 309,939 414,345 457,107 505,006 574,602 716,704 Gastroenterology 2007/08 119,638,275.99 255 242.5 469,169.71 493,252.77 176,316 325,977 402,833 476,387 528,224 618,482 744,451 Gastroenterology 2008/09 141,024,557.58 265 256.6 532,168.14 549,695.22 217,306 375,129 472,956 521,222 576,433 674,229 798,018 Gastroenterology 2009/10 149,521,515.34 283 274.3 528,344.58 545,102.44 201,207 359,964 448,379 516,420 576,586 676,343 863,348 Gastroenterology 2010/11 159,366,617.96 296 285.4 538,400.74 558,435.16 213,692 342,281 447,445 520,681 596,271 695,174 897,386 Gastroenterology 2011/12 178,132,932.32 303 291.7 587,897.47 610,624.45 240,492 393,750 496,881 569,221 656,538 775,175 965,922 Gastroenterology 2012/13 169,133,108.79 304 291.7 556,358.91 579,840.36 211,925 363,487 487,231 549,754 606,492 740,087 902,740 Gastroenterology 2013/14 177,199,089.04 328 313.5 540,241.13 565,284.10 175,656 336,029 456,126 530,544 596,140 747,867 882,163 Gastroenterology 2014/15 172,819,834.09 313 295.3 552,140.05 585,180.13 186,516 339,856 474,751 531,645 624,032 749,040 903,845 Gastroenterology 2015/16 176,226,929.47 318 301.5 554,172.73 584,570.23 207,442 340,883 478,574 538,268 619,955 750,732 888,189 Gastroenterology 2016/17 182,319,580.43 333 317.9 547,506.25 573,531.17 186,968 331,866 471,382 528,649 602,131 759,830 896,770 Gastroenterology 2017/18 186,362,438.76 336 320.4 554,650.12 581,698.11 185,673 345,316 476,652 549,502 612,529 755,994 896,619

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP Other

Gastroenterology 2005/06 98,648,030.15 93,639,115.88 2,088,265.27 2,370,410.97 550,238.04 Gastroenterology 2006/07 111,799,480.60 106,987,529.03 2,111,285.08 2,685,599.10 15,067.39 Gastroenterology 2007/08 119,638,275.99 113,601,976.19 2,853,005.18 3,152,845.31 30,449.31 Gastroenterology 2008/09 141,024,557.58 128,699,618.52 7,732,416.25 4,036,700.53 555,822.28 Gastroenterology 2009/10 149,521,515.34 139,742,433.75 5,417,136.93 3,971,435.35 390,509.31 Gastroenterology 2010/11 159,366,617.96 150,608,786.16 5,178,270.11 3,311,431.06 268,130.63 Gastroenterology 2011/12 178,132,932.32 168,322,623.80 5,997,328.13 3,426,269.48 386,710.91 Gastroenterology 2012/13 169,133,108.79 158,813,252.01 5,878,175.42 3,893,950.54 547,730.82 Gastroenterology 2013/14 177,199,089.04 166,288,900.65 6,201,612.43 4,250,672.02 457,903.94 Gastroenterology 2014/15 172,819,834.09 161,119,439.42 5,931,954.08 5,726,692.53 41,748.06 Gastroenterology 2015/16 176,226,929.47 165,213,441.38 5,525,700.68 5,453,080.11 34,707.30 Gastroenterology 2016/17 182,319,580.43 171,148,970.55 5,468,657.36 5,663,351.48 38,601.05 Gastroenterology 2017/18 186,362,438.76 174,970,806.39 5,443,860.12 5,942,468.39 5,303.87 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 15

General pathology 2005/06 4,995,803.60 145 206.2 34,453.82 24,232.69 136 359 980 1,660 9,151 38,414 82,199 General pathology 2006/07 6,287,875.41 100 123.6 62,878.75 50,869.19 1 1,023 3,046 5,261 28,913 54,451 310,936 General pathology 2007/08 5,766,103.66 120 187.8 48,050.86 30,695.90 3 25 422 1,963 4,989 29,716 250,631 General pathology 2008/09 8,831,876.02 107 134.1 82,540.90 65,868.70 406 5,420 7,108 32,741 38,673 69,677 397,301 General pathology 2009/10 11,730,465.78 116 109.9 101,124.71 106,743.81 577 4,984 42,340 64,013 86,741 123,767 335,153 General pathology 2010/11 5,280,910.01 107 156.0 49,354.30 33,858.99 702 4,283 7,616 8,267 10,453 30,378 224,776 General pathology 2011/12 10,295,976.98 118 115.1 87,254.04 89,436.34 321 4,137 22,664 62,238 75,515 106,536 251,759 General pathology 2012/13 6,316,616.73 102 152.1 61,927.62 41,530.31 332 1,461 3,227 5,345 12,631 45,519 319,758 General pathology 2013/14 4,414,608.38 68 105.1 64,920.71 42,020.46 259 1,382 4,572 5,991 11,267 45,266 307,467 General pathology 2014/15 5,853,499.14 95 134.1 61,615.78 43,660.65 243 1,176 4,873 8,328 15,332 52,871 308,832 General pathology 2015/16 4,969,854.14 53 69.4 93,770.83 71,619.91 1,213 4,267 11,773 15,883 41,815 140,763 333,771 General pathology 2016/17 3,827,138.82 48 74.3 79,732.06 51,523.08 427 3,338 6,716 10,595 19,308 102,774 330,421 General pathology 2017/18 3,715,307.09 44 71.7 84,438.80 51,844.52 997 3,774 6,886 9,764 18,825 140,117 322,587

Payments overall and by source Total payments Specialty Year from all sources FFS APP All others

General pathology 2005/06 4,995,803.60 3,153,498.54 1,145,193.60 697,111.46 General pathology 2006/07 6,287,875.41 2,452,363.98 3,410,347.10 425,164.33 General pathology 2007/08 5,766,103.66 2,362,397.14 3,110,919.46 292,787.05 General pathology 2008/09 8,831,876.02 2,167,156.36 3,972,366.98 2,692,352.68 General pathology 2009/10 11,730,465.78 2,324,763.12 4,008,702.54 5,397,000.13 General pathology 2010/11 5,280,910.01 2,152,410.78 2,461,294.97 667,204.26 General pathology 2011/12 10,295,976.98 2,842,611.52 2,881,395.76 4,571,969.70 General pathology 2012/13 6,316,616.73 2,387,188.13 3,628,552.99 300,875.61 General pathology 2013/14 4,414,608.38 1,935,285.33 2,262,807.32 216,515.73 General pathology 2014/15 5,853,499.14 2,539,682.00 3,105,277.38 208,539.77 General pathology 2015/16 4,969,854.14 2,164,979.20 2,611,534.34 193,340.60 General pathology 2016/17 3,827,138.82 1,746,830.80 1,915,263.08 165,044.93 General pathology 2017/18 3,715,307.09 1,545,713.92 2,005,102.50 164,490.67 Note: All pathology numbers should be treated with caution due to inconsistent payment information. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 16

General surgery 2005/06 200,928,147.72 647 580.1 310,553.55 346,363.02 34,162 136,395 244,034 310,882 373,255 453,252 559,150 General surgery 2006/07 209,277,212.23 654 585.5 319,995.74 357,405.03 35,707 149,407 256,969 318,336 381,639 470,793 575,134 General surgery 2007/08 226,673,654.06 681 602.8 332,854.12 376,022.19 37,015 155,217 272,714 336,307 401,836 483,904 587,505 General surgery 2008/09 254,631,345.25 675 605.3 377,231.62 420,675.68 48,633 191,659 313,484 378,238 449,724 539,271 654,801 General surgery 2009/10 265,576,366.81 705 639.7 376,704.07 415,172.99 54,023 202,350 310,964 380,691 440,898 533,002 655,025 General surgery 2010/11 277,443,103.69 727 662.9 381,627.38 418,553.06 53,683 190,854 315,117 386,320 439,371 537,115 658,354 General surgery 2011/12 296,653,580.34 745 676.2 398,192.73 438,713.81 55,260 199,745 318,354 407,681 467,989 563,228 709,378 General surgery 2012/13 292,789,056.62 765 694.2 382,730.79 421,758.31 57,220 198,519 321,741 393,319 442,359 535,651 669,656 General surgery 2013/14 302,396,036.95 768 694.7 393,744.84 435,297.74 48,590 197,198 334,710 397,215 451,221 553,402 699,516 General surgery 2014/15 306,225,123.95 789 710.7 388,118.03 430,903.53 48,348 182,768 322,671 396,897 452,844 564,145 700,471 General surgery 2015/16 305,776,828.41 789 728.3 387,549.85 419,826.54 52,612 198,638 323,236 382,934 436,897 541,363 684,722 General surgery 2016/17 309,453,823.39 796 738.7 388,761.08 418,908.25 61,953 202,499 317,966 379,624 441,672 536,008 686,970 General surgery 2017/18 320,947,937.57 832 766.3 385,754.73 418,846.85 63,222 192,562 317,743 377,041 440,424 530,614 677,994

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

General surgery 2005/06 200,928,147.72 184,496,044.50 3,583,573.06 11,399,014.38 1,449,515.78 General surgery 2006/07 209,277,212.23 194,818,298.46 3,076,531.72 9,993,939.15 1,388,442.90 General surgery 2007/08 226,673,654.06 209,105,555.28 4,181,503.50 11,302,899.45 2,083,695.84 General surgery 2008/09 254,631,345.25 226,557,972.15 11,522,709.14 14,126,809.74 2,423,854.21 General surgery 2009/10 265,576,366.81 236,602,016.70 7,840,357.17 17,511,968.88 3,622,024.05 General surgery 2010/11 277,443,103.69 249,110,691.57 7,550,447.72 17,635,371.27 3,146,593.12 General surgery 2011/12 296,653,580.34 266,050,920.98 8,142,415.85 18,264,396.93 4,195,846.58 General surgery 2012/13 292,789,056.62 260,592,552.24 8,286,533.21 18,957,443.21 4,952,527.97 General surgery 2013/14 302,396,036.95 268,755,483.08 8,583,394.06 19,830,789.44 5,226,370.37 General surgery 2014/15 306,225,123.95 273,942,098.93 8,231,975.62 21,201,186.95 2,849,862.45 General surgery 2015/16 305,776,828.41 274,349,954.26 7,581,153.26 21,104,650.49 2,741,070.40 General surgery 2016/17 309,453,823.39 278,344,760.50 7,579,796.41 20,570,972.72 2,958,293.77 General surgery 2017/18 320,947,937.57 289,788,211.27 7,595,008.18 20,668,922.09 2,895,796.02 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 17

Geriatric medicine 2005/06 17,077,131.88 87 82.1 196,288.87 208,022.29 42,278 88,564 141,992 172,482 219,769 254,691 384,500 Geriatric medicine 2006/07 20,481,059.87 94 88.3 217,883.62 232,043.15 33,392 115,023 159,109 220,920 246,268 287,338 385,693 Geriatric medicine 2007/08 21,856,862.23 92 85.1 237,574.59 256,846.63 50,923 128,362 190,392 246,536 268,082 298,636 410,915 Geriatric medicine 2008/09 24,234,628.21 95 93.3 255,101.35 259,799.26 47,998 154,861 210,836 237,250 257,849 334,228 475,627 Geriatric medicine 2009/10 26,773,996.61 102 101.6 262,490.16 263,589.39 63,531 130,070 182,282 246,353 269,928 327,513 490,001 Geriatric medicine 2010/11 30,776,135.13 105 104.2 293,106.05 295,242.97 99,608 172,260 210,157 278,171 314,187 362,460 493,075 Geriatric medicine 2011/12 36,072,236.29 116 112.3 310,967.55 321,237.71 88,163 190,380 247,890 291,392 333,044 409,178 495,443 Geriatric medicine 2012/13 35,985,892.99 117 113.4 307,571.73 317,438.64 79,781 194,118 241,691 277,117 335,659 402,433 525,329 Geriatric medicine 2013/14 38,455,743.48 129 124.4 298,106.54 309,075.38 78,304 194,373 238,378 283,708 325,724 392,340 487,636 Geriatric medicine 2014/15 36,176,511.76 125 122.3 289,412.09 295,771.15 88,335 162,117 228,469 265,674 306,486 371,725 469,790 Geriatric medicine 2015/16 37,205,730.34 135 130.1 275,598.00 286,070.18 62,164 162,511 223,632 246,009 299,414 391,783 490,002 Geriatric medicine 2016/17 38,901,531.10 141 140.6 275,897.38 276,596.40 83,959 159,858 206,347 233,769 291,579 374,405 514,660 Geriatric medicine 2017/18 39,413,519.98 142 147.0 277,560.00 268,039.89 88,285 164,011 206,784 229,377 271,998 373,135 494,652

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Geriatric medicine 2005/06 17,077,131.88 11,882,521.69 513,741.80 4,496,535.43 184,332.96 Geriatric medicine 2006/07 20,481,059.87 13,887,321.36 434,208.02 6,051,404.70 108,125.79 Geriatric medicine 2007/08 21,856,862.23 14,351,202.10 514,975.49 6,832,069.24 158,615.40 Geriatric medicine 2008/09 24,234,628.21 15,198,463.38 1,163,637.44 7,581,701.15 290,826.23 Geriatric medicine 2009/10 26,773,996.61 17,726,728.30 1,009,928.60 7,824,562.44 212,777.27 Geriatric medicine 2010/11 30,776,135.13 20,440,936.90 1,051,597.08 9,000,033.41 283,567.74 Geriatric medicine 2011/12 36,072,236.29 22,816,017.85 1,131,992.01 11,430,397.79 693,828.64 Geriatric medicine 2012/13 35,985,892.99 22,571,193.85 1,153,120.88 11,491,956.93 769,621.33 Geriatric medicine 2013/14 38,455,743.48 24,847,749.40 1,236,863.00 11,575,128.31 796,002.78 Geriatric medicine 2014/15 36,176,511.76 23,277,638.17 1,157,837.48 11,073,298.36 667,737.75 Geriatric medicine 2015/16 37,205,730.34 23,364,909.73 1,138,401.52 11,935,748.00 766,671.09 Geriatric medicine 2016/17 38,901,531.10 25,353,031.98 1,196,322.91 11,772,361.63 579,814.58 Geriatric medicine 2017/18 39,413,519.98 25,610,451.01 1,444,472.48 11,785,822.08 572,774.42 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 18

GP/FP 2005/06 2,311,396,871.52 10,765 10,000.5 214,714.06 231,128.99 32,049 109,589 168,766 207,217 242,808 303,948 392,456 GP/FP 2006/07 2,608,555,664.33 10,736 10,119.1 242,972.77 257,786.05 43,511 124,643 187,939 228,539 271,269 341,786 446,458 GP/FP 2007/08 2,704,267,071.61 10,872 10,306.4 248,736.85 262,385.97 46,020 128,673 191,022 231,708 274,914 345,210 452,926 GP/FP 2008/09 3,019,315,200.28 10,998 10,459.9 274,533.12 288,655.96 50,861 137,739 208,009 252,627 300,842 381,864 507,224 GP/FP 2009/10 3,253,062,025.77 11,402 10,843.7 285,306.26 299,996.47 51,021 139,907 215,537 261,999 313,583 399,644 531,084 GP/FP 2010/11 3,401,823,170.08 11,524 10,951.1 295,194.65 310,638.79 50,257 142,157 221,523 271,169 324,420 416,383 551,858 GP/FP 2011/12 3,587,420,564.92 11,848 11,285.5 302,787.02 317,879.44 53,588 148,127 230,037 279,225 329,630 422,542 563,768 GP/FP 2012/13 3,761,840,104.92 12,254 11,683.4 306,988.75 321,981.79 51,245 145,430 228,669 280,971 334,293 434,718 580,517 GP/FP 2013/14 3,836,493,325.96 12,657 12,006.2 303,112.37 319,543.64 48,354 142,733 227,433 278,589 331,867 428,612 571,560 GP/FP 2014/15 3,890,020,416.94 13,116 12,434.6 296,585.88 312,838.15 45,679 134,380 218,958 271,872 324,619 419,632 562,376 GP/FP 2015/16 3,912,936,808.65 13,340 12,764.0 293,323.60 306,560.91 45,649 135,455 217,780 267,041 319,015 408,898 552,109 GP/FP 2016/17 3,955,584,280.90 13,697 13,132.4 288,792.02 301,208.97 49,158 136,267 214,734 263,138 313,755 401,498 540,483 GP/FP 2017/18 4,089,520,334.90 14,066 13,500.6 291,089.78 302,912.99 49,740 139,473 216,732 265,328 314,570 403,447 543,134

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP EDAFA PC model Other

GP/FP 2005/06 2,311,396,871.52 1,885,293,954.02 8,724,227.76 21,158,276.60 140,084,128.29 237,575,693.29 18,560,591.56 GP/FP 2006/07 2,608,555,664.33 1,897,457,004.70 7,726,779.93 21,861,284.79 157,743,184.44 456,041,869.63 67,725,540.83 GP/FP 2007/08 2,704,267,071.61 1,863,882,985.08 10,378,888.30 23,576,500.34 178,257,702.57 566,154,781.60 62,016,213.72 GP/FP 2008/09 3,019,315,200.28 1,842,762,061.41 25,667,845.13 23,764,139.77 172,668,660.63 858,509,874.39 95,942,618.96 GP/FP 2009/10 3,253,062,025.77 1,816,312,063.32 16,576,864.82 25,942,998.18 177,031,728.48 1,123,355,998.96 93,842,372.01 GP/FP 2010/11 3,401,823,170.08 1,812,507,688.63 15,161,896.65 21,448,692.54 146,377,368.69 1,313,421,717.94 92,905,805.63 GP/FP 2011/12 3,587,420,564.92 1,901,546,976.98 14,369,352.13 24,710,420.22 173,209,452.83 1,371,144,314.19 102,440,048.58 GP/FP 2012/13 3,761,840,104.92 1,827,723,463.03 15,110,635.51 24,662,116.62 183,693,216.79 1,617,639,263.93 93,011,409.04 GP/FP 2013/14 3,836,493,325.96 1,789,405,340.40 18,920,158.84 26,967,830.86 202,430,155.34 1,691,134,112.16 107,635,728.36 GP/FP 2014/15 3,890,020,416.94 1,783,086,149.03 13,360,125.58 26,789,753.40 193,331,041.35 1,756,754,160.39 116,699,187.18 GP/FP 2015/16 3,912,936,808.65 1,786,915,385.74 13,620,373.36 22,430,547.94 197,684,849.61 1,793,098,575.00 99,187,077.00 GP/FP 2016/17 3,955,584,280.90 1,818,754,843.24 13,558,922.65 22,882,030.83 202,262,071.19 1,797,859,042.54 100,267,370.45 GP/FP 2017/18 4,089,520,334.90 1,902,510,716.30 13,661,068.45 21,998,480.19 215,007,319.21 1,832,217,019.43 104,125,731.31

