Skip to main content
  • MIPS 2022—Cost: Medicare Spending Per Beneficiary Measure

    This content is excerpted from EyeNet’s MIPS 2022: A Primer and Reference; also see the Academy’s MIPS hub page.

    The Medicare Spending Per Beneficiary (MSPB) measure focuses on costs associated with hospital admission.

    The MSPB measure is unlikely to factor into your MIPS score. Episodes of care are attributed to the MIPS eligible clinician who provided the most Medicare Part B covered services during the hospitalization. You only will receive a score for the MSPB measure in the unlikely event that at least 35 hospitalization episodes are attributed to you.

    What if you are scored on the MSPB measure? If you are scored on this measure, please contact the Academy at

    Previous: Total Per Capita Cost Measure

    DISCLAIMER AND LIMITATION OF LIABILITY: Meeting regulatory requirements is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that regulators and public or private payers will agree with the Academy’s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from, any such information provided by the Academy, its employees, agents, or representatives.

    COPYRIGHT© 2022, American Academy of Ophthalmology, Inc.® All rights reserved. No part of this publication may be reproduced without written permission from the publisher. American Academy of Ophthalmic Executives® and IRIS® Registry, among other marks, are trademarks of the American Academy of Ophthalmology®.

    All of the American Academy of Ophthalmology (AAO)–developed quality measures are copyrighted by the AAO’s H. Dunbar Hoskins Jr., MD, Center for Quality Eye Care (see terms of use).