Provider Performance Ratings

We want to help you make better choices about your health care. Our new performance ratings highlight providers who meet specific quality and cost-efficiency standards. You can check a provider’s ratings using the TRICARE East find care tool. The ratings make information clear, and help you decide about your health care and service locations.

What Are Provider Performance Ratings?

To help you choose providers, we show ratings next to some of them. These ratings show the quality and efficiency of care they offer. If a provider lacks these ratings, it means they did not meet the criteria for evaluation. 

We rate providers based on their specialty. We also compare them to others in the same specialty within the same state. Some providers may not have ratings because:

We do not rate all specialties
Providers do not meet minimum requirements

What’s a Clinical Quality Rating?

The clinical quality rating comes from our evaluation of providers. This rating includes preventive care. It also includes specialty care to find those who provide quality service.

Evaluated Specialties Include:

Advanced practice midwife
Allergy and immunology
Cardiovascular disease
Emergency medicine
Endocrinology
Family medicine
General practice
Internal medicine
Mental health nurse practitioner
Midwife
Nurse practitioner
Obstetrics and gynecology
Ophthalmology
Pediatrics
Physician assistant
Psychiatry and neurology
Pulmonary disease

Clinical Quality Ratings:

0000: Highest
0001: Lowest
Not enough information: We lack sufficient data to rate the provider

What Does Cost-Efficiency Show?

This rating shows how well providers manage costs for specific episodes of care. 

What are the Evaluated Specialties?

Allergy and immunology
Anesthesiology
Counselor
Dermatology
Emergency medicine
Family practice
General practice
Internal medicine
Marriage and family therapist
Neurological surgery
Nurse practitioner
Obstetrics and gynecology
Occupational therapist
Ophthalmology
Optometrist
Orthopedic surgery
Otolaryngology
Pain management
Pediatrics
Physical medicine and rehabilitation
Physical therapist
Physician assistant
Podiatrist
Psychiatry and neurology
Psychologist
Social worker
Speech-language pathologist
Surgery
Urology

What Are the Cost Efficiency Ratings?

0000: Highest rating
0001: Lowest rating
Not enough information to rate

What’s the Provider Readiness Designation?

This designation highlights mental health providers who understand military culture, and evidence-based treatments. This group includes:

Psychiatrists
Psychologists
Psychiatric nurse specialists
Clinical social workers
Marriage
Family therapists

It can also include mental health counselors, and pastoral counselors supervised by a physician. This does not apply to the TOP.

To earn this designation, providers must complete four courses:

Military Culture: Core Competencies for Health Care Professionals
Cognitive Processing Therapy for PTSD in Veterans and Military Personnel
Prolonged Exposure Therapy for PTSD in Veterans and Military Personnel
Depression in Service Members and Veterans

Learn More.

Last Updated 12/2/2024