Note: This specialty includes Family Physicians with an Emergency Medicine subspecialty if their functional speciality is GP/FP. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 19

Hematology 2005/06 31,944,860.03 135 120.7 236,628.59 264,735.00 42,119 123,717 211,260 247,755 269,692 290,299 401,769 Hematology 2006/07 33,016,173.81 141 121.7 234,157.26 271,393.32 40,913 130,564 212,808 260,308 284,632 295,401 370,076 Hematology 2007/08 35,163,993.77 140 122.2 251,171.38 287,719.58 43,654 151,597 213,024 268,509 316,118 318,668 405,698 Hematology 2008/09 42,427,153.79 150 132.9 282,847.69 319,288.47 44,105 160,225 230,653 299,141 353,274 381,183 444,750 Hematology 2009/10 39,808,319.21 149 133.8 267,169.93 297,603.24 50,397 149,395 220,128 298,191 317,350 332,866 431,885 Hematology 2010/11 42,788,191.77 160 140.1 267,426.20 305,365.09 33,001 133,022 219,045 282,095 325,601 350,145 438,545 Hematology 2011/12 50,903,900.43 166 151.3 306,650.00 336,497.72 58,560 177,370 253,143 315,621 358,294 401,376 511,457 Hematology 2012/13 51,665,325.08 167 155.9 309,373.20 331,309.13 55,613 179,317 244,527 294,186 357,712 431,316 519,162 Hematology 2013/14 56,193,218.88 176 162.4 319,279.65 345,968.39 34,705 186,085 250,198 307,622 379,646 445,887 547,958 Hematology 2014/15 52,043,361.85 170 156.7 306,137.42 332,048.75 43,736 168,991 255,620 304,005 352,304 434,784 520,340 Hematology 2015/16 54,470,008.57 180 164.1 302,611.16 332,029.81 49,291 163,385 238,995 288,889 365,110 441,188 535,834 Hematology 2016/17 67,531,865.91 203 184.0 332,669.29 366,958.58 46,503 172,706 275,823 349,831 391,020 469,778 553,004 Hematology 2017/18 73,694,767.56 206 184.1 357,741.59 400,395.32 49,470 192,964 293,669 396,634 430,602 495,303 584,593

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC All others

Hematology 2005/06 31,944,860.03 17,543,646.43 1,478,902.73 12,922,310.87 Hematology 2006/07 33,016,173.81 17,994,612.65 1,508,317.39 13,513,243.77 Hematology 2007/08 35,163,993.77 18,483,027.56 1,839,954.41 14,841,011.81 Hematology 2008/09 42,427,153.79 19,080,121.84 5,414,563.74 17,932,468.21 Hematology 2009/10 39,808,319.21 20,708,968.62 3,494,835.08 15,604,515.51 Hematology 2010/11 42,788,191.77 23,200,571.92 3,399,435.21 16,188,184.65 Hematology 2011/12 50,903,900.43 26,225,331.47 4,065,826.50 20,612,742.46 Hematology 2012/13 51,665,325.08 26,859,893.91 3,994,414.33 20,811,016.83 Hematology 2013/14 56,193,218.88 29,458,012.44 4,290,285.82 22,444,920.62 Hematology 2014/15 52,043,361.85 28,066,269.86 4,040,274.16 19,936,817.84 Hematology 2015/16 54,470,008.57 30,192,127.73 4,096,468.01 20,181,412.83 Hematology 2016/17 67,531,865.91 26,878,756.14 3,490,309.16 37,162,800.61 Hematology 2017/18 73,694,767.56 24,276,067.46 3,144,828.81 46,273,871.28 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 20

Infectious diseases 2005/06 12,947,471.31 73 68.0 177,362.62 190,298.32 40,137 82,597 132,361 172,512 199,267 237,485 262,037 Infectious diseases 2006/07 14,312,786.04 78 72.2 183,497.26 198,179.68 34,680 100,361 145,696 170,163 207,610 242,147 315,926 Infectious diseases 2007/08 14,997,830.44 77 69.5 194,777.02 215,795.99 18,899 73,473 161,485 181,254 213,024 248,684 364,082 Infectious diseases 2008/09 17,544,145.37 78 75.4 224,924.94 232,725.99 21,616 110,395 171,212 205,245 230,277 305,786 356,888 Infectious diseases 2009/10 18,251,432.81 83 78.9 219,896.78 231,348.26 34,838 110,878 173,640 193,107 231,296 293,864 366,378 Infectious diseases 2010/11 21,713,793.62 93 86.8 233,481.65 250,278.98 59,993 114,913 180,810 222,195 258,355 297,291 364,296 Infectious diseases 2011/12 25,320,532.52 102 95.4 248,240.51 265,466.93 60,954 120,652 194,475 225,141 266,341 315,236 404,613 Infectious diseases 2012/13 25,652,862.43 104 98.0 246,662.14 261,868.39 68,238 122,956 175,599 227,402 278,870 315,599 390,714 Infectious diseases 2013/14 30,624,819.61 124 117.4 246,974.35 260,939.25 57,694 124,331 186,993 237,607 262,332 311,331 409,057 Infectious diseases 2014/15 27,481,026.10 113 106.9 243,194.92 257,018.34 43,008 104,605 185,324 217,307 257,100 309,188 437,485 Infectious diseases 2015/16 29,345,876.42 119 113.7 246,604.00 258,150.49 46,334 117,966 190,550 217,798 269,062 328,236 435,090 Infectious diseases 2016/17 32,978,568.28 138 136.4 238,975.13 241,845.80 72,577 153,684 195,082 221,025 244,534 306,774 390,831 Infectious diseases 2017/18 35,001,820.93 143 139.0 244,767.98 251,867.37 80,813 140,385 199,032 226,046 257,479 306,418 418,368

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Infectious diseases 2005/06 12,947,471.31 10,737,174.01 1,069,921.74 971,462.03 168,913.53 Infectious diseases 2006/07 14,312,786.04 11,207,350.52 1,055,032.49 2,017,941.34 32,461.70 Infectious diseases 2007/08 14,997,830.44 10,937,501.74 1,375,203.32 2,214,101.56 471,023.81 Infectious diseases 2008/09 17,544,145.37 11,430,511.46 3,816,373.28 2,257,640.49 39,620.15 Infectious diseases 2009/10 18,251,432.81 13,394,924.29 2,719,102.91 2,063,063.49 74,342.12 Infectious diseases 2010/11 21,713,793.62 16,532,247.70 2,731,148.50 2,378,257.96 72,139.46 Infectious diseases 2011/12 25,320,532.52 19,202,544.89 3,409,019.41 2,601,337.10 107,631.12 Infectious diseases 2012/13 25,652,862.43 19,523,166.35 3,399,999.30 2,509,678.33 220,018.46 Infectious diseases 2013/14 30,624,819.61 23,916,315.49 3,838,806.40 2,703,003.95 166,693.77 Infectious diseases 2014/15 27,481,026.10 21,266,047.37 3,294,870.67 2,875,550.57 44,557.48 Infectious diseases 2015/16 29,345,876.42 23,060,409.92 3,137,165.32 3,104,233.27 44,067.91 Infectious diseases 2016/17 32,978,568.28 26,089,721.71 3,268,080.18 3,528,640.07 92,126.31 Infectious diseases 2017/18 35,001,820.93 28,387,437.42 3,290,264.60 3,267,640.79 56,478.12 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 21

Internal medicine 2005/06 165,936,680.07 807 743.5 208,985.35 228,105.17 10,160 59,283 134,661 181,461 230,464 300,038 425,709 Internal medicine 2006/07 159,265,887.26 769 711.6 209,475.30 227,203.63 10,537 58,662 132,970 185,560 228,708 305,574 434,756 Internal medicine 2007/08 180,796,654.20 869 808.0 209,365.54 226,084.85 9,263 52,630 126,262 179,144 227,952 310,847 445,887 Internal medicine 2008/09 224,599,374.08 909 851.7 248,372.83 265,298.59 15,777 89,550 173,213 218,491 262,797 354,051 492,893 Internal medicine 2009/10 207,635,478.53 869 804.6 240,420.77 260,133.05 15,342 77,398 162,700 217,665 259,217 325,792 499,663 Internal medicine 2010/11 216,141,438.33 884 819.8 246,003.10 265,713.24 13,266 68,597 162,250 213,245 266,735 350,153 507,944 Internal medicine 2011/12 252,585,528.01 956 890.6 267,173.41 288,009.16 16,422 68,108 165,725 220,535 290,249 386,185 548,243 Internal medicine 2012/13 277,797,965.59 1,043 960.7 268,368.56 291,717.75 14,485 74,681 173,004 231,344 283,608 376,340 520,527 Internal medicine 2013/14 284,312,051.77 1,017 957.1 281,624.42 299,498.20 17,577 86,231 169,957 229,533 287,133 380,782 527,452 Internal medicine 2014/15 363,775,633.34 1,267 1,175.8 288,567.90 311,530.76 18,937 111,007 207,696 267,945 315,209 408,486 546,905 Internal medicine 2015/16 361,729,531.58 1,311 1,214.7 275,918.79 297,796.14 19,476 99,952 203,284 253,355 305,969 392,123 544,351 Internal medicine 2016/17 345,427,962.32 1,227 1,143.4 281,522.38 302,102.44 21,809 109,241 208,444 258,596 308,758 396,831 539,813 Internal medicine 2017/18 403,875,959.35 1,438 1,338.6 280,859.50 301,713.08 23,997 107,326 206,388 261,411 308,235 392,099 557,051

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Internal medicine 2005/06 165,936,680.07 147,894,752.42 7,523,148.05 8,668,596.28 1,850,183.33 Internal medicine 2006/07 159,265,887.26 143,831,452.26 6,821,236.94 7,021,288.96 1,591,909.10 Internal medicine 2007/08 180,796,654.20 160,783,884.79 8,728,638.04 9,145,775.45 2,138,355.91 Internal medicine 2008/09 224,599,374.08 186,215,328.77 22,001,358.72 13,701,996.85 2,680,689.74 Internal medicine 2009/10 207,635,478.53 176,159,306.32 12,922,117.36 15,093,145.71 3,460,909.14 Internal medicine 2010/11 216,141,438.33 192,585,969.67 11,668,325.02 9,488,373.87 2,398,769.77 Internal medicine 2011/12 252,585,528.01 229,283,545.30 13,009,559.95 7,329,729.07 2,962,693.69 Internal medicine 2012/13 277,797,965.59 251,063,680.68 13,544,555.05 9,587,387.57 3,602,342.28 Internal medicine 2013/14 284,312,051.77 256,698,246.64 13,444,224.52 10,752,953.99 3,416,626.62 Internal medicine 2014/15 363,775,633.34 334,877,118.88 12,403,706.31 14,306,057.20 2,188,750.95 Internal medicine 2015/16 361,729,531.58 332,543,390.05 11,995,302.26 15,116,923.89 2,073,915.38 Internal medicine 2016/17 345,427,962.32 313,431,067.67 12,027,684.37 17,725,091.03 2,244,119.25 Internal medicine 2017/18 403,875,959.35 365,337,455.57 13,197,143.66 23,467,461.32 1,873,898.79 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 22

Laboratory medicine 2005/06 4,198,458.62 37 35.6 113,471.85 117,830.10 2,859 25,818 41,769 57,653 129,380 179,237 260,428 Laboratory medicine 2006/07 4,981,674.19 34 32.5 146,519.83 153,214.24 25,072 35,846 73,549 133,180 156,735 195,233 373,913 Laboratory medicine 2007/08 5,496,234.72 34 34.4 161,653.96 159,959.51 3,794 17,135 42,848 100,112 136,180 194,597 391,514 Laboratory medicine 2008/09 5,140,863.87 34 36.0 151,201.88 142,873.27 7,700 17,493 37,472 73,293 140,288 233,086 398,610 Laboratory medicine 2009/10 4,203,775.29 37 43.2 113,615.55 97,381.66 7,868 16,995 27,855 49,142 80,971 153,295 403,243 Laboratory medicine 2010/11 4,325,693.38 42 49.1 102,992.70 88,079.83 4,283 11,298 19,230 39,566 71,850 161,293 293,279 Laboratory medicine 2011/12 4,283,065.79 36 41.2 118,974.05 103,890.16 4,185 17,225 38,517 68,200 82,687 197,051 317,588 Laboratory medicine 2012/13 3,894,269.48 36 35.6 108,174.15 109,346.93 6,558 22,964 58,473 64,146 87,301 107,918 235,530 Laboratory medicine 2013/14 4,030,514.84 38 39.8 106,066.18 101,383.23 4,244 16,693 37,498 79,844 89,737 126,150 315,480 Laboratory medicine 2014/15 5,290,777.33 44 46.3 120,244.94 114,214.71 1,642 10,077 28,669 61,177 101,199 178,419 272,858 Laboratory medicine 2015/16 5,910,912.45 62 70.5 95,337.30 83,823.36 488 3,146 10,820 26,459 60,048 133,629 243,484 Laboratory medicine 2016/17 5,025,655.05 73 93.4 68,844.59 53,797.92 938 3,370 11,553 18,336 33,749 100,442 205,809 Laboratory medicine 2017/18 4,770,213.74 85 109.8 56,120.16 43,452.26 711 3,367 11,888 17,598 25,868 78,943 177,805

Payments overall and by source Total payments Specialty Year from all sources FFS All others

Laboratory medicine 2005/06 4,198,458.62 3,679,007.28 519,451.34 Laboratory medicine 2006/07 4,981,674.19 3,810,824.93 1,170,849.26 Laboratory medicine 2007/08 5,496,234.72 3,624,553.24 1,871,681.48 Laboratory medicine 2008/09 5,140,863.87 4,095,953.06 1,044,910.81 Laboratory medicine 2009/10 4,203,775.29 3,303,188.44 900,586.85 Laboratory medicine 2010/11 4,325,693.38 3,442,997.01 882,696.37 Laboratory medicine 2011/12 4,283,065.79 3,453,014.51 830,051.28 Laboratory medicine 2012/13 3,894,269.48 3,486,844.03 407,425.45 Laboratory medicine 2013/14 4,030,514.84 3,321,896.83 708,618.02 Laboratory medicine 2014/15 5,290,777.33 4,715,622.38 575,154.95 Laboratory medicine 2015/16 5,910,912.45 5,307,644.99 603,267.45 Laboratory medicine 2016/17 5,025,655.05 4,193,454.70 832,200.35 Laboratory medicine 2017/18 4,770,213.74 4,040,526.40 729,687.33

Note: These numbers should be treated with caution due to inconsistent or incomplete payment information. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 23

Total and mean payments per physician and per FTE Median and percentiles of payments per physician

Total payments Number of Mean payments Mean payments Specialty Year from all sources physicians FTEs per physician per FTE 10th percentile 25th percentile 40th percentile Median 60th percentile 75th percentile 90th percentile

Medical oncology 2005/06 39,518,607.88 149 143.1 265,225.56 276,239.31 53,515 269,692 269,717 269,772 269,897 271,397 358,987 Medical oncology 2006/07 45,229,498.92 160 155.8 282,684.37 290,356.14 97,170 284,632 284,632 284,708 284,752 285,689 361,281 Medical oncology 2007/08 52,006,512.38 167 160.6 311,416.24 323,763.32 106,265 318,496 318,496 318,516 318,596 318,896 442,712 Medical oncology 2008/09 59,921,691.54 171 157.8 350,419.25 379,810.29 113,229 367,593 373,590 374,697 376,997 380,713 433,567 Medical oncology 2009/10 59,055,384.03 183 173.7 322,707.02 340,072.59 112,320 310,568 323,282 330,116 340,323 354,654 420,807 Medical oncology 2010/11 69,272,511.10 208 196.4 333,040.92 352,789.45 140,096 322,754 339,182 346,436 352,340 370,013 433,037 Medical oncology 2011/12 85,176,259.86 223 207.8 381,956.32 409,816.83 151,730 351,433 387,143 400,454 413,936 438,525 495,101 Medical oncology 2012/13 94,005,608.32 227 210.2 414,121.62 447,209.58 153,669 378,837 421,458 438,428 455,834 487,529 541,977 Medical oncology 2013/14 100,823,311.14 236 218.8 427,217.42 460,746.11 180,292 397,979 438,243 453,192 467,731 496,390 550,264 Medical oncology 2014/15 98,226,180.34 237 219.6 414,456.46 447,353.67 180,384 380,845 424,016 438,930 453,264 488,948 540,917 Medical oncology 2015/16 99,187,457.67 238 220.0 416,754.02 450,896.04 218,067 385,350 426,428 442,643 462,056 483,112 547,925 Medical oncology 2016/17 105,603,164.71 250 233.3 422,412.66 452,619.81 203,802 386,080 421,230 444,619 465,159 491,774 566,728 Medical oncology 2017/18 111,993,397.38 258 243.4 434,082.94 460,114.50 240,351 400,889 435,566 452,133 467,153 503,007 572,048

Payments overall and by source Total payments Specialty Year from all sources FFS APP All others

Medical oncology 2005/06 39,518,607.88 8,177,760.29 31,042,807.09 298,040.49 Medical oncology 2006/07 45,229,498.92 8,632,262.74 36,204,163.87 393,072.32 Medical oncology 2007/08 52,006,512.38 9,258,098.22 42,345,152.01 403,262.15 Medical oncology 2008/09 59,921,691.54 9,364,400.13 48,018,825.91 2,538,465.50 Medical oncology 2009/10 59,055,384.03 11,145,764.81 40,803,194.44 7,106,424.77 Medical oncology 2010/11 69,272,511.10 12,917,269.24 47,455,379.18 8,899,862.68 Medical oncology 2011/12 85,176,259.86 15,986,976.78 53,586,614.98 15,602,668.11 Medical oncology 2012/13 94,005,608.32 15,018,920.71 54,581,819.50 24,404,868.11 Medical oncology 2013/14 100,823,311.14 14,933,466.21 61,987,807.16 23,902,037.77 Medical oncology 2014/15 98,226,180.34 13,542,247.20 83,508,474.15 1,175,458.99 Medical oncology 2015/16 99,187,457.67 14,409,430.12 83,633,517.20 1,144,510.35 Medical oncology 2016/17 105,603,164.71 11,576,752.16 93,072,874.29 953,538.26 Medical oncology 2017/18 111,993,397.38 8,156,072.52 103,017,357.18 819,967.68 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 24

