$4.$ Practice # $1$ does not use physician's assistants $($PAs$)$ to assist its doctors in the operating room because Medicare does not reimburse for this expense. The rationale is that hospital$-$employed PAs can assist in the operating room. FMMG$,$ however, does use PAs in the operating room. Should FMMG continue to use its PAs in the operating room?Table $5$

Breakdown of Service Patients in the Hospital Process

$\backslash$table$[[$Practice #$,1,$FMMG$,\backslash$table$[[$Database$],[$Average$]],$Exp. Abbvn$],[$Expense Line Items,,,,$],[$Staff salaries$-$administrative,$$24,803,$$$10,751,$$$18,521,$Sal$-$Adm$],[$Staff salaries$-$clinical $($RNs$),$$$39,223,$$$0,$$$18,870,$Sal$-$Clin$-$RNs$],[$Staff salaries$-$clinical $($PAs$),$$$0,$$$145,063,$$$101,290,$Sal$-$Clin$-$PAs$],[$Sustain business,$$37,242,$$$30,950,$$$34,511,$Sust Bus$],[$TOTAL$,$$$101,268,$$$186,764,$$$173,192,]]$

Table $6$

Unit Costs

$\backslash$table$[[$Practice #$,1,3,7,$FMMG$,\backslash$table$[[$Database$],[$Average$]]],[,,,,,],[$No$-$charge office visit,$$133,$$$157,$$$236,$$$139,$$$190$