4.19.2023 Board Book

25) What is your practice’s target patient population’s age(s)? (select all that apply)  Children 2-10  Adolescents/Young adults 11-18  Adults > 18

26) Which of the following services are provided in your practice? 

Body composition methods (e.g., bioimpedance analysis)  Exercise equipment  Meal-replacement products  Indirect calorimetry  Vitamin and/or supplement dispensation  Medication dispensation  I do not offer any additional services  Other (please specify)—(Add a free text field)

27) Does any of the revenue from the above service(s) count toward personal compensation?

o Yes o No o Not Applicable

28) Through what mechanisms or models are you able to increase your salary/compensation? (Select all that apply)  Achieving specific clinical outcomes for your patients  Increasing patient volume  Increasing the number of patients referred to surgery 

Interdepartmental/institutional stipends (e.g., stipend from dept. of surgery or the organization/hospital, etc.)  Receive honoraria or other fees for speaking engagements or consultation external to your organization  No model in place to base an increase in compensation  Other model in place (please explain): (Add a free text field)

29) What is the payer mix percentage in your practice for obesity-specific treatments? (The following answers should add up to 100%)  Government payer (e.g.,  Medicare, Medicaid) (add a free text field for percentage)

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