Nephrology 2005/06 78,125,923.79 155 140.8 504,038.22 554,802.04 95,408 212,712 419,800 503,474 579,654 703,075 839,765 Nephrology 2006/07 85,838,043.05 171 159.2 501,976.86 539,049.43 105,981 256,639 413,522 471,983 564,387 713,965 834,816 Nephrology 2007/08 90,925,811.07 174 164.5 522,562.13 552,799.91 123,319 259,331 425,314 492,567 613,316 747,442 890,800 Nephrology 2008/09 99,369,650.30 178 168.9 558,256.46 588,486.14 158,881 284,962 442,145 530,846 628,277 787,445 931,608 Nephrology 2009/10 102,844,276.27 189 181.1 544,149.61 567,879.14 139,153 279,794 408,086 513,034 607,789 781,827 941,126 Nephrology 2010/11 117,113,254.11 215 211.5 544,712.81 553,625.58 173,869 292,419 418,712 502,123 596,571 742,969 952,635 Nephrology 2011/12 125,968,080.59 222 213.2 567,423.79 590,967.40 158,438 302,623 441,308 532,326 627,121 787,091 976,552 Nephrology 2012/13 120,337,518.40 219 213.5 549,486.39 563,655.05 164,082 349,660 455,300 518,650 577,575 732,828 910,696 Nephrology 2013/14 127,867,348.43 230 225.5 555,944.99 567,031.67 182,551 328,449 446,618 529,677 590,839 749,903 895,719 Nephrology 2014/15 124,820,321.38 225 214.2 554,756.98 582,698.90 161,301 325,969 466,786 523,953 611,135 732,994 891,968 Nephrology 2015/16 124,059,823.15 231 220.8 537,055.51 561,844.47 173,119 328,488 457,980 512,181 579,400 698,721 875,538 Nephrology 2016/17 127,075,188.40 242 229.6 525,104.08 553,501.14 158,283 301,241 439,463 509,709 577,595 708,236 861,245 Nephrology 2017/18 131,829,293.85 243 232.0 542,507.38 568,108.74 204,009 316,190 467,087 531,603 576,078 698,376 902,422

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Nephrology 2005/06 78,125,923.79 73,537,865.23 1,728,733.24 2,746,562.75 112,762.56 Nephrology 2006/07 85,838,043.05 82,360,669.35 1,648,906.37 1,676,315.04 152,152.29 Nephrology 2007/08 90,925,811.07 87,004,612.58 2,072,882.83 1,668,917.30 179,398.36 Nephrology 2008/09 99,369,650.30 89,608,573.56 7,038,353.46 2,451,212.70 271,510.58 Nephrology 2009/10 102,844,276.27 94,924,945.68 4,836,699.20 2,750,467.25 332,164.15 Nephrology 2010/11 117,113,254.11 107,455,710.43 5,212,194.19 4,007,626.14 437,723.35 Nephrology 2011/12 125,968,080.59 114,365,223.59 6,082,066.44 4,863,880.38 656,910.19 Nephrology 2012/13 120,337,518.40 108,825,941.04 5,697,470.36 4,769,558.91 1,044,548.09 Nephrology 2013/14 127,867,348.43 116,716,714.96 5,899,919.98 4,657,471.05 593,242.43 Nephrology 2014/15 124,820,321.38 113,427,490.41 5,837,539.22 5,142,990.27 412,301.48 Nephrology 2015/16 124,059,823.15 112,751,407.79 5,534,624.87 5,444,218.20 329,572.28 Nephrology 2016/17 127,075,188.40 115,763,574.14 5,418,193.00 5,570,761.25 322,660.01 Nephrology 2017/18 131,829,293.85 120,817,812.60 5,269,638.63 5,416,802.18 325,040.44 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 25

Neurology 2005/06 57,181,461.65 255 258.2 224,241.03 221,428.34 57,291 116,867 150,408 189,725 232,345 316,107 432,225 Neurology 2006/07 60,005,803.34 266 261.2 225,585.73 229,704.19 37,340 112,839 166,851 194,073 233,171 313,455 438,993 Neurology 2007/08 64,296,382.63 277 269.8 232,116.90 238,331.38 48,371 114,627 173,807 202,196 248,334 324,179 437,473 Neurology 2008/09 78,250,308.93 276 272.7 283,515.61 286,944.28 85,527 175,250 226,173 253,449 294,390 376,876 506,559 Neurology 2009/10 79,633,284.62 287 282.8 277,467.89 281,591.88 82,640 157,248 219,011 244,883 287,673 364,309 507,348 Neurology 2010/11 82,490,883.25 292 290.6 282,503.02 283,863.30 86,203 163,935 214,775 249,305 295,086 382,897 509,260 Neurology 2011/12 92,030,518.07 313 300.6 294,027.21 306,185.27 72,436 149,505 227,560 269,088 320,656 412,814 551,347 Neurology 2012/13 96,258,420.20 321 316.1 299,870.47 304,552.51 98,756 172,361 231,615 270,852 318,076 410,080 532,754 Neurology 2013/14 104,495,533.77 346 345.1 302,010.21 302,809.89 84,609 163,664 223,772 268,434 314,836 424,777 542,530 Neurology 2014/15 108,938,315.31 352 353.5 309,483.85 308,205.30 97,043 181,099 230,871 276,492 320,689 426,207 558,453 Neurology 2015/16 110,815,348.67 378 382.9 293,162.30 289,439.40 80,972 168,418 219,121 252,558 299,277 401,948 534,451 Neurology 2016/17 115,615,068.65 397 401.1 291,221.84 288,253.58 90,827 163,916 216,203 253,924 303,469 413,146 531,167 Neurology 2017/18 121,991,251.76 427 424.0 285,693.80 287,705.80 76,992 155,578 218,534 250,126 298,938 389,152 524,703

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Neurology 2005/06 57,181,461.65 51,362,707.05 3,040,151.91 2,452,729.84 325,872.85 Neurology 2006/07 60,005,803.34 53,587,827.14 2,784,676.34 3,454,594.81 178,705.06 Neurology 2007/08 64,296,382.63 55,654,747.42 3,646,151.47 4,698,937.76 296,545.98 Neurology 2008/09 78,250,308.93 61,749,328.06 10,649,994.13 5,475,860.44 375,126.29 Neurology 2009/10 79,633,284.62 65,903,229.67 7,571,119.15 5,545,437.24 613,498.56 Neurology 2010/11 82,490,883.25 69,786,664.62 7,258,289.09 5,066,008.97 379,920.56 Neurology 2011/12 92,030,518.07 77,072,873.06 8,396,053.35 5,991,000.12 570,591.55 Neurology 2012/13 96,258,420.20 80,928,143.57 8,344,648.30 6,260,642.45 724,985.87 Neurology 2013/14 104,495,533.77 87,753,150.10 8,636,621.25 7,233,440.36 872,322.05 Neurology 2014/15 108,938,315.31 92,357,603.01 8,384,636.89 7,944,829.09 251,246.32 Neurology 2015/16 110,815,348.67 94,233,543.09 8,366,486.55 7,985,735.18 229,583.85 Neurology 2016/17 115,615,068.65 98,089,185.90 8,469,921.27 8,692,540.84 363,420.64 Neurology 2017/18 121,991,251.76 104,051,089.69 8,787,876.04 8,838,697.73 313,588.29

25 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 26

Neurosurgery 2005/06 27,893,646.27 74 66.2 376,941.17 421,082.71 103,410 136,135 321,396 370,939 445,466 560,734 684,599 Neurosurgery 2006/07 31,342,554.27 81 72.2 386,945.11 434,226.14 83,834 145,696 359,546 384,833 438,992 566,603 705,672 Neurosurgery 2007/08 33,549,795.75 85 78.6 394,703.48 427,064.43 68,789 213,024 308,779 385,932 465,053 566,392 682,397 Neurosurgery 2008/09 40,439,323.22 91 89.1 444,388.17 453,639.69 93,913 215,668 319,079 426,849 479,395 630,239 832,976 Neurosurgery 2009/10 41,066,599.84 94 87.2 436,878.72 470,843.39 47,408 200,264 359,746 364,795 480,126 689,729 833,970 Neurosurgery 2010/11 43,611,877.59 101 96.0 431,800.77 454,329.82 116,741 197,477 318,872 403,192 483,965 668,437 821,805 Neurosurgery 2011/12 50,094,398.74 104 99.6 481,676.91 502,755.38 33,149 242,975 386,431 429,869 505,343 704,618 941,552 Neurosurgery 2012/13 49,054,900.59 103 96.7 476,261.17 507,271.77 91,469 218,676 402,496 452,274 526,621 678,320 832,655 Neurosurgery 2013/14 52,601,955.41 110 102.6 478,199.59 512,847.30 96,832 244,330 402,832 414,149 535,222 684,799 886,766 Neurosurgery 2014/15 52,620,544.03 112 103.4 469,826.29 508,861.32 81,043 200,426 371,273 405,707 532,596 694,563 912,749 Neurosurgery 2015/16 54,500,067.38 119 114.6 457,983.76 475,473.95 14,334 114,836 235,781 349,916 489,156 708,973 933,914 Neurosurgery 2016/17 61,482,709.18 121 115.3 508,121.56 533,198.76 90,956 185,486 362,375 439,975 519,595 676,745 928,023 Neurosurgery 2017/18 63,014,111.40 117 115.2 538,582.15 547,136.41 111,083 218,229 368,024 484,162 545,940 769,890 970,003

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Neurosurgery 2005/06 27,893,646.27 20,165,462.20 819,098.81 6,862,142.46 46,942.80 Neurosurgery 2006/07 31,342,554.27 22,553,917.61 806,441.53 7,531,459.81 450,735.31 Neurosurgery 2007/08 33,549,795.75 24,425,289.46 1,042,967.83 7,781,516.63 300,021.83 Neurosurgery 2008/09 40,439,323.22 26,194,732.91 4,934,840.80 8,977,943.30 331,806.22 Neurosurgery 2009/10 41,066,599.84 28,129,824.26 3,678,406.01 8,807,392.90 450,976.67 Neurosurgery 2010/11 43,611,877.59 30,749,733.00 3,468,605.21 9,036,041.77 357,497.60 Neurosurgery 2011/12 50,094,398.74 35,423,199.59 3,823,888.96 10,090,662.13 756,648.06 Neurosurgery 2012/13 49,054,900.59 33,660,755.46 4,398,374.09 10,347,797.14 647,973.90 Neurosurgery 2013/14 52,601,955.41 36,232,115.88 4,595,988.17 11,043,317.92 730,533.44 Neurosurgery 2014/15 52,620,544.03 37,819,767.70 3,893,813.21 10,771,922.67 135,040.45 Neurosurgery 2015/16 54,500,067.38 43,329,362.11 3,621,813.04 7,384,003.55 164,888.68 Neurosurgery 2016/17 61,482,709.18 46,020,392.23 3,635,428.16 11,624,184.68 202,704.11 Neurosurgery 2017/18 63,014,111.40 47,179,978.10 3,759,693.67 11,807,792.00 266,647.62 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 27

Nuclear medicine 2005/06 36,364,109.43 78 74.5 466,206.53 487,975.81 130,393 299,428 421,193 459,399 493,682 604,127 766,218 Nuclear medicine 2006/07 37,420,295.49 77 74.3 485,977.86 503,917.96 135,029 355,112 436,409 459,985 514,290 602,407 813,188 Nuclear medicine 2007/08 40,620,632.82 80 74.7 507,757.91 544,068.42 102,017 310,094 425,559 465,747 577,802 666,336 846,584 Nuclear medicine 2008/09 46,932,659.12 86 82.3 545,728.59 570,376.37 182,952 320,608 457,852 518,019 617,240 716,006 867,420 Nuclear medicine 2009/10 46,280,846.01 89 85.4 520,009.51 541,793.52 104,802 289,311 426,668 495,205 565,172 727,878 855,933 Nuclear medicine 2010/11 47,455,327.90 88 84.7 539,265.09 560,173.79 135,212 306,918 422,338 489,687 587,728 698,017 1,060,032 Nuclear medicine 2011/12 48,732,711.64 87 86.8 560,146.11 561,729.25 106,781 328,124 423,766 470,106 574,137 763,991 1,146,335 Nuclear medicine 2012/13 43,028,395.57 89 85.0 483,465.12 506,448.46 75,397 262,617 387,393 431,539 517,101 663,961 982,616 Nuclear medicine 2013/14 42,274,149.55 92 93.0 459,501.63 454,706.87 74,944 215,568 330,814 387,035 443,156 595,675 979,560 Nuclear medicine 2014/15 42,728,114.49 86 87.7 496,838.54 487,132.86 100,571 287,337 369,218 409,637 478,319 616,701 1,009,534 Nuclear medicine 2015/16 39,158,141.59 84 85.8 466,168.35 456,318.12 114,992 231,901 351,281 403,817 449,805 606,236 929,074 Nuclear medicine 2016/17 37,222,475.82 84 87.6 443,124.71 424,717.78 93,919 226,697 326,737 366,959 410,228 561,316 877,075 Nuclear medicine 2017/18 39,481,436.37 84 84.5 470,017.10 467,263.72 53,513 214,155 342,507 409,320 446,014 582,313 940,868

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC All others

Nuclear medicine 2005/06 36,364,109.43 35,460,095.74 560,743.18 343,270.50 Nuclear medicine 2006/07 37,420,295.49 36,930,047.48 460,995.36 29,252.65 Nuclear medicine 2007/08 40,620,632.82 39,824,137.99 766,387.90 30,106.93 Nuclear medicine 2008/09 46,932,659.12 44,682,867.18 2,208,469.33 41,322.61 Nuclear medicine 2009/10 46,280,846.01 44,790,750.09 1,460,253.54 29,842.38 Nuclear medicine 2010/11 47,455,327.90 46,084,863.68 1,341,172.11 29,292.11 Nuclear medicine 2011/12 48,732,711.64 47,259,940.73 1,429,698.18 43,072.73 Nuclear medicine 2012/13 43,028,395.57 41,666,444.62 1,326,288.64 35,662.31 Nuclear medicine 2013/14 42,274,149.55 40,852,151.43 1,336,046.71 85,951.42 Nuclear medicine 2014/15 42,728,114.49 41,434,389.50 1,212,351.22 81,373.77 Nuclear medicine 2015/16 39,158,141.59 37,634,119.34 1,439,583.18 84,439.07 Nuclear medicine 2016/17 37,222,475.82 35,708,316.17 1,432,746.76 81,412.90 Nuclear medicine 2017/18 39,481,436.37 37,892,657.54 1,390,928.33 197,850.50 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 28

Obstetrics & Gynecology 2005/06 250,757,296.46 719 666.7 348,758.41 376,135.58 71,295 206,529 293,074 347,976 396,372 477,069 607,340 Obstetrics & Gynecology 2006/07 271,011,033.56 746 673.6 363,285.57 402,357.38 64,361 211,537 312,644 371,996 427,065 492,594 609,674 Obstetrics & Gynecology 2007/08 290,732,272.28 755 691.4 385,075.86 420,510.67 82,726 220,021 330,748 395,123 441,374 516,462 648,987 Obstetrics & Gynecology 2008/09 320,715,665.49 759 701.5 422,550.28 457,193.66 91,129 267,558 370,599 431,333 476,122 561,264 686,034 Obstetrics & Gynecology 2009/10 328,611,683.67 779 723.9 421,837.85 453,969.63 96,671 253,005 371,513 424,070 467,996 562,703 686,580 Obstetrics & Gynecology 2010/11 335,495,316.24 800 741.4 419,369.15 452,494.10 84,126 265,865 368,658 412,814 467,094 556,080 688,837 Obstetrics & Gynecology 2011/12 362,094,222.14 816 754.4 443,742.92 479,968.80 87,391 264,371 386,603 437,900 492,631 591,453 732,590 Obstetrics & Gynecology 2012/13 356,636,590.36 822 770.8 433,864.47 462,693.49 96,669 285,207 387,731 431,089 469,493 565,314 698,315 Obstetrics & Gynecology 2013/14 364,661,715.18 853 792.2 427,504.94 460,333.76 94,763 259,953 374,308 425,344 470,923 568,390 697,784 Obstetrics & Gynecology 2014/15 359,991,114.76 868 813.2 414,736.31 442,660.66 79,325 258,201 356,342 409,867 454,611 545,539 683,375 Obstetrics & Gynecology 2015/16 351,774,315.60 886 817.9 397,036.47 430,081.09 79,304 231,318 342,340 397,423 445,951 526,797 668,173 Obstetrics & Gynecology 2016/17 350,513,563.96 920 864.8 380,993.00 405,330.91 76,741 222,964 327,861 379,413 417,804 517,907 657,106 Obstetrics & Gynecology 2017/18 364,854,576.97 970 901.7 376,138.74 404,608.54 70,185 212,698 316,406 371,506 419,501 504,755 662,411

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Obstetrics & Gynecology 2005/06 250,757,296.46 227,239,527.08 4,899,189.66 17,232,006.51 1,386,573.22 Obstetrics & Gynecology 2006/07 271,011,033.56 245,494,367.50 4,552,716.65 19,915,680.52 1,048,268.88 Obstetrics & Gynecology 2007/08 290,732,272.28 263,476,924.11 6,261,512.53 19,395,859.26 1,597,976.38 Obstetrics & Gynecology 2008/09 320,715,665.49 277,625,076.62 17,043,287.70 23,801,928.32 2,245,372.85 Obstetrics & Gynecology 2009/10 328,611,683.67 289,285,140.29 11,186,064.50 24,506,476.28 3,634,002.60 Obstetrics & Gynecology 2010/11 335,495,316.24 298,797,193.27 10,655,475.69 23,790,411.19 2,252,236.09 Obstetrics & Gynecology 2011/12 362,094,222.14 319,585,096.66 12,148,246.35 27,092,250.40 3,268,628.73 Obstetrics & Gynecology 2012/13 356,636,590.36 312,073,399.57 11,973,193.37 28,244,587.73 4,345,409.69 Obstetrics & Gynecology 2013/14 364,661,715.18 317,822,424.59 12,135,852.87 30,198,047.45 4,505,390.27 Obstetrics & Gynecology 2014/15 359,991,114.76 315,206,128.54 11,122,765.73 31,513,312.32 2,148,908.17 Obstetrics & Gynecology 2015/16 351,774,315.60 306,739,046.57 10,552,481.49 32,405,906.74 2,076,880.81 Obstetrics & Gynecology 2016/17 350,513,563.96 303,902,885.80 10,445,436.56 34,099,800.35 2,065,441.24 Obstetrics & Gynecology 2017/18 364,854,576.97 315,423,776.41 10,891,915.10 36,982,100.70 1,556,784.76 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 29

