Non-Risk Patient Equivalents

Non-Risk Patient Equivalents (NPE) means the estimate of annual claims for physician rendered services for non-risk patients served by the physician or physician group divided by what the PMPY capitation for physician rendered services would be if the beneficiary were part of the risk arrangement. Both Medicare and non-Medicare patients are included in this calculation.


42 CFR § 422.208

Scoping language

Definitions. In this subpart, the following definitions apply:

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