Ophthalmology 2005/06 194,128,637.10 410 381.3 473,484.48 509,078.59 86,618 227,235 371,590 464,907 529,630 634,107 852,384 Ophthalmology 2006/07 205,524,063.67 408 384.1 503,735.45 535,039.65 105,435 227,327 394,159 480,655 548,312 664,072 964,422 Ophthalmology 2007/08 213,340,408.26 421 401.8 506,746.81 531,002.07 86,632 228,806 395,865 468,965 541,344 656,807 974,089 Ophthalmology 2008/09 236,648,029.50 419 405.1 564,792.43 584,134.54 103,927 267,682 443,838 506,061 589,659 715,597 1,129,554 Ophthalmology 2009/10 258,523,910.43 434 432.5 595,677.21 597,760.04 91,065 268,662 438,264 519,502 611,540 750,471 1,157,593 Ophthalmology 2010/11 293,989,849.83 442 457.7 665,135.41 642,256.87 118,342 291,757 458,961 553,388 655,556 826,768 1,331,762 Ophthalmology 2011/12 322,019,236.18 456 481.6 706,182.54 668,651.93 128,809 322,938 477,712 567,113 683,711 908,272 1,482,174 Ophthalmology 2012/13 291,824,230.42 461 473.3 633,024.36 616,516.02 136,475 313,616 456,803 539,458 631,270 804,704 1,199,353 Ophthalmology 2013/14 305,148,755.38 468 475.6 652,027.26 641,652.24 107,675 321,399 475,598 563,439 654,141 861,789 1,259,565 Ophthalmology 2014/15 307,941,421.04 472 487.2 652,418.26 632,016.09 112,956 303,378 460,717 552,617 655,789 845,925 1,265,599 Ophthalmology 2015/16 315,448,342.80 482 472.1 654,457.14 668,119.09 85,199 287,371 462,450 545,867 664,112 848,045 1,313,430 Ophthalmology 2016/17 322,990,047.73 483 479.6 668,716.45 673,474.58 105,369 317,013 479,544 557,850 663,730 875,411 1,308,305 Ophthalmology 2017/18 333,992,933.22 492 488.4 678,847.43 683,816.72 124,612 331,279 487,130 590,362 676,036 873,861 1,338,044

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Ophthalmology 2005/06 194,128,637.10 185,261,556.08 1,705,584.69 5,716,182.74 1,445,313.58 Ophthalmology 2006/07 205,524,063.67 198,470,866.26 1,588,366.06 4,897,968.51 566,862.85 Ophthalmology 2007/08 213,340,408.26 203,491,807.18 2,347,523.52 6,718,229.51 782,848.04 Ophthalmology 2008/09 236,648,029.50 220,327,289.78 7,455,113.33 8,149,565.33 716,061.06 Ophthalmology 2009/10 258,523,910.43 239,892,165.45 6,779,302.77 9,602,126.98 2,250,315.23 Ophthalmology 2010/11 293,989,849.83 276,528,269.82 6,486,624.99 9,710,479.97 1,264,475.05 Ophthalmology 2011/12 322,019,236.18 303,139,983.25 7,395,472.87 10,298,051.26 1,185,728.81 Ophthalmology 2012/13 291,824,230.42 271,838,321.31 7,195,712.67 11,301,407.83 1,488,788.61 Ophthalmology 2013/14 305,148,755.38 285,455,904.67 7,060,575.33 11,189,548.40 1,442,726.99 Ophthalmology 2014/15 307,941,421.04 288,640,635.30 6,798,253.01 11,854,179.97 648,352.75 Ophthalmology 2015/16 315,448,342.80 296,487,075.62 6,327,187.10 12,001,940.24 632,139.84 Ophthalmology 2016/17 322,990,047.73 304,803,030.86 6,108,674.27 11,535,806.96 542,535.65 Ophthalmology 2017/18 333,992,933.22 315,353,854.84 6,300,409.14 11,778,283.91 560,385.34 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 30

Orthopedic surgery 2005/06 148,429,616.09 443 387.9 335,055.57 382,663.33 52,196 176,394 310,490 356,538 403,178 462,443 547,811 Orthopedic surgery 2006/07 162,892,632.99 478 414.9 340,779.57 392,646.60 50,838 145,696 306,674 355,413 419,019 483,629 591,526 Orthopedic surgery 2007/08 170,863,385.60 489 429.6 349,413.88 397,717.45 46,441 188,805 320,896 370,592 415,798 484,146 607,149 Orthopedic surgery 2008/09 188,772,927.95 482 425.1 391,645.08 444,099.32 54,717 227,666 376,538 418,966 461,047 526,461 646,749 Orthopedic surgery 2009/10 189,512,103.71 501 446.0 378,267.67 424,891.64 48,570 220,128 344,721 400,496 444,266 514,121 647,572 Orthopedic surgery 2010/11 200,672,713.45 516 454.6 388,900.61 441,445.07 47,948 218,292 354,285 413,897 466,075 539,445 658,220 Orthopedic surgery 2011/12 222,079,701.14 560 498.4 396,570.89 445,589.55 52,038 221,634 347,655 409,742 468,713 549,578 684,575 Orthopedic surgery 2012/13 220,989,911.48 532 480.6 415,394.57 459,790.37 64,613 270,073 381,163 426,123 482,255 558,266 671,979 Orthopedic surgery 2013/14 239,139,755.94 573 515.9 417,346.87 463,564.33 54,192 259,475 378,916 430,912 482,697 564,678 691,543 Orthopedic surgery 2014/15 231,200,689.53 577 516.8 400,694.44 447,366.57 59,829 212,309 349,998 414,765 466,612 558,263 681,083 Orthopedic surgery 2015/16 235,136,780.26 608 551.6 386,738.13 426,315.21 53,343 174,309 313,376 394,794 447,646 548,320 694,773 Orthopedic surgery 2016/17 250,612,154.16 617 564.4 406,178.53 444,048.18 65,641 213,840 349,428 410,592 460,919 562,367 701,803 Orthopedic surgery 2017/18 273,760,556.12 670 603.0 408,597.84 454,028.43 56,484 200,103 350,688 411,805 475,479 572,499 712,987

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Orthopedic surgery 2005/06 148,429,616.09 137,935,536.70 3,261,954.05 6,565,315.83 666,809.51 Orthopedic surgery 2006/07 162,892,632.99 153,059,912.79 3,068,761.15 5,584,945.23 1,179,013.82 Orthopedic surgery 2007/08 170,863,385.60 159,356,903.05 4,104,007.11 6,301,578.56 1,100,896.88 Orthopedic surgery 2008/09 188,772,927.95 167,026,790.04 11,430,922.01 8,683,410.49 1,631,805.41 Orthopedic surgery 2009/10 189,512,103.71 169,393,139.03 7,676,016.47 10,657,515.24 1,785,432.97 Orthopedic surgery 2010/11 200,672,713.45 180,366,824.37 7,154,829.52 11,532,260.14 1,618,799.42 Orthopedic surgery 2011/12 222,079,701.14 198,898,436.31 7,837,064.57 13,173,517.47 2,170,682.79 Orthopedic surgery 2012/13 220,989,911.48 197,761,252.82 7,694,714.68 13,139,637.41 2,394,306.57 Orthopedic surgery 2013/14 239,139,755.94 215,391,795.33 7,844,204.65 13,397,166.43 2,506,589.53 Orthopedic surgery 2014/15 231,200,689.53 207,746,508.22 7,596,305.92 14,629,416.95 1,228,458.44 Orthopedic surgery 2015/16 235,136,780.26 211,220,014.83 7,117,952.74 15,561,170.29 1,237,642.39 Orthopedic surgery 2016/17 250,612,154.16 225,934,738.80 6,626,271.51 16,799,964.72 1,251,179.13 Orthopedic surgery 2017/18 273,760,556.12 247,371,830.75 6,828,926.90 17,903,875.17 1,655,923.29 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 31

Total and mean payments per physician and per FTE Median and percentiles of payments per physician Total payments Number of payments per Mean payments Specialty Year from all sources physicians FTEs physician per FTE 10th percentile 25th percentile 40th percentile Median 60th percentile 75th percentile 90th percentile

Otolaryngology 2005/06 79,490,553.02 232 204.0 342,631.69 389,723.25 69,837 191,751 320,429 369,355 409,080 467,743 564,204 Otolaryngology 2006/07 81,929,680.38 238 206.4 344,242.35 397,041.98 55,413 188,445 325,666 388,615 417,295 480,033 563,501 Otolaryngology 2007/08 83,726,647.58 237 207.3 353,276.99 403,949.83 58,030 213,024 325,853 380,008 432,665 495,185 570,682 Otolaryngology 2008/09 94,415,341.17 237 213.4 398,376.97 442,487.26 66,806 261,723 368,238 416,899 468,976 540,814 638,334 Otolaryngology 2009/10 97,864,533.49 243 221.8 402,734.71 441,148.37 114,395 267,053 379,351 427,553 458,461 531,706 635,929 Otolaryngology 2010/11 101,909,117.77 253 229.7 402,802.84 443,679.58 98,565 259,033 375,403 422,878 465,502 536,741 643,041 Otolaryngology 2011/12 109,310,725.46 259 235.4 422,049.13 464,320.24 100,689 262,399 391,198 442,832 485,816 548,321 689,890 Otolaryngology 2012/13 107,086,238.29 271 243.7 395,152.17 439,423.21 75,935 230,008 347,874 421,709 467,777 537,485 637,159 Otolaryngology 2013/14 110,939,046.18 280 255.9 396,210.88 433,532.19 89,708 239,604 339,623 405,237 462,051 544,254 639,692 Otolaryngology 2014/15 114,199,227.45 284 259.7 402,109.96 439,769.63 85,464 226,159 346,372 410,920 462,216 544,629 680,790 Otolaryngology 2015/16 116,561,391.57 288 265.2 404,727.05 439,498.87 106,576 239,146 357,254 403,387 464,920 530,049 688,459 Otolaryngology 2016/17 118,930,113.77 302 278.8 393,808.32 426,576.91 97,931 219,221 331,797 393,044 454,998 534,254 673,653 Otolaryngology 2017/18 120,187,290.81 301 274.4 399,293.32 437,964.47 95,849 224,956 351,569 410,928 458,961 540,515 667,660

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Otolaryngology 2005/06 79,490,553.02 72,594,571.20 1,362,340.87 5,099,911.02 433,729.94 Otolaryngology 2006/07 81,929,680.38 74,639,015.55 1,325,474.79 5,118,202.50 846,987.54 Otolaryngology 2007/08 83,726,647.58 75,750,372.03 1,773,779.84 5,445,345.48 757,150.23 Otolaryngology 2008/09 94,415,341.17 81,150,060.34 4,891,943.72 6,928,300.66 1,445,036.45 Otolaryngology 2009/10 97,864,533.49 85,714,948.95 3,232,895.03 7,299,821.29 1,616,868.23 Otolaryngology 2010/11 101,909,117.77 90,086,782.40 3,042,957.50 6,896,631.19 1,882,746.68 Otolaryngology 2011/12 109,310,725.46 96,047,980.31 3,409,528.73 7,860,887.81 1,992,328.61 Otolaryngology 2012/13 107,086,238.29 92,991,406.34 3,486,172.47 8,432,018.45 2,176,641.03 Otolaryngology 2013/14 110,939,046.18 97,683,525.58 3,309,738.38 8,013,068.62 1,932,713.60 Otolaryngology 2014/15 114,199,227.45 101,065,070.69 3,277,297.57 8,169,982.11 1,686,877.08 Otolaryngology 2015/16 116,561,391.57 103,307,156.79 3,156,710.72 8,443,284.13 1,654,239.94 Otolaryngology 2016/17 118,930,113.77 105,365,993.64 3,237,888.78 8,718,943.21 1,607,288.13 Otolaryngology 2017/18 120,187,290.81 106,845,037.51 3,403,497.66 8,344,593.95 1,594,161.68 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 32

Pediatric subspecialties 2005/06 37,542,362.01 185 221.3 202,931.69 169,607.07 103,545 123,717 123,719 126,703 169,967 262,964 376,425 Pediatric subspecialties 2006/07 44,546,255.37 201 238.0 221,623.16 187,192.79 127,742 145,696 145,696 145,696 185,983 268,889 394,211 Pediatric subspecialties 2007/08 51,644,268.57 203 221.6 254,405.26 233,076.75 125,585 174,118 213,024 213,024 213,520 300,930 425,171 Pediatric subspecialties 2008/09 55,805,258.32 206 230.2 270,899.31 242,394.04 142,524 173,250 215,668 215,668 218,887 340,531 478,081 Pediatric subspecialties 2009/10 66,120,239.75 253 271.4 261,344.82 243,659.21 134,198 156,383 220,128 220,128 220,128 300,438 454,505 Pediatric subspecialties 2010/11 76,651,775.92 318 346.0 241,043.32 221,506.24 127,735 148,280 197,477 198,051 199,183 268,164 428,487 Pediatric subspecialties 2011/12 87,206,402.40 325 346.7 268,327.39 251,562.49 147,310 172,187 218,164 226,159 236,464 275,199 468,292 Pediatric subspecialties 2012/13 88,672,514.67 345 376.6 257,021.78 235,449.14 140,126 178,229 202,447 211,908 222,473 274,499 425,852 Pediatric subspecialties 2013/14 89,829,108.69 339 368.3 264,982.62 243,915.06 148,578 176,886 209,007 220,149 231,331 301,853 455,849 Pediatric subspecialties 2014/15 81,095,100.98 311 348.1 260,755.95 232,983.62 143,620 168,895 194,373 204,478 215,363 296,408 449,562 Pediatric subspecialties 2015/16 85,780,251.68 330 365.7 259,940.16 234,533.35 132,090 168,081 199,096 207,268 217,201 297,188 474,654 Pediatric subspecialties 2016/17 82,207,439.43 319 364.6 257,703.57 225,503.16 134,020 162,683 185,995 194,231 208,250 288,369 489,527 Pediatric subspecialties 2017/18 81,456,638.78 316 364.2 257,774.17 223,642.62 130,384 159,451 184,129 192,145 206,218 289,996 480,418

Payments overall and by source Total payments Specialty Year from all sources FFS APP All others

Pediatric subspecialties 2005/06 37,542,362.01 17,421,353.69 19,686,884.03 434,124.29 Pediatric subspecialties 2006/07 44,546,255.37 19,048,684.56 24,447,010.22 1,050,560.59 Pediatric subspecialties 2007/08 51,644,268.57 19,441,221.45 31,266,779.62 936,267.50 Pediatric subspecialties 2008/09 55,805,258.32 21,273,746.01 32,728,268.14 1,803,244.17 Pediatric subspecialties 2009/10 66,120,239.75 23,098,235.82 39,988,142.15 3,033,861.79 Pediatric subspecialties 2010/11 76,651,775.92 25,654,425.15 46,225,705.46 4,771,645.30 Pediatric subspecialties 2011/12 87,206,402.40 27,846,112.30 51,052,913.41 8,307,376.69 Pediatric subspecialties 2012/13 88,672,514.67 28,638,940.21 50,450,947.68 9,582,626.78 Pediatric subspecialties 2013/14 89,829,108.69 31,302,420.60 49,557,533.73 8,969,154.36 Pediatric subspecialties 2014/15 81,095,100.98 28,560,798.16 49,789,208.77 2,745,094.05 Pediatric subspecialties 2015/16 85,780,251.68 30,741,122.09 51,703,915.75 3,335,213.84 Pediatric subspecialties 2016/17 82,207,439.43 31,495,855.53 47,702,508.04 3,009,075.86 Pediatric subspecialties 2017/18 81,456,638.78 32,001,239.78 46,466,731.90 2,988,667.11 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 33

Pediatrics 2005/06 190,705,432.52 866 891.9 220,214.13 213,808.46 65,592 123,717 145,433 183,681 227,501 296,319 426,064 Pediatrics 2006/07 199,687,755.52 897 924.7 222,617.34 215,956.87 51,152 130,089 146,566 188,391 233,433 304,508 419,541 Pediatrics 2007/08 227,470,064.84 921 924.4 246,981.61 246,066.59 64,839 140,554 195,660 213,024 244,383 328,465 451,877 Pediatrics 2008/09 252,969,884.69 970 996.8 260,793.70 253,773.25 84,099 149,639 200,462 215,668 251,469 350,228 483,832 Pediatrics 2009/10 263,929,669.55 964 962.4 273,785.96 274,239.19 90,742 149,012 214,592 220,128 279,242 361,893 507,537 Pediatrics 2010/11 273,666,078.15 978 999.5 279,822.17 273,813.32 84,933 149,794 198,188 231,802 284,499 375,553 526,501 Pediatrics 2011/12 311,642,145.66 1,042 1,052.2 299,080.75 296,188.48 80,380 168,966 223,549 252,108 302,959 390,446 566,508 Pediatrics 2012/13 313,950,109.20 1,074 1,104.2 292,318.54 284,324.26 97,750 177,609 212,224 244,153 294,655 384,717 542,622 Pediatrics 2013/14 328,641,249.82 1,118 1,139.6 293,954.61 288,386.76 94,494 173,662 219,367 245,064 294,045 388,110 547,112 Pediatrics 2014/15 339,470,658.15 1,206 1,258.0 281,484.79 269,845.03 94,519 165,262 200,294 228,709 275,037 377,020 523,293 Pediatrics 2015/16 345,767,511.17 1,289 1,311.3 268,244.77 263,692.46 46,652 149,315 198,174 225,590 264,161 360,692 517,566 Pediatrics 2016/17 354,380,901.50 1,311 1,366.6 270,313.43 259,320.19 91,955 161,047 195,594 224,161 268,786 354,691 518,445 Pediatrics 2017/18 375,806,924.88 1,401 1,459.1 268,241.92 257,553.81 91,028 154,500 192,652 223,236 264,349 352,971 505,207

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP EDAFA All others

Pediatrics 2005/06 190,705,432.52 121,488,861.73 1,673,540.26 64,620,425.18 1,593,709.46 1,328,895.89 Pediatrics 2006/07 199,687,755.52 126,149,696.72 1,872,202.32 65,572,715.66 1,600,767.35 4,492,373.47 Pediatrics 2007/08 227,470,064.84 129,405,718.83 2,014,704.60 89,932,737.08 2,034,156.77 4,082,747.55 Pediatrics 2008/09 252,969,884.69 143,023,281.11 5,558,359.40 94,992,077.66 1,893,092.97 7,503,073.55 Pediatrics 2009/10 263,929,669.55 157,910,050.03 3,870,451.23 90,081,940.27 2,312,762.61 9,754,465.41 Pediatrics 2010/11 273,666,078.15 171,786,303.93 3,773,487.06 86,264,867.59 1,761,031.89 10,080,387.68 Pediatrics 2011/12 311,642,145.66 189,774,766.80 4,502,651.48 101,821,452.88 2,378,606.83 13,164,667.66 Pediatrics 2012/13 313,950,109.20 185,856,607.48 4,737,356.38 105,272,984.96 2,747,698.11 15,335,462.27 Pediatrics 2013/14 328,641,249.82 196,037,039.11 4,682,363.55 109,041,354.63 3,281,718.76 15,598,773.77 Pediatrics 2014/15 339,470,658.15 205,738,003.03 4,574,719.20 116,485,765.80 3,578,830.39 9,093,339.74 Pediatrics 2015/16 345,767,511.17 208,973,461.37 4,738,699.43 117,180,926.83 3,852,504.61 11,021,918.93 ` ` Pediatrics 2016/17 354,380,901.50 209,185,891.11 5,058,111.53 126,635,544.24 3,589,371.94 9,911,982.68 Pediatrics 2017/18 375,806,924.88 221,452,344.32 5,270,245.63 134,900,888.54 4,119,465.74 10,063,980.65 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 34

Total and mean payments per physician and per FTE Median and percentiles of payments per physician Total payments Number of Mean payments payments per Specialty Year from all sources physicians FTEs per physician FTE 10th percentile 25th percentile 40th percentile Median 60th percentile 75th percentile 90th percentile

Physical medicine & Rehab 2005/06 30,374,063.17 155 145.4 195,961.70 208,833.46 34,707 96,601 154,491 182,455 211,715 256,282 352,763 Physical medicine & Rehab 2006/07 32,484,282.39 157 146.7 206,906.26 221,421.69 42,574 114,722 168,074 198,236 233,011 265,631 407,543 Physical medicine & Rehab 2007/08 32,889,490.63 157 147.7 209,487.20 222,736.54 38,133 109,796 169,423 191,501 233,821 285,266 400,590 Physical medicine & Rehab 2008/09 39,365,224.47 160 155.7 246,032.65 252,805.80 50,444 133,550 196,881 222,613 256,945 344,568 463,618 Physical medicine & Rehab 2009/10 39,292,321.76 162 154.8 242,545.20 253,877.13 63,695 135,885 199,111 234,434 257,999 313,739 440,216 Physical medicine & Rehab 2010/11 40,818,591.15 162 152.6 251,966.61 267,530.81 52,925 150,802 215,829 246,760 273,115 331,618 452,111 Physical medicine & Rehab 2011/12 45,480,033.16 172 163.1 264,418.80 278,773.08 73,123 147,393 221,422 256,472 283,939 341,473 468,442 Physical medicine & Rehab 2012/13 47,493,264.47 183 170.2 259,526.04 279,081.78 62,699 140,165 223,534 256,995 284,710 340,693 460,109 Physical medicine & Rehab 2013/14 52,902,131.93 192 180.8 275,531.94 292,552.63 75,506 169,283 226,957 270,302 308,210 370,958 479,905 Physical medicine & Rehab 2014/15 53,539,307.41 197 184.0 271,773.13 291,039.03 57,631 134,047 217,641 263,005 307,639 382,515 496,256 Physical medicine & Rehab 2015/16 53,305,784.64 203 193.3 262,590.07 275,770.48 53,928 131,730 201,259 255,208 290,616 357,795 460,697 Physical medicine & Rehab 2016/17 55,068,130.08 211 206.0 260,986.40 267,378.13 57,323 127,891 181,201 228,168 283,622 363,166 491,115 Physical medicine & Rehab 2017/18 56,441,545.97 216 205.4 261,303.45 274,822.83 42,954 125,429 211,798 233,595 282,735 355,384 487,512

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Physical medicine & Rehab 2005/06 30,374,063.17 25,355,231.65 1,816,659.64 3,090,620.65 111,551.24 Physical medicine & Rehab 2006/07 32,484,282.39 28,406,410.30 1,860,468.56 2,169,895.08 47,508.46 Physical medicine & Rehab 2007/08 32,889,490.63 28,510,545.68 2,183,693.58 2,151,106.64 44,144.73 Physical medicine & Rehab 2008/09 39,365,224.47 30,744,234.66 5,265,901.06 3,223,272.14 131,816.61 Physical medicine & Rehab 2009/10 39,292,321.76 32,126,731.38 3,461,771.97 3,093,409.48 610,408.93 Physical medicine & Rehab 2010/11 40,818,591.15 34,341,649.94 3,218,935.26 3,004,100.92 253,905.03 Physical medicine & Rehab 2011/12 45,480,033.16 38,154,887.39 3,684,583.20 3,316,060.92 324,501.65 Physical medicine & Rehab 2012/13 47,493,264.47 40,231,517.80 3,623,011.50 3,159,115.87 479,619.29 Physical medicine & Rehab 2013/14 52,902,131.93 43,842,781.26 5,230,663.85 3,396,558.07 432,128.76 Physical medicine & Rehab 2014/15 53,539,307.41 45,401,519.09 4,364,478.32 3,707,059.74 66,250.27 Physical medicine & Rehab 2015/16 53,305,784.64 45,831,373.50 4,182,680.65 3,241,383.34 50,347.15 Physical medicine & Rehab 2016/17 55,068,130.08 47,734,109.08 4,278,219.17 3,029,412.96 26,388.87 Physical medicine & Rehab 2017/18 56,441,545.97 48,868,827.08 4,008,115.25 3,542,595.44 22,008.20 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 35

Plastic surgery 2005/06 49,464,114.07 181 161.9 273,282.40 305,596.98 50,458 152,014 242,340 277,037 325,376 379,472 454,604 Plastic surgery 2006/07 52,641,530.12 187 166.7 281,505.51 315,842.30 53,301 145,696 241,862 295,423 339,274 397,304 481,904 Plastic surgery 2007/08 53,656,899.66 193 176.0 278,015.02 304,803.92 35,921 161,194 230,969 273,630 327,147 391,769 480,405 Plastic surgery 2008/09 60,231,660.50 199 179.5 302,671.66 335,555.76 30,276 147,965 238,134 312,775 360,487 424,990 541,326 Plastic surgery 2009/10 64,162,717.49 196 181.1 327,360.80 354,202.55 78,537 175,644 263,902 322,247 380,781 454,781 566,639 Plastic surgery 2010/11 65,068,743.38 207 189.7 314,341.76 343,089.39 52,816 164,694 253,305 314,233 365,270 437,144 560,804 Plastic surgery 2011/12 71,444,445.25 221 207.5 323,278.03 344,329.72 50,985 177,266 250,803 310,888 359,866 441,400 595,678 Plastic surgery 2012/13 70,367,363.83 216 205.2 325,774.83 342,859.89 59,089 182,216 258,240 317,901 352,514 437,360 575,922 Plastic surgery 2013/14 74,275,446.97 227 213.3 327,204.61 348,170.44 52,820 152,335 264,460 316,351 356,944 454,000 604,385 Plastic surgery 2014/15 74,896,087.11 233 218.6 321,442.43 342,679.53 44,438 156,199 248,521 304,668 351,456 446,683 584,015 Plastic surgery 2015/16 75,797,301.69 240 224.7 315,822.09 337,336.24 45,959 144,955 236,340 303,503 366,141 439,099 557,542 Plastic surgery 2016/17 78,568,161.03 248 234.2 316,807.10 335,456.96 41,176 158,897 242,187 295,493 355,273 440,585 577,998 Plastic surgery 2017/18 84,023,515.74 251 240.7 334,755.04 349,078.58 60,117 165,081 249,638 314,406 359,074 432,042 600,852

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Plastic surgery 2005/06 49,464,114.07 44,964,899.38 914,362.32 3,358,356.58 226,495.78 Plastic surgery 2006/07 52,641,530.12 47,752,102.54 818,348.80 3,859,621.08 211,457.71 Plastic surgery 2007/08 53,656,899.66 47,728,353.64 1,106,985.89 4,476,567.46 344,992.67 Plastic surgery 2008/09 60,231,660.50 51,581,557.20 3,110,460.49 5,150,365.42 389,277.39 Plastic surgery 2009/10 64,162,717.49 55,078,644.63 2,317,408.80 6,187,829.37 578,834.70 Plastic surgery 2010/11 65,068,743.38 56,124,435.81 2,379,261.14 6,079,621.87 485,424.55 Plastic surgery 2011/12 71,444,445.25 61,330,986.45 2,660,543.19 6,578,606.65 874,308.96 Plastic surgery 2012/13 70,367,363.83 60,256,793.83 2,572,943.13 6,558,155.59 979,471.29 Plastic surgery 2013/14 74,275,446.97 63,959,104.18 2,574,886.60 6,743,068.91 998,387.29 Plastic surgery 2014/15 74,896,087.11 64,296,560.02 2,585,809.75 7,681,777.18 331,940.16 Plastic surgery 2015/16 75,797,301.69 65,192,861.63 2,611,420.01 7,710,027.10 282,992.96 Plastic surgery 2016/17 78,568,161.03 67,766,534.34 2,574,546.16 7,945,905.32 281,175.21 Plastic surgery 2017/18 84,023,515.74 73,301,498.11 2,700,322.13 7,763,453.41 258,242.08 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 36

Psychiatry 2005/06 294,319,664.29 1,826 1,737.8 161,182.73 169,364.24 30,845 77,294 120,871 147,288 177,299 230,482 303,633 Psychiatry 2006/07 304,006,160.14 1,845 1,763.9 164,772.99 172,346.26 30,492 77,255 125,074 149,747 178,134 229,394 310,887 Psychiatry 2007/08 309,984,856.44 1,858 1,798.6 166,837.92 172,350.14 32,471 80,081 121,953 147,127 178,339 232,348 320,802 Psychiatry 2008/09 358,235,394.16 1,898 1,817.1 188,743.62 197,141.87 38,456 100,062 145,641 173,252 203,879 254,619 358,202 Psychiatry 2009/10 367,792,481.83 1,948 1,873.1 188,805.18 196,351.59 34,782 95,107 142,296 171,763 204,494 260,764 356,464 Psychiatry 2010/11 393,611,254.95 1,972 1,894.5 199,600.03 207,770.64 35,031 99,340 151,071 181,602 214,869 275,998 375,927 Psychiatry 2011/12 440,894,773.74 2,043 1,948.5 215,807.53 226,271.40 36,288 104,447 163,752 196,137 233,063 291,300 415,280 Psychiatry 2012/13 444,643,018.64 2,069 1,994.6 214,907.21 222,927.14 39,636 106,218 162,002 195,728 227,967 292,229 409,280 Psychiatry 2013/14 462,228,840.92 2,117 2,053.4 218,341.45 225,100.23 41,156 109,316 165,795 198,417 227,943 301,208 418,000 Psychiatry 2014/15 458,960,928.90 2,143 2,090.1 214,167.49 219,583.83 35,165 103,309 156,751 190,802 222,948 295,479 418,294 Psychiatry 2015/16 459,177,371.05 2,161 2,113.6 212,483.74 217,244.74 38,395 101,316 155,916 186,145 222,947 292,773 419,082 Psychiatry 2016/17 464,002,089.44 2,192 2,136.6 211,679.79 217,167.50 34,941 98,316 151,599 184,992 224,499 296,183 418,814 Psychiatry 2017/18 474,528,427.94 2,227 2,207.8 213,079.67 214,930.06 35,899 97,474 149,980 184,293 220,404 295,115 428,635

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP PC model All others

Psychiatry 2005/06 294,319,664.29 272,791,062.40 10,784,698.02 9,855,220.08 888,683.79 Psychiatry 2006/07 304,006,160.14 273,339,464.81 10,924,147.35 16,859,805.67 2,882,742.30 Psychiatry 2007/08 309,984,856.44 272,427,825.12 14,053,603.58 20,232,557.44 3,270,870.30 Psychiatry 2008/09 358,235,394.16 293,204,681.13 38,014,805.16 23,948,530.17 9,420.10 3,057,957.59 Psychiatry 2009/10 367,792,481.83 313,151,772.78 27,090,096.37 24,407,187.13 81,129.22 3,062,296.33 Psychiatry 2010/11 393,611,254.95 341,238,912.19 24,668,685.62 24,287,342.99 86,969.51 3,329,344.64 Psychiatry 2011/12 440,894,773.74 381,713,266.20 28,254,345.26 26,016,538.51 84,962.37 4,825,661.40 Psychiatry 2012/13 444,643,018.64 387,334,983.11 27,979,613.25 24,102,124.66 91,744.58 5,134,553.04 Psychiatry 2013/14 462,228,840.92 402,390,239.93 29,545,097.60 25,628,138.79 90,098.94 4,575,265.66 Psychiatry 2014/15 458,960,928.90 404,973,451.96 26,000,278.11 25,165,877.78 58,183.10 2,763,137.95 Psychiatry 2015/16 459,177,371.05 406,703,164.19 24,235,642.70 25,285,438.52 56,091.31 2,897,034.32 Psychiatry 2016/17 464,002,089.44 412,948,413.95 23,574,251.66 24,620,030.41 49,321.84 2,810,071.58 Psychiatry 2017/18 474,528,427.94 421,443,530.38 23,695,674.61 26,473,778.02 48,230.86 2,867,214.08 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 37

Radiation oncology 2005/06 55,197,075.82 153 149.5 360,765.20 369,255.42 219,641 298,597 344,640 363,167 376,940 419,631 483,641 Radiation oncology 2006/07 59,522,653.99 162 157.9 367,423.79 376,931.22 239,310 308,702 338,256 368,819 395,718 428,924 491,863 Radiation oncology 2007/08 67,327,811.09 165 162.0 408,047.34 415,717.42 261,923 347,984 384,671 409,692 429,970 470,537 525,141 Radiation oncology 2008/09 71,177,278.33 173 168.3 411,429.35 422,799.80 263,771 345,703 388,725 408,201 439,843 473,080 542,487 Radiation oncology 2009/10 75,356,671.36 179 174.3 420,986.99 432,279.23 289,678 360,954 402,443 426,241 449,359 470,852 525,638 Radiation oncology 2010/11 78,923,671.55 182 178.1 433,646.55 443,130.85 287,169 374,748 411,832 441,674 460,847 506,734 561,120 Radiation oncology 2011/12 85,867,336.35 188 184.1 456,741.15 466,351.31 314,754 390,318 435,183 464,654 483,852 520,140 590,186 Radiation oncology 2012/13 88,032,689.84 196 193.1 449,146.38 455,874.18 308,383 378,942 417,017 453,677 475,417 528,609 592,319 Radiation oncology 2013/14 92,659,275.36 203 200.0 456,449.63 463,265.91 327,137 394,786 433,561 458,014 479,840 513,638 584,532 Radiation oncology 2014/15 89,312,281.64 212 196.2 421,284.35 455,279.03 183,774 328,118 411,461 448,360 475,329 515,760 610,971 Radiation oncology 2015/16 94,164,982.49 210 197.1 448,404.68 477,708.40 190,706 363,590 423,898 464,352 502,321 560,210 659,300 Radiation oncology 2016/17 101,342,211.47 216 200.8 469,176.90 504,722.87 200,120 389,813 460,342 496,500 523,594 574,093 647,891 Radiation oncology 2017/18 104,602,971.95 225 207.1 464,902.10 505,158.71 196,396 367,854 460,291 494,018 522,338 580,263 652,383

Payments overall and by sources Total payments Specialty Year from all sources FFS APP All others

Radiation oncology 2005/06 55,197,075.82 35,777,756.88 19,266,333.95 152,984.99 Radiation oncology 2006/07 59,522,653.99 39,608,523.41 19,909,941.14 4,189.43 Radiation oncology 2007/08 67,327,811.09 41,542,842.13 25,771,072.43 13,896.52 Radiation oncology 2008/09 71,177,278.33 44,763,505.55 26,231,099.88 182,672.91 Radiation oncology 2009/10 75,356,671.36 47,206,446.79 28,067,481.57 82,743.00 Radiation oncology 2010/11 78,923,671.55 50,836,868.74 28,080,584.65 6,218.16 Radiation oncology 2011/12 85,867,336.35 54,931,165.03 30,809,321.51 126,849.81 Radiation oncology 2012/13 88,032,689.84 56,425,724.65 31,543,720.89 63,244.30 Radiation oncology 2013/14 92,659,275.36 58,347,846.11 34,199,525.35 111,903.91 Radiation oncology 2014/15 89,312,281.64 58,083,751.22 31,143,861.83 84,668.58 Radiation oncology 2015/16 94,164,982.49 60,180,131.28 32,611,747.74 1,373,103.47 Radiation oncology 2016/17 101,342,211.47 63,325,093.28 35,146,941.13 2,870,177.06 Radiation oncology 2017/18 104,602,971.95 65,164,429.32 36,062,484.51 3,376,058.12 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 38

Respirology 2005/06 63,011,877.45 211 201.4 298,634.49 312,829.73 90,696 181,582 248,494 295,952 326,850 380,111 547,455 Respirology 2006/07 69,116,940.43 231 218.5 299,207.53 316,301.71 83,633 187,281 259,614 299,359 328,084 386,346 499,269 Respirology 2007/08 72,677,050.90 235 223.5 309,264.05 325,196.43 93,161 198,054 265,893 308,523 337,969 398,600 517,415 Respirology 2008/09 86,062,982.33 242 237.2 355,632.16 362,854.81 140,736 249,350 308,831 337,503 372,520 455,120 573,225 Respirology 2009/10 80,241,215.04 228 225.0 351,935.15 356,706.40 127,610 227,419 295,358 334,069 363,379 455,058 598,809 Respirology 2010/11 85,894,080.67 244 234.9 352,024.92 365,640.24 103,491 223,191 294,584 337,421 376,228 471,378 624,156 Respirology 2011/12 97,202,440.54 257 251.0 378,219.61 387,242.04 113,437 236,572 310,004 354,760 398,176 491,761 647,026 Respirology 2012/13 95,878,689.97 257 253.1 373,068.83 378,792.22 125,526 250,874 310,740 355,228 386,240 486,997 633,654 Respirology 2013/14 101,733,963.57 274 271.3 371,291.84 374,928.09 126,680 234,588 311,732 347,070 377,207 456,295 643,382 Respirology 2014/15 98,045,118.61 265 256.8 369,981.58 381,836.36 111,958 230,932 319,394 351,034 381,017 459,154 649,175 Respirology 2015/16 98,083,378.94 269 264.4 364,622.23 370,999.51 100,090 237,982 302,378 346,419 379,926 466,069 632,949 Respirology 2016/17 108,049,002.17 310 301.5 348,545.17 358,338.81 101,242 219,576 289,574 325,916 367,155 442,060 608,475 Respirology 2017/18 111,779,460.17 312 306.3 358,267.50 364,967.94 109,685 222,004 293,548 336,651 384,233 453,065 628,615

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP All others

Respirology 2005/06 63,011,877.45 55,124,701.39 2,636,335.37 5,002,135.98 248,704.70 Respirology 2006/07 69,116,940.43 63,034,559.19 2,699,142.05 3,224,768.88 158,470.31 Respirology 2007/08 72,677,050.90 65,593,352.74 3,466,147.46 3,323,059.37 294,491.34 Respirology 2008/09 86,062,982.33 72,243,917.24 9,837,683.63 3,769,170.90 212,210.55 Respirology 2009/10 80,241,215.04 70,538,892.21 5,644,833.16 3,609,742.03 447,747.65 Respirology 2010/11 85,894,080.67 76,822,544.99 5,314,996.50 3,370,815.78 385,723.40 Respirology 2011/12 97,202,440.54 86,718,558.48 6,346,624.29 3,694,935.59 442,322.19 Respirology 2012/13 95,878,689.97 85,926,578.62 6,318,802.12 3,094,860.08 538,449.15 Respirology 2013/14 101,733,963.57 91,161,403.57 6,351,748.01 3,685,387.57 535,424.43 Respirology 2014/15 98,045,118.61 87,775,871.48 6,042,254.99 4,081,422.68 145,569.45 Respirology 2015/16 98,083,378.94 87,763,935.34 5,939,956.99 4,338,786.97 40,699.63 Respirology 2016/17 108,049,002.17 97,125,516.37 5,895,904.54 4,972,922.55 54,658.72 Respirology 2017/18 111,779,460.17 101,285,407.01 5,794,903.91 4,625,592.89 73,556.37 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 39

Rheumatology 2005/06 37,191,423.48 151 150.6 246,300.82 247,035.80 74,464 150,400 186,393 221,905 258,667 316,949 443,020 Rheumatology 2006/07 39,398,414.13 155 154.4 254,183.32 255,091.15 77,246 157,408 199,372 226,315 262,166 328,121 435,629 Rheumatology 2007/08 40,772,348.45 156 153.6 261,361.21 265,370.97 66,682 165,839 207,692 242,746 275,373 328,998 459,689 Rheumatology 2008/09 48,823,670.14 158 159.8 309,010.57 305,460.42 112,960 201,400 239,269 272,633 312,624 374,640 535,477 Rheumatology 2009/10 50,037,828.84 160 164.1 312,736.43 304,869.22 111,551 190,428 226,030 261,364 310,377 376,116 529,998 Rheumatology 2010/11 51,168,978.02 162 162.5 315,857.89 314,910.90 116,018 202,462 249,099 282,642 320,306 386,585 537,286 Rheumatology 2011/12 59,069,757.39 176 176.1 335,623.62 335,464.60 117,266 207,043 259,473 301,058 343,383 411,729 553,879 Rheumatology 2012/13 58,678,611.54 180 177.6 325,992.29 330,350.60 108,996 204,116 258,307 297,398 341,437 411,727 532,589 Rheumatology 2013/14 61,861,688.28 188 186.3 329,051.53 332,028.34 110,601 201,474 274,618 296,132 329,080 415,452 539,617 Rheumatology 2014/15 60,776,414.55 179 177.0 339,533.04 343,281.46 96,907 204,082 273,831 304,455 348,227 414,801 551,422 Rheumatology 2015/16 61,139,777.50 180 180.3 339,665.43 339,174.03 116,990 215,096 266,631 310,485 350,976 431,144 548,286 Rheumatology 2016/17 66,360,741.20 200 198.2 331,803.71 334,748.57 123,743 198,337 255,340 304,133 355,428 427,299 543,223 Rheumatology 2017/18 66,770,616.48 199 196.6 335,530.74 339,612.43 137,209 208,983 268,927 307,171 357,934 429,061 566,753

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC All others

Rheumatology 2005/06 37,191,423.48 34,583,493.07 1,496,695.38 1,111,235.04 Rheumatology 2006/07 39,398,414.13 37,008,010.97 1,452,708.34 937,694.82 Rheumatology 2007/08 40,772,348.45 37,378,125.06 1,931,564.74 1,462,658.65 Rheumatology 2008/09 48,823,670.14 41,318,625.47 5,469,589.84 2,035,454.83 Rheumatology 2009/10 50,037,828.84 44,722,705.88 3,627,614.76 1,687,508.20 Rheumatology 2010/11 51,168,978.02 46,245,653.79 3,419,377.41 1,503,946.82 Rheumatology 2011/12 59,069,757.39 53,541,169.62 4,210,325.92 1,318,261.86 Rheumatology 2012/13 58,678,611.54 53,319,210.62 4,037,436.94 1,321,963.98 Rheumatology 2013/14 61,861,688.28 56,309,385.28 3,958,159.80 1,594,143.19 Rheumatology 2014/15 60,776,414.55 55,425,726.22 3,652,908.58 1,697,779.75 Rheumatology 2015/16 61,139,777.50 55,836,934.59 3,399,163.51 1,903,679.41 Rheumatology 2016/17 66,360,741.20 60,578,771.83 3,489,453.02 2,292,516.35 Rheumatology 2017/18 66,770,616.48 61,133,188.12 3,439,673.68 2,197,754.68 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 40

Thoracic surgery 2005/06 13,224,610.31 38 34.1 348,016.06 387,256.95 45,093 225,595 326,728 357,856 400,224 488,401 604,655 Thoracic surgery 2006/07 15,987,415.58 42 39.2 380,652.75 408,250.52 164,182 238,212 319,847 370,619 449,919 535,881 598,456 Thoracic surgery 2007/08 18,254,406.94 45 41.0 405,653.49 445,655.69 52,366 272,234 367,690 428,961 467,976 553,849 631,846 Thoracic surgery 2008/09 20,363,520.67 44 40.4 462,807.29 504,572.22 142,747 328,996 396,208 510,356 552,680 615,926 669,905 Thoracic surgery 2009/10 20,602,974.42 42 40.0 490,547.01 514,505.70 213,625 326,269 427,442 454,050 555,075 634,783 765,950 Thoracic surgery 2010/11 21,471,505.33 45 41.5 477,144.56 517,592.53 149,302 292,206 437,357 491,926 545,952 628,140 788,010 Thoracic surgery 2011/12 25,102,849.22 49 46.3 512,303.05 542,409.50 74,047 356,412 441,376 531,223 579,021 689,046 793,184 Thoracic surgery 2012/13 24,893,602.07 48 44.5 518,616.71 558,924.61 244,150 360,354 483,451 513,235 596,128 658,371 763,142 Thoracic surgery 2013/14 27,181,895.44 52 48.9 522,728.76 555,930.88 284,916 351,034 465,822 528,875 588,965 662,001 756,790 Thoracic surgery 2014/15 26,550,034.69 49 47.1 541,837.44 563,828.95 274,004 402,086 491,324 540,158 586,583 669,258 891,798 Thoracic surgery 2015/16 26,979,201.20 50 48.7 539,584.02 554,142.38 294,992 425,459 494,355 525,270 571,859 623,690 809,191 Thoracic surgery 2016/17 27,559,034.75 54 52.9 510,352.50 520,476.77 262,556 332,534 453,775 494,756 530,152 626,221 729,546 Thoracic surgery 2017/18 27,915,530.46 53 52.1 526,708.12 536,299.95 308,939 387,429 454,290 508,434 565,589 653,543 812,368

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC All others

Thoracic surgery 2005/06 13,224,610.31 12,234,460.40 406,483.46 583,666.45 Thoracic surgery 2006/07 15,987,415.58 15,246,565.70 402,158.20 338,691.68 Thoracic surgery 2007/08 18,254,406.94 17,378,779.91 521,703.28 353,923.75 Thoracic surgery 2008/09 20,363,520.67 18,462,685.62 1,410,208.39 490,626.66 Thoracic surgery 2009/10 20,602,974.42 18,770,131.40 899,764.12 933,078.90 Thoracic surgery 2010/11 21,471,505.33 19,566,426.21 957,220.38 947,858.73 Thoracic surgery 2011/12 25,102,849.22 22,992,449.25 1,080,511.90 1,029,888.06 Thoracic surgery 2012/13 24,893,602.07 22,685,143.37 1,172,451.31 1,036,007.40 Thoracic surgery 2013/14 27,181,895.44 24,681,592.70 1,310,258.54 1,190,044.20 Thoracic surgery 2014/15 26,550,034.69 24,301,319.08 1,099,822.14 1,148,893.47 Thoracic surgery 2015/16 26,979,201.20 24,400,786.29 1,185,983.37 1,392,431.54 Thoracic surgery 2016/17 27,559,034.75 25,115,881.44 1,119,583.02 1,323,570.29 Thoracic surgery 2017/18 27,915,530.46 25,572,308.53 1,020,173.20 1,323,048.73 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 41

Urology 2005/06 85,871,857.40 238 211.0 360,806.12 406,980.83 79,993 237,800 343,293 390,907 427,226 492,709 580,830 Urology 2006/07 91,527,871.44 248 218.1 369,064.00 419,584.41 83,579 215,865 349,057 399,293 441,242 500,696 623,339 Urology 2007/08 93,787,146.08 252 226.9 372,171.21 413,383.71 90,203 213,024 333,020 396,174 438,648 510,091 619,056 Urology 2008/09 104,216,494.91 251 230.2 415,205.16 452,750.37 133,543 268,746 369,163 431,709 483,923 570,981 658,651 Urology 2009/10 106,850,785.98 255 235.2 419,022.69 454,234.79 132,432 274,370 372,185 424,311 485,320 552,403 683,770 Urology 2010/11 112,568,326.20 265 240.6 424,786.14 467,928.76 109,721 269,980 377,528 444,014 504,958 566,292 670,887 Urology 2011/12 120,035,190.17 274 245.2 438,084.64 489,591.99 67,070 267,393 397,678 456,595 517,929 593,349 735,254 Urology 2012/13 118,539,823.42 266 242.0 445,638.43 489,808.01 131,620 301,368 408,887 452,008 520,195 582,401 701,394 Urology 2013/14 125,185,477.09 280 256.6 447,090.99 487,875.13 107,002 275,080 402,776 456,391 512,224 598,272 750,971 Urology 2014/15 126,429,219.95 281 258.0 449,926.05 490,082.47 104,637 271,167 403,293 450,734 512,780 599,013 764,208 Urology 2015/16 125,796,553.13 286 261.1 439,848.09 481,778.97 84,369 243,850 395,062 443,279 500,447 594,194 734,341 Urology 2016/17 129,278,538.49 296 274.4 436,751.82 471,198.15 96,739 286,072 389,177 435,109 489,247 580,769 728,464 Urology 2017/18 134,954,611.16 308 282.5 438,164.32 477,675.73 106,995 275,929 391,912 442,392 502,583 595,812 736,716

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP Other

Urology 2005/06 85,871,857.40 81,217,936.79 1,471,913.75 2,768,344.96 413,661.89 Urology 2006/07 91,527,871.44 84,285,948.49 1,404,324.21 5,601,962.64 235,636.11 Urology 2007/08 93,787,146.08 85,693,487.85 1,942,913.53 5,871,734.40 279,010.30 Urology 2008/09 104,216,494.91 91,325,825.69 5,423,215.48 7,079,286.25 388,167.49 Urology 2009/10 106,850,785.98 95,430,823.41 3,575,817.54 7,147,509.27 696,635.76 Urology 2010/11 112,568,326.20 101,131,369.82 3,253,768.93 7,669,665.95 513,521.49 Urology 2011/12 120,035,190.17 107,587,142.79 3,720,003.55 7,826,698.53 901,345.31 Urology 2012/13 118,539,823.42 105,401,989.83 3,775,946.41 8,169,645.79 1,192,241.39 Urology 2013/14 125,185,477.09 111,551,770.64 3,780,259.37 8,699,222.25 1,154,224.83 Urology 2014/15 126,429,219.95 112,747,524.96 3,686,365.37 9,776,366.85 218,962.76 Urology 2015/16 125,796,553.13 112,504,776.85 3,378,621.04 9,735,994.83 177,160.41 Urology 2016/17 129,278,538.49 116,774,316.95 3,232,346.57 9,094,595.98 177,278.99 Urology 2017/18 134,954,611.16 122,110,246.20 3,153,046.06 9,530,288.79 161,030.11 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 42

Vascular surgery 2005/06 27,422,140.50 66 62.2 415,486.98 441,159.53 116,038 268,470 384,050 403,244 449,984 555,478 679,489 Vascular surgery 2006/07 32,009,731.10 67 69.0 477,757.18 464,198.49 137,339 353,246 396,772 432,765 460,210 577,985 924,767 Vascular surgery 2007/08 33,208,363.71 66 65.3 503,157.03 508,549.65 131,431 364,405 432,084 453,864 513,354 674,578 968,398 Vascular surgery 2008/09 35,880,700.60 71 66.7 505,361.98 538,189.63 97,995 333,195 463,860 515,646 534,923 645,483 928,881 Vascular surgery 2009/10 38,242,682.21 72 69.8 531,148.36 547,849.94 153,999 387,756 461,377 512,430 559,990 620,886 955,696 Vascular surgery 2010/11 37,296,478.14 65 62.9 573,791.97 593,210.63 183,696 429,488 525,729 577,654 602,526 689,746 899,213 Vascular surgery 2011/12 40,491,856.73 67 64.6 604,356.07 626,476.73 240,175 406,742 533,413 600,740 638,346 760,607 965,449 Vascular surgery 2012/13 39,323,093.72 69 65.4 569,899.91 600,874.40 171,401 389,071 532,770 558,064 612,909 724,579 885,609 Vascular surgery 2013/14 44,497,967.64 81 75.5 549,357.63 589,162.18 153,681 363,406 509,871 555,991 589,796 714,623 903,985 Vascular surgery 2014/15 41,625,222.48 74 69.6 562,503.01 597,654.77 156,957 391,768 503,158 556,153 609,198 722,969 911,987 Vascular surgery 2015/16 44,570,900.37 81 76.3 550,258.03 584,344.13 192,372 380,049 515,246 560,603 596,056 685,792 810,506 Vascular surgery 2016/17 46,995,528.26 91 83.9 516,434.38 560,034.33 157,934 254,567 473,861 526,263 572,614 669,200 863,201 Vascular surgery 2017/18 50,833,800.60 94 86.1 540,785.11 590,469.95 157,860 294,235 497,558 547,650 618,092 677,762 849,226

Payments overall and by source Total payments Specialty Year from all sources FFS AHSC APP Other

Vascular surgery 2005/06 27,422,140.50 24,930,881.48 632,661.46 1,578,154.49 280,443.07 Vascular surgery 2006/07 32,009,731.10 26,114,130.44 628,520.73 4,965,765.64 301,314.29 Vascular surgery 2007/08 33,208,363.71 26,799,610.24 674,326.16 5,425,691.13 308,736.18 Vascular surgery 2008/09 35,880,700.60 27,849,779.44 2,026,581.41 5,685,101.90 319,237.85 Vascular surgery 2009/10 38,242,682.21 30,163,101.49 1,512,125.63 5,945,864.22 621,590.88 Vascular surgery 2010/11 37,296,478.14 30,916,773.30 1,203,631.86 4,699,861.14 476,211.83 Vascular surgery 2011/12 40,491,856.73 33,550,187.80 1,322,120.54 5,135,956.75 483,591.64 Vascular surgery 2012/13 39,323,093.72 32,179,331.46 1,418,069.69 5,181,217.77 544,474.80 Vascular surgery 2013/14 44,497,967.64 37,168,529.05 1,480,401.90 5,289,269.56 559,767.14 Vascular surgery 2014/15 41,625,222.48 34,264,051.30 1,334,329.17 5,663,793.39 363,048.61 Vascular surgery 2015/16 44,570,900.37 37,041,609.33 1,434,975.90 5,735,384.55 358,930.59 Vascular surgery 2016/17 46,995,528.26 38,893,395.59 1,407,600.11 6,319,635.70 374,896.86 Vascular surgery 2017/18 50,833,800.60 41,939,595.34 1,500,903.44 7,077,812.49 315,489.33 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 43

Mean payments to primary care physicians in Ontario, by payment category and overall, 2006/07 to 2013/14 Payment category Salaries, Overall mean Primary care Number of capitation, payments per model Year physicians Fee-for-service benefits Bonuses Premiums, fees Flowthrough Other physician

Comprehensive 2006/07 318 261,974.10 34,265.83 1,468.77 13,479.13 833.25 310,780.26 Care Model 2007/08 338 242,182.11 41,423.40 6,164.12 8,271.56 2,142.63 293,542.98 2008/09 312 251,377.37 55,359.10 6,743.43 15,800.22 1,383.20 157.12 324,437.90 2009/10 315 249,293.15 61,978.87 8,394.75 18,751.63 9,173.51 1,239.99 335,163.21 2010/11 307 245,180.32 56,444.93 8,299.62 19,465.47 9,682.19 2,541.22 326,292.75 2011/12 310 245,729.46 61,135.59 8,343.47 22,178.22 16,401.65 2,220.63 334,727.47 2012/13 305 251,921.63 54,269.19 8,328.61 22,674.48 23,861.13 2,072.91 332,345.83 2013/14 316 238,891.32 50,854.62 8,129.17 23,133.87 22,819.28 11,583.16 316,491.43 2014/15 336 224,028.87 47,761.92 8,986.27 24,640.44 19,983.75 3,033.55 301,057.92 2015/16 371 249,387.46 51,853.86 8,566.93 19,533.22 19,683.22 2,840.89 324,281.95 2016/17 342 262,512.90 42,227.37 7,264.41 17,608.40 19,947.08 2,088.55 325,297.67 2017/18 392 260,379.63 44,191.48 8,814.89 16,576.45 22,933.20 2,440.13 322,820.56 Fee-for-Service 2006/07 4,837 142,423.97 71,688.77 3,506.41 4,646.12 836.13 16,235.04 168,373.74 2007/08 4,376 140,851.59 77,066.46 2,025.45 5,020.87 4,793.03 4,933.47 171,476.78 2008/09 4,159 143,620.25 80,346.49 3,595.87 7,211.72 4,695.72 2,706.41 179,344.01 2009/10 4,130 144,837.56 82,830.88 6,263.81 7,126.85 16,189.22 11,495.43 184,080.75 2010/11 4,125 149,997.65 69,206.08 5,988.61 7,300.43 12,897.30 13,068.96 183,009.20 2011/12 4,298 156,926.21 77,043.49 6,623.16 7,791.56 14,914.69 15,719.61 196,293.64 2012/13 4,401 149,402.88 78,182.04 5,480.88 7,724.52 20,985.63 12,689.12 188,781.33 2013/14 4,529 145,385.56 77,725.83 5,811.92 7,216.56 23,078.51 17,987.89 189,256.50 2014/15 4,433 142,585.87 74,185.99 4,066.30 6,656.90 28,122.22 17,456.05 185,434.72 2015/16 4,531 141,123.08 76,659.64 3,709.13 6,392.94 25,077.91 13,823.51 184,972.18 2016/17 3,752 168,509.03 31,443.22 3,093.33 4,462.02 13,578.83 2,227.28 183,933.12 2017/18 3,513 173,859.95 33,182.44 132.07 4,254.33 10,756.09 34,499.37 188,260.79 Family Health 2006/07 4,251 241,465.40 44,944.83 3,722.84 14,459.84 472.72 497.56 302,338.64 Group 2007/08 4,337 239,601.18 51,006.75 7,151.11 11,718.61 3,462.16 5,504.34 305,731.12 2008/09 4,072 244,996.09 74,100.79 8,521.56 17,213.86 2,365.31 -2,945.61 341,697.53 2009/10 3,579 253,904.87 68,640.98 9,674.93 18,796.42 11,563.25 11,384.47 349,033.12 2010/11 3,190 263,274.63 65,088.20 9,428.62 19,685.31 11,697.49 16,692.67 354,894.67 2011/12 2,915 281,350.62 60,797.22 8,819.54 21,902.61 18,489.63 14,056.22 369,820.98 2012/13 2,725 273,413.61 56,231.16 8,842.51 21,743.43 21,554.79 4,399.15 357,054.50 2013/14 2,688 258,767.73 62,173.58 9,244.81 22,658.86 22,636.40 7,687.67 350,620.42 2014/15 2,650 253,617.73 57,668.66 9,209.69 22,745.15 21,042.95 4,583.34 340,018.30 2015/16 2,522 263,717.62 50,503.69 9,080.95 19,246.56 19,129.34 3,133.81 339,456.31 2016/17 2,539 269,375.40 45,675.66 8,215.50 18,310.76 19,311.44 1,646.15 339,591.00 2017/18 2,771 266,947.05 44,284.40 9,156.06 17,773.88 17,107.00 2,718.50 334,378.08 44

Payment category Salaries, Overall mean Primary care Number of capitation, payments per model Year physicians Fee-for-service benefits Bonuses Premiums, fees Flowthrough Other physician Family Health 2006/07 673 65,862.69 215,688.94 29,539.41 18,732.77 1,314.31 2,735.30 330,103.67 Network 2007/08 1,042 63,303.92 217,824.93 17,520.10 20,004.79 611.03 7,024.72 318,686.78 2008/09 901 64,305.40 240,207.65 28,073.70 23,232.71 1,806.53 1,776.50 356,289.51 2009/10 554 61,447.68 228,122.53 29,663.81 27,101.33 8,430.14 10,204.18 350,221.39 2010/11 341 67,278.89 228,984.67 32,379.58 29,134.70 9,327.18 566.42 362,807.57 2011/12 317 71,024.22 223,858.49 32,386.79 29,687.97 11,367.86 724.94 363,051.62 2012/13 288 65,588.95 247,311.03 33,823.06 32,255.36 15,521.75 566.33 386,717.09 2013/14 297 60,891.79 235,788.36 33,283.75 30,800.49 14,382.56 1,157.40 366,120.66 2014/15 256 72,828.26 240,621.41 34,571.26 34,503.51 15,396.91 800.70 388,254.14 2015/16 231 66,247.81 231,090.40 30,372.32 28,059.39 12,197.41 2,728.27 359,741.19 2016/17 231 67,681.74 223,208.61 29,863.79 26,478.86 12,090.64 1,310.57 350,551.59 2017/18 236 69,717.13 216,023.75 31,390.95 26,768.27 12,018.50 1,228.01 346,843.00 Family Health 2006/07 308 47,645.72 335,886.45 5,407.54 12,586.47 713.75 400,694.28 Organization 2007/08 314 47,188.72 273,802.27 18,052.23 12,423.93 2,239.49 351,726.44 2008/09 947 53,629.03 274,502.18 31,300.32 16,825.34 1,967.85 4,184.61 376,265.91 2009/10 2,045 59,315.15 288,611.28 29,144.78 19,645.29 8,043.31 7,249.70 398,267.19 2010/11 2,851 62,396.88 296,478.79 29,871.07 21,064.42 7,858.06 4,156.48 411,322.70 2011/12 3,340 65,450.72 281,719.19 27,685.92 21,447.97 9,687.67 2,114.49 397,728.01 2012/13 3,827 61,902.12 307,700.04 30,110.37 20,803.96 11,453.27 7,590.45 422,052.93 2013/14 4,066 58,450.01 303,506.90 31,073.52 21,104.58 10,697.75 13,857.65 415,231.53 2014/15 4,515 59,928.95 292,373.28 29,931.00 20,208.35 11,168.56 8,483.78 403,486.54 2015/16 4,873 58,459.16 280,798.80 28,051.97 16,815.50 11,515.40 37,079.80 385,317.17 2016/17 5,255 58,484.67 270,175.78 25,857.76 15,108.41 11,887.28 7,220.82 370,462.80 2017/18 5,494 61,728.04 262,716.56 27,093.57 14,968.26 11,528.32 8,757.18 366,740.55 Rural and 2006/07 55 11,072.36 180,586.24 758.04 24,136.37 5,894.90 221,653.66 Northern 2007/08 104 11,526.48 176,004.32 2,364.73 24,313.03 1,217.09 214,461.78 Physician Group 2008/09 100 9,614.37 162,586.06 5,940.06 25,427.00 891.01 -58.84 202,453.84 Agreement 2009/10 110 12,120.18 157,269.20 7,591.47 29,462.81 7,837.35 2,329.91 206,553.99 2010/11 137 8,921.74 146,213.15 7,547.12 25,635.21 3,603.23 2,029.23 186,444.56 2011/12 146 14,912.54 145,045.55 6,723.23 25,513.29 4,189.63 1,332.58 191,474.08 2012/13 148 16,681.53 157,436.63 7,319.76 29,775.85 4,193.45 744.39 209,837.12 2013/14 152 18,187.64 167,574.13 7,096.69 28,685.55 5,622.64 2,517.30 220,000.89 2014/15 201 16,043.43 110,696.93 7,687.44 20,094.13 5,971.21 1,050.82 149,506.77 2015/16 161 15,438.40 134,039.07 7,769.85 23,746.13 6,642.68 1,312.92 179,071.72 2016/17 258 13,515.52 125,847.96 6,605.12 18,645.69 4,135.83 1,031.57 161,160.20 2017/18 272 16,863.05 114,829.65 7,069.89 17,075.62 5,858.95 1,868.97 151,534.67 Other Primary 2006/07 58 11,225.11 225,812.04 20,180.69 13,948.28 170,019.77 326,236.39 Care 2007/08 81 14,415.24 228,361.81 11,452.47 11,385.46 63,399.15 298,275.77 2008/09 195 28,723.15 177,164.26 15,417.29 7,404.58 3,649.81 33,289.02 183,621.56 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 45

Payment category Salaries, Overall mean Primary care Number of capitation, payments per model Year physicians Fee-for-service benefits Bonuses Premiums, fees Flowthrough Other physician 2009/10 341 33,919.50 113,921.69 6,204.98 7,683.51 10,021.93 32,233.57 156,207.49 2010/11 256 31,617.37 174,523.24 16,773.74 10,256.11 10,833.54 29,934.26 197,662.44 2011/12 172 19,850.32 181,002.52 19,055.49 13,975.66 18,677.04 26,161.29 240,722.11 2012/13 186 18,592.04 200,441.31 15,299.90 12,998.76 21,914.52 31,264.87 258,507.19 2013/14 201 18,070.66 205,007.28 15,227.76 10,559.27 10,043.08 24,109.30 258,496.45 2014/15 300 22,244.54 162,889.29 14,225.75 10,473.45 9,515.76 55,005.34 217,406.65 2015/16 242 23,948.09 186,080.47 17,043.39 10,585.57 14,567.66 115,978.19 246,837.75 2016/17 424 18,852.26 151,620.13 15,638.66 8,341.46 7,263.77 38,974.94 196,238.85 2017/18 453 21,585.58 168,577.48 16,382.51 8,507.61 6,151.60 39,311.44 209,703.79 Non-Primary 2006/07 236 17,611.19 122,977.80 2,980.38 6,108.48 179.71 3,806.86 141,423.53 Care 2007/08 280 14,746.38 122,199.88 3,546.93 14,627.51 643.96 -2,167.55 141,904.32 2008/09 312 15,744.56 129,118.71 7,395.15 13,533.52 4,546.12 37,733.49 151,968.66 2009/10 328 18,425.27 133,345.20 7,237.70 5,979.82 16,094.05 12,529.96 163,340.91 2010/11 317 17,411.49 109,366.91 11,886.62 5,266.81 11,875.54 3,755.86 132,749.05 2011/12 350 19,329.14 112,577.63 8,955.12 5,897.89 16,106.43 6,217.48 140,279.58 2012/13 374 17,968.23 105,488.29 8,478.11 5,081.10 22,471.47 1,770.59 136,270.54 2013/14 408 13,383.88 110,649.42 10,484.93 4,735.17 23,221.05 6,673.20 133,344.38 2014/15 425 12,893.98 89,114.92 3,103.17 28,150.72 2,355.29 116,180.49 2015/16 409 10,224.52 98,541.27 3,736.90 37,968.63 976.84 120,035.19 2016/17 896 20,361.61 105,307.64 1,974.01 4,392.03 38,078.50 1,282.82 155,635.98 2017/18 935 18,946.62 100,906.51 332.29 4,115.97 37,621.28 32,629.86 151,991.52 All Ontario 2006/07 10,736 173,964.18 82,390.24 11,005.19 10,434.06 694.17 27,476.74 242,972.77 2007/08 10,872 168,585.97 91,758.71 10,453.23 10,293.24 3,824.05 14,749.76 248,736.85 2008/09 10,998 163,873.25 120,278.56 15,601.90 13,842.32 3,270.59 6,073.83 274,533.12 2009/10 11,402 155,903.10 137,143.25 17,843.24 14,732.51 12,666.93 15,012.82 285,306.26 2010/11 11,524 152,601.46 151,172.25 20,237.87 15,618.18 10,597.51 16,279.01 295,194.65 2011/12 11,848 154,836.87 154,286.32 19,928.03 16,688.12 13,455.31 14,056.27 302,787.02 2012/13 12,254 143,437.43 172,097.76 21,959.15 16,504.64 17,680.63 17,881.52 306,988.75 2013/14 12,657 134,540.03 173,297.21 22,891.18 16,442.49 18,151.11 19,174.42 303,112.37 2014/15 13,116 128,981.53 169,642.09 22,853.57 16,195.99 20,479.91 25,397.31 296,585.88 2015/16 13,340 128,298.13 169,657.22 21,813.48 13,896.58 21,183.82 32,819.86 293,323.60 2016/17 13,697 128,524.34 163,459.55 20,541.79 12,502.10 21,765.58 16,413.43 288,792.02 2017/18 14,066 131,219.82 161,787.97 22,270.16 12,542.11 20,808.22 27,214.28 291,089.78 Note: The mean payments by payment category includes only physicians who had payments in that category. Here is an example of how to correctly interpret these numbers: Of the physicians in Family Health Groups who received bonuses in 2013/14, the average amount received was $9,258.77. This does not take into account physicians in this group who did not receive bonus payments during the year. Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 46

Comparison of physician payments in Ontario, overall and by specialty, 2011/12 to 2017/18

% Change from % Change from Specialty Measure 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2016/17 2011/12

All Ontario No. of physicians with 27,075 27,725 28,621 29,560 30,211 30,994 32,034 3.36 18.32 total payments > 0 All Ontario Total payments 9,328,553,049.97 9,416,901,100.62 9,804,501,805.90 9,942,545,777.38 10,008,870,419.36 10,203,234,263.64 10,657,944,073.05 4.46 14.25 All Ontario Number of FTEs 26,042.1 26,738.6 27,604.1 28,521.0 29,244.4 30,117.4 31,148.1 3.42 19.61 All Ontario Mean payments per physician 344,544.90 339,653.78 342,563.22 336,351.35 331,298.88 329,200.31 332,707.25 1.07 -3.44 All Ontario Mean payments per FTE 358,210.34 352,183.44 355,182.44 348,604.23 342,249.13 338,781.86 342,169.71 1.00 -4.48 Anesthesiology Total payments 506,771,652.00 500,357,033.92 534,097,975.75 528,073,536.12 534,578,226.48 545,665,776.35 568,444,887.93 4.17 12.17 Cardiac surgery Total payments 47,960,891.15 49,303,700.94 52,453,799.99 51,078,072.34 51,550,447.54 52,331,403.96 53,721,789.79 2.66 12.01 Cardiology Total payments 368,109,787.18 345,290,350.83 362,420,706.17 363,923,015.15 350,579,516.34 364,341,329.18 392,929,429.05 7.85 6.74 Clinical immunology Total payments 25,314,910.81 24,449,074.49 25,018,798.09 24,410,818.53 24,891,803.78 28,347,012.08 29,518,828.91 4.13 16.61 Critical care medicine Total payments 56,955,303.03 57,362,192.96 69,977,194.33 61,358,778.26 65,750,035.94 66,262,115.53 66,025,130.84 -0.36 15.92 Dermatology Total payments 80,152,528.49 80,028,763.36 84,351,776.01 83,168,628.72 83,714,252.56 83,375,302.92 85,325,473.02 2.34 6.45 Diagnostic radiology Total payments 619,595,100.67 588,835,829.75 625,630,006.31 626,852,638.59 626,412,150.36 633,853,758.31 676,806,916.63 6.78 9.23 Emergency medicine Total payments 305,596,613.41 311,347,789.97 334,135,844.99 382,153,655.33 393,001,851.56 401,240,001.62 412,598,599.67 2.83 35.01 Endocrinology Total payments 58,890,349.36 58,690,879.03 64,940,822.67 63,200,757.71 65,248,684.21 74,846,112.39 77,302,292.30 3.28 31.26 Gastroenterology Total payments 178,132,932.32 169,133,108.79 177,199,089.04 172,819,834.09 176,226,929.47 182,319,580.43 186,362,438.76 2.22 4.62 General surgery Total payments 296,653,580.34 292,789,056.62 302,396,036.95 306,225,123.95 305,776,828.41 309,453,823.39 320,947,937.57 3.71 8.19 Geriatric medicine Total payments 36,072,236.29 35,985,892.99 38,455,743.48 36,176,511.76 37,205,730.34 38,901,531.10 39,413,519.98 1.32 9.26 GP/FP Total payments 3,587,420,564.92 3,761,840,104.92 3,836,493,325.96 3,890,020,416.94 3,912,936,808.65 3,955,584,280.90 4,089,520,334.90 3.39 14.00 Hematology Total payments 50,903,900.43 51,665,325.08 56,193,218.88 52,043,361.85 54,470,008.57 67,531,865.91 73,694,767.56 9.13 44.77 Infectious diseases Total payments 25,320,532.52 25,652,862.43 30,624,819.61 27,481,026.10 29,345,876.42 32,978,568.28 35,001,820.93 6.14 38.23 Internal medicine Total payments 252,585,528.01 277,797,965.59 284,312,051.77 363,775,633.34 361,729,531.58 345,427,962.32 403,875,959.35 16.92 59.90 Medical oncology Total payments 85,176,259.86 94,005,608.32 100,823,311.14 98,226,180.34 99,187,457.67 105,603,164.71 111,993,397.38 6.05 31.48 Nephrology Total payments 125,968,080.59 120,337,518.40 127,867,348.43 124,820,321.38 124,059,823.15 127,075,188.40 131,829,293.85 3.74 4.65 Neurology Total payments 92,030,518.07 96,258,420.20 104,495,533.77 108,938,315.31 110,815,348.67 115,615,068.65 121,991,251.76 5.52 32.56 Neurosurgery Total payments 50,094,398.74 49,054,900.59 52,601,955.41 52,620,544.03 54,500,067.38 61,482,709.18 63,014,111.40 2.49 25.79 Nuclear medicine Total payments 48,732,711.64 43,028,395.57 42,274,149.55 42,728,114.49 39,158,141.59 37,222,475.82 39,481,436.37 6.07 -18.98 Obstetrics & Gynecology Total payments 362,094,222.14 356,636,590.36 364,661,715.18 359,991,114.76 351,774,315.60 350,513,563.96 364,854,576.97 4.09 0.76 Ophthalmology Total payments 322,019,236.18 291,824,230.42 305,148,755.38 307,941,421.04 315,448,342.80 322,990,047.73 333,992,933.22 3.41 3.72 Orthopedic surgery Total payments 222,079,701.14 220,989,911.48 239,139,755.94 231,200,689.53 235,136,780.26 250,612,154.16 273,760,556.12 9.24 23.27 Otolaryngology Total payments 109,310,725.46 107,086,238.29 110,939,046.18 114,199,227.45 116,561,391.57 118,930,113.77 120,187,290.81 1.06 9.95 Pediatric subspecialties Total payments 87,206,402.40 88,672,514.67 89,829,108.69 81,095,100.98 85,780,251.68 82,207,439.43 81,456,638.78 -0.91 -6.59 Pediatrics Total payments 311,642,145.66 313,950,109.20 328,641,249.82 339,470,658.15 345,767,511.17 354,380,901.50 375,806,924.88 6.05 20.59 Physical medicine & Rehabilitation Total payments 45,480,033.16 47,493,264.47 52,902,131.93 53,539,307.41 53,305,784.64 55,068,130.08 56,441,545.97 2.49 24.10 Plastic surgery Total payments 71,444,445.25 70,367,363.83 74,275,446.97 74,896,087.11 75,797,301.69 78,568,161.03 84,023,515.74 6.94 17.61 Psychiatry Total payments 440,894,773.74 444,643,018.64 462,228,840.92 458,960,928.90 459,177,371.05 464,002,089.44 474,528,427.94 2.27 7.63 Radiation oncology Total payments 85,867,336.35 88,032,689.84 92,659,275.36 89,312,281.64 94,164,982.49 101,342,211.47 104,602,971.95 3.22 21.82 Respirology Total payments 97,202,440.54 95,878,689.97 101,733,963.57 98,045,118.61 98,083,378.94 108,049,002.17 111,779,460.17 3.45 15.00 Rheumatology Total payments 59,069,757.39 58,678,611.54 61,861,688.28 60,776,414.55 61,139,777.50 66,360,741.20 66,770,616.48 0.62 13.04 Thoracic surgery Total payments 25,102,849.22 24,893,602.07 27,181,895.44 26,550,034.69 26,979,201.20 27,559,034.75 27,915,530.46 1.29 11.20 Urology Total payments 120,035,190.17 118,539,823.42 125,185,477.09 126,429,219.95 125,796,553.13 129,278,538.49 134,954,611.16 4.39 12.43 Vascular surgery Total payments 40,491,856.73 39,323,093.72 44,497,967.64 41,625,222.48 44,570,900.37 46,995,528.26 50,833,800.60 8.17 25.54 Anesthesiology Mean payments per head 405,093.25 393,671.94 404,313.38 399,450.48 396,571.38 390,878.06 398,908.69 2.05 -1.53 Cardiac surgery Mean payments per head 504,851.49 518,986.33 535,242.86 510,780.72 520,711.59 518,132.71 516,555.67 -0.30 2.32 Cardiology Mean payments per head 617,633.87 569,786.06 576,185.54 574,917.88 552,964.54 535,796.07 566,997.73 5.82 -8.20 Clinical immunology Mean payments per head 401,823.98 394,339.91 362,591.28 381,419.04 382,950.83 377,960.16 398,903.09 5.54 -0.73 Critical care medicine Mean payments per head 409,750.38 412,677.65 419,025.12 432,104.07 418,790.04 406,516.05 410,093.98 0.88 0.08 Dermatology Mean payments per head 374,544.53 368,796.14 385,167.93 372,953.49 372,063.34 367,292.08 355,522.80 -3.20 -5.08 Diagnostic radiology Mean payments per head 618,358.38 568,374.35 610,370.74 606,827.34 593,193.32 594,052.26 603,214.72 1.54 -2.45 Emergency medicine Mean payments per head 292,436.95 289,088.01 299,404.88 304,262.46 299,772.58 298,541.67 302,935.83 1.47 3.59 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 47

% Change from % Change from Specialty Measure 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2016/17 2011/12 Endocrinology Mean payments per head 320,056.25 304,097.82 321,489.22 316,003.79 319,846.49 317,144.54 326,170.01 2.85 1.91 Gastroenterology Mean payments per head 587,897.47 556,358.91 540,241.13 552,140.05 554,172.73 547,506.25 554,650.12 1.30 -5.66 General surgery Mean payments per head 398,192.73 382,730.79 393,744.84 388,118.03 387,549.85 388,761.08 385,754.73 -0.77 -3.12 Geriatric medicine Mean payments per head 310,967.55 307,571.73 298,106.54 289,412.09 275,598.00 275,897.38 277,560.00 0.60 -10.74 GP/FP Mean payments per head 302,787.02 306,988.75 303,112.37 296,585.88 293,323.60 288,792.02 291,089.78 0.80 -3.86 Hematology Mean payments per head 306,650.00 309,373.20 319,279.65 306,137.42 302,611.16 332,669.29 357,741.59 7.54 16.66 Infectious diseases Mean payments per head 248,240.51 246,662.14 246,974.35 243,194.92 246,604.00 238,975.13 244,767.98 2.42 -1.40 Internal medicine Mean payments per head 267,173.41 268,368.56 281,624.42 288,567.90 275,918.79 281,522.38 280,859.50 -0.24 5.12 Medical oncology Mean payments per head 381,956.32 414,121.62 427,217.42 414,456.46 416,754.02 422,412.66 434,082.94 2.76 13.65 Nephrology Mean payments per head 567,423.79 549,486.39 555,944.99 554,756.98 537,055.51 525,104.08 542,507.38 3.31 -4.39 Neurology Mean payments per head 294,027.21 299,870.47 302,010.21 309,483.85 293,162.30 291,221.84 285,693.80 -1.90 -2.83 Neurosurgery Mean payments per head 481,676.91 476,261.17 478,199.59 469,826.29 457,983.76 508,121.56 538,582.15 5.99 11.81 Nuclear medicine Mean payments per head 560,146.11 483,465.12 459,501.63 496,838.54 466,168.35 443,124.71 470,017.10 6.07 -16.09 Obstetrics & Gynecology Mean payments per head 443,742.92 433,864.47 427,504.94 414,736.31 397,036.47 380,993.00 376,138.74 -1.27 -15.23 Ophthalmology Mean payments per head 706,182.54 633,024.36 652,027.26 652,418.26 654,457.14 668,716.45 678,847.43 1.51 -3.87 Orthopedic surgery Mean payments per head 396,570.89 415,394.57 417,346.87 400,694.44 386,738.13 406,178.53 408,597.84 0.60 3.03 Otolaryngology Mean payments per head 422,049.13 395,152.17 396,210.88 402,109.96 404,727.05 393,808.32 399,293.32 1.39 -5.39 Pediatric subspecialties Mean payments per head 268,327.39 257,021.78 264,982.62 260,755.95 259,940.16 257,703.57 257,774.17 0.03 -3.93 Pediatrics Mean payments per head 299,080.75 292,318.54 293,954.61 281,484.79 268,244.77 270,313.43 268,241.92 -0.77 -10.31 Physical medicine & Rehabilitation Mean payments per head 264,418.80 259,526.04 275,531.94 271,773.13 262,590.07 260,986.40 261,303.45 0.12 -1.18 Plastic surgery Mean payments per head 323,278.03 325,774.83 327,204.61 321,442.43 315,822.09 316,807.10 334,755.04 5.67 3.55 Psychiatry Mean payments per head 215,807.53 214,907.21 218,341.45 214,167.49 212,483.74 211,679.79 213,079.67 0.66 -1.26 Radiation oncology Mean payments per head 456,741.15 449,146.38 456,449.63 421,284.35 448,404.68 469,176.90 464,902.10 -0.91 1.79 Respirology Mean payments per head 378,219.61 373,068.83 371,291.84 369,981.58 364,622.23 348,545.17 358,267.50 2.79 -5.28 Rheumatology Mean payments per head 335,623.62 325,992.29 329,051.53 339,533.04 339,665.43 331,803.71 335,530.74 1.12 -0.03 Thoracic surgery Mean payments per head 512,303.05 518,616.71 522,728.76 541,837.44 539,584.02 510,352.50 526,708.12 3.20 2.81 Urology Mean payments per head 438,084.64 445,638.43 447,090.99 449,926.05 439,848.09 436,751.82 438,164.32 0.32 0.02 Vascular surgery Mean payments per head 604,356.07 569,899.91 549,357.63 562,503.01 550,258.03 516,434.38 540,785.11 4.72 -10.52 Anesthesiology Mean payments per FTE 422,916.42 410,496.44 422,018.81 417,348.91 413,024.21 411,417.68 417,879.60 1.57 -1.19 Cardiac surgery Mean payments per FTE 560,916.64 566,700.75 578,128.07 557,935.52 564,231.18 557,752.71 560,553.94 0.50 -0.06 Cardiology Mean payments per FTE 610,192.52 567,947.65 581,126.54 583,312.74 560,264.80 548,460.32 576,637.87 5.14 -5.50 Clinical immunology Mean payments per FTE 420,570.41 411,978.22 368,869.08 384,620.35 378,284.41 379,521.99 414,179.95 9.13 -1.52 Critical care medicine Mean payments per FTE 401,731.70 408,640.85 420,497.39 422,771.93 411,405.77 400,074.89 407,232.42 1.79 1.37 Dermatology Mean payments per FTE 377,967.27 384,920.15 402,072.09 383,306.08 380,030.53 374,940.06 355,036.69 -5.31 -6.07 Diagnostic radiology Mean payments per FTE 653,919.56 604,556.25 631,982.18 633,668.50 622,930.96 627,212.99 648,187.11 3.34 -0.88 Emergency medicine Mean payments per FTE 275,166.42 274,450.87 282,363.51 282,130.90 279,783.74 276,837.63 280,495.67 1.32 1.94 Endocrinology Mean payments per FTE 319,211.28 313,985.42 328,222.31 321,086.22 318,689.18 319,095.56 317,144.23 -0.61 -0.65 Gastroenterology Mean payments per FTE 610,624.45 579,840.36 565,284.10 585,180.13 584,570.23 573,531.17 581,698.11 1.42 -4.74 General surgery Mean payments per FTE 438,713.81 421,758.31 435,297.74 430,903.53 419,826.54 418,908.25 418,846.85 -0.01 -4.53 Geriatric medicine Mean payments per FTE 321,237.71 317,438.64 309,075.38 295,771.15 286,070.18 276,596.40 268,039.89 -3.09 -16.56 GP/FP Mean payments per FTE 317,879.44 321,981.79 319,543.64 312,838.15 306,560.91 301,208.97 302,912.99 0.57 -4.71 Hematology Mean payments per FTE 336,497.72 331,309.13 345,968.39 332,048.75 332,029.81 366,958.58 400,395.32 9.11 18.99 Infectious diseases Mean payments per FTE 265,466.93 261,868.39 260,939.25 257,018.34 258,150.49 241,845.80 251,867.37 4.14 -5.12 Internal medicine Mean payments per FTE 288,009.16 291,717.75 299,498.20 311,530.76 297,796.14 302,102.44 301,713.08 -0.13 4.76 Medical oncology Mean payments per FTE 409,816.83 447,209.58 460,746.11 447,353.67 450,896.04 452,619.81 460,114.50 1.66 12.27 Nephrology Mean payments per FTE 590,967.40 563,655.05 567,031.67 582,698.90 561,844.47 553,501.14 568,108.74 2.64 -3.87 Neurology Mean payments per FTE 306,185.27 304,552.51 302,809.89 308,205.30 289,439.40 288,253.58 287,705.80 -0.19 -6.04 Neurosurgery Mean payments per FTE 502,755.38 507,271.77 512,847.30 508,861.32 475,473.95 533,198.76 547,136.41 2.61 8.83 Nuclear medicine Mean payments per FTE 561,729.25 506,448.46 454,706.87 487,132.86 456,318.12 424,717.78 467,263.72 10.02 -16.82 Obstetrics & Gynecology Mean payments per FTE 479,968.80 462,693.49 460,333.76 442,660.66 430,081.09 405,330.91 404,608.54 -0.18 -15.70 Ophthalmology Mean payments per FTE 668,651.93 616,516.02 641,652.24 632,016.09 668,119.09 673,474.58 683,816.72 1.54 2.27 Orthopedic surgery Mean payments per FTE 445,589.55 459,790.37 463,564.33 447,366.57 426,315.21 444,048.18 454,028.43 2.25 1.89 Otolaryngology Mean payments per FTE 464,320.24 439,423.21 433,532.19 439,769.63 439,498.87 426,576.91 437,964.47 2.67 -5.68 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 48

% Change from % Change from Specialty Measure 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2016/17 2011/12 Pediatric subspecialties Mean payments per FTE 251,562.49 235,449.14 243,915.06 232,983.62 234,533.35 225,503.16 223,642.62 -0.83 -11.10 Pediatrics Mean payments per FTE 296,188.48 284,324.26 288,386.76 269,845.03 263,692.46 259,320.19 257,553.81 -0.68 -13.04 Physical medicine & Rehabilitation Mean payments per FTE 278,773.08 279,081.78 292,552.63 291,039.03 275,770.48 267,378.13 274,822.83 2.78 -1.42 Plastic surgery Mean payments per FTE 344,329.72 342,859.89 348,170.44 342,679.53 337,336.24 335,456.96 349,078.58 4.06 1.38 Psychiatry Mean payments per FTE 226,271.40 222,927.14 225,100.23 219,583.83 217,244.74 217,167.50 214,930.06 -1.03 -5.01 Radiation oncology Mean payments per FTE 466,351.31 455,874.18 463,265.91 455,279.03 477,708.40 504,722.87 505,158.71 0.09 8.32 Respirology Mean payments per FTE 387,242.04 378,792.22 374,928.09 381,836.36 370,999.51 358,338.81 364,967.94 1.85 -5.75 Rheumatology Mean payments per FTE 335,464.60 330,350.60 332,028.34 343,281.46 339,174.03 334,748.57 339,612.43 1.45 1.24 Thoracic surgery Mean payments per FTE 542,409.50 558,924.61 555,930.88 563,828.95 554,142.38 520,476.77 536,299.95 3.04 -1.13 Urology Mean payments per FTE 489,591.99 489,808.01 487,875.13 490,082.47 481,778.97 471,198.15 477,675.73 1.37 -2.43 Vascular surgery Mean payments per FTE 626,476.73 600,874.40 589,162.18 597,654.77 584,344.13 560,034.33 590,469.95 5.43 -5.75 Anesthesiology Number of physicians 1,251 1,271 1,321 1,322 1,348 1,396 1,425 2.08 13.91 Cardiac surgery Number of physicians 95 95 98 100 99 101 104 2.97 9.47 Cardiology Number of physicians 596 606 629 633 634 680 693 1.91 16.28 Clinical immunology Number of physicians 63 62 69 64 65 75 74 -1.33 17.46 Critical care medicine Number of physicians 139 139 167 142 157 163 161 -1.23 15.83 Dermatology Number of physicians 214 217 219 223 225 227 240 12.15 Diagnostic radiology Number of physicians 1,002 1,036 1,025 1,033 1,056 1,067 1,122 5.15 11.98 Emergency medicine Number of physicians 1,045 1,077 1,116 1,256 1,311 1,344 1,362 1.34 30.33 Endocrinology Number of physicians 184 193 202 200 204 236 237 0.42 28.80 Gastroenterology Number of physicians 303 304 328 313 318 333 336 0.90 10.89 General surgery Number of physicians 745 765 768 789 789 796 832 4.52 11.68 Geriatric medicine Number of physicians 116 117 129 125 135 141 142 0.71 22.41 GP/FP Number of physicians 11,848 12,254 12,657 13,116 13,340 13,697 14,049 2.57 18.58 Hematology Number of physicians 166 167 176 170 180 203 206 1.48 24.10 Infectious diseases Number of physicians 102 104 124 113 119 138 143 3.62 40.20 Internal medicine Number of physicians 956 1,043 1,017 1,267 1,311 1,227 1,438 17.20 50.42 Medical oncology Number of physicians 223 227 236 237 238 250 258 3.20 15.70 Nephrology Number of physicians 222 219 230 225 231 242 243 0.41 9.46 Neurology Number of physicians 313 321 346 352 378 397 427 7.56 36.42 Neurosurgery Number of physicians 104 103 110 112 119 121 117 -3.31 12.50 Nuclear medicine Number of physicians 87 89 92 86 84 84 84 0.00 -3.45 Obstetrics & Gynecology Number of physicians 816 822 853 868 886 920 970 5.43 18.87 Ophthalmology Number of physicians 456 461 468 472 482 483 492 1.86 7.89 Orthopedic surgery Number of physicians 560 532 573 577 608 617 670 8.59 19.64 Otolaryngology Number of physicians 259 271 280 284 288 302 301 -0.33 16.22 Pediatric subspecialties Number of physicians 325 345 339 311 330 319 316 -0.94 -2.77 Pediatrics Number of physicians 1,042 1,074 1,118 1,206 1,289 1,311 1,401 6.86 34.45 Physical medicine & Rehabilitation Number of physicians 172 183 192 197 203 211 216 2.37 25.58 Plastic surgery Number of physicians 221 216 227 233 240 248 251 1.21 13.57 Psychiatry Number of physicians 2,043 2,069 2,117 2,143 2,161 2,192 2,227 1.60 9.01 Radiation oncology Number of physicians 188 196 203 212 210 216 225 4.17 19.68 Respirology Number of physicians 257 257 274 265 269 310 312 0.65 21.40 Rheumatology Number of physicians 176 180 188 179 180 200 199 -0.50 13.07 Thoracic surgery Number of physicians 49 48 52 49 50 54 53 -1.85 8.16 Urology Number of physicians 274 266 280 281 286 296 308 4.05 12.41 Vascular surgery Number of physicians 67 69 81 74 81 91 94 3.30 40.30 Anesthesiology Number of FTEs 1,198.3 1,218.9 1,265.6 1,265.3 1,294.3 1,326.3 1,360.3 2.56 13.52 Cardiac surgery Number of FTEs 85.5 87.0 90.7 91.5 91.4 93.8 95.8 2.14 12.08 Cardiology Number of FTEs 603.3 608.0 623.7 623.9 625.7 664.3 681.4 2.58 12.95 Clinical immunology Number of FTEs 60.2 59.3 67.8 63.5 65.8 74.7 71.3 -4.58 18.41 Critical care medicine Number of FTEs 141.8 140.4 166.4 145.1 159.8 165.6 162.1 -2.11 14.36 Dermatology Number of FTEs 212.1 207.9 209.8 217.0 220.3 222.4 240.3 8.08 13.33 Payments to Ontario Physicians from Ministry of Health and Long-Term Care Sources: Update 2005/06 to 2017/18 49

% Change from % Change from Specialty Measure 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2016/17 2011/12 Diagnostic radiology Number of FTEs 947.5 974.0 989.9 989.2 1,005.6 1,010.6 1,044.2 3.32 10.20 Emergency medicine Number of FTEs 1,110.6 1,134.4 1,183.4 1,354.5 1,404.7 1,449.4 1,471.0 1.49 32.45 Endocrinology Number of FTEs 184.5 186.9 197.9 196.8 204.7 234.6 243.7 3.92 32.12 Gastroenterology Number of FTEs 291.7 291.7 313.5 295.3 301.5 317.9 320.4 0.78 9.82 General surgery Number of FTEs 676.2 694.2 694.7 710.7 728.3 738.7 766.3 3.73 13.32 Geriatric medicine Number of FTEs 112.3 113.4 124.4 122.3 130.1 140.6 147.0 4.55 30.95 GP/FP Number of FTEs 11,285.5 11,683.4 12,006.2 12,434.6 12,764.0 13,132.4 13,500.6 2.80 19.63 Hematology Number of FTEs 151.3 155.9 162.4 156.7 164.1 184.0 184.1 0.01 21.67 Infectious diseases Number of FTEs 95.4 98.0 117.4 106.9 113.7 136.4 139.0 1.91 45.70 Internal medicine Number of FTEs 890.6 960.7 957.1 1175.8 1214.7 1143.4 1338.6 17.07 50.30 Medical oncology Number of FTEs 207.8 210.2 218.8 219.6 220.0 233.3 243.4 4.32 17.11 Nephrology Number of FTEs 213.2 213.5 225.5 214.2 220.8 229.6 232.0 1.07 8.86 Neurology Number of FTEs 300.6 316.1 345.1 353.5 382.9 401.1 424.0 5.72 41.07 Neurosurgery Number of FTEs 99.6 96.7 102.6 103.4 114.6 115.3 115.2 -0.12 15.59 Nuclear medicine Number of FTEs 86.8 85.0 93.0 87.7 85.8 87.6 84.5 -3.59 -2.60 Obstetrics & Gynecology Number of FTEs 754.4 770.8 792.2 813.2 817.9 864.8 901.7 4.28 19.53 Ophthalmology Number of FTEs 481.6 473.3 475.6 487.2 472.1 479.6 488.4 1.84 1.42 Orthopedic surgery Number of FTEs 498.4 480.6 515.9 516.8 551.6 564.4 603.0 6.84 20.98 Otolaryngology Number of FTEs 235.4 243.7 255.9 259.7 265.2 278.8 274.4 -1.57 16.57 Pediatric subspecialties Number of FTEs 346.7 376.6 368.3 348.1 365.7 364.6 364.2 -0.09 5.07 Pediatrics Number of FTEs 1,052.2 1,104.2 1,139.6 1,258.0 1,311.3 1,366.6 1,459.1 6.77 38.68 Physical medicine & Rehabilitation Number of FTEs 163.1 170.2 180.8 184.0 193.3 206.0 205.4 -0.28 25.89 Plastic surgery Number of FTEs 207.5 205.2 213.3 218.6 224.7 234.2 240.7 2.77 16.01 Psychiatry Number of FTEs 1,948.5 1,994.6 2,053.4 2,090.1 2,113.6 2,136.6 2,207.8 3.33 13.31 Radiation oncology Number of FTEs 184.1 193.1 200.0 196.2 197.1 200.8 207.1 3.13 12.46 Respirology Number of FTEs 251.0 253.1 271.3 256.8 264.4 301.5 306.3 1.57 22.01 Rheumatology Number of FTEs 176.1 177.6 186.3 177.0 180.3 198.2 196.6 -0.82 11.66 Thoracic surgery Number of FTEs 46.3 44.5 48.9 47.1 48.7 52.9 52.1 -1.70 12.47 Urology Number of FTEs 245.2 242.0 256.6 258.0 261.1 274.4 282.5 2.97 15.23 Vascular surgery Number of FTEs 64.6 65.4 75.5 69.6 76.3 83.9 86.1 2.59 33.20