# Internal reference-report rehearsal — scenario A

Prepared by the assistant from supplied CSV reports. No human analyst or independent reviewer participated. Preparation time and clarification requests were not measured.

Focus: Dermatology / HCPCS 99213 / generated CY2022 → synthetic CY2023.

## Procedure evidence
CY2022: $108.05 per service; 3,626 services.
CY2023: $104.91 per service; 3,777 services.
Payment change: −$3.14 (-2.9%); service change: +151 (+4.2%). Percentages use the prior-year denominator; payment differences use mart values rounded to cents.

## Observation and limits
Payment per service falls while service count rises in this constructed comparison. The earlier-year scenario is generated and 2023 is synthetic. These figures do not establish observed history, cause, practice profitability or account need. The pressure score is not validated against sales outcomes.

## Sales follow-up first
At the invented 2026-08-31 scenario snapshot, 53 of 53 open opportunities have past-due close dates: $4,579,800.00 assumed USD annual contract value. They remain in the unweighted open-stage total until reviewed. The balance is not recognized revenue or a sales forecast.

## Open question
Which stages and close dates need confirmation before planning, and which raw records explain the constructed payment comparison?

## Next reviewers and requested checks
Sales operations lead: reconcile the supplied opportunity stages and close dates before planning; do not remove or close deals automatically. Specialty analyst: reproduce this HCPCS comparison from pinned inputs, record unresolved issues, and establish account needs through discovery before a commercial recommendation.

Status: illustrative draft; source and account validation pending. Naming a reviewer does not assign or send the brief.

## Sources
https://github.com/kristenmartino/specialtypulse_pipeline/blob/7cd9592e01f24cdfe77612ca97dc0852a5753877/data/sample_mart_reimbursement_trends.csv
https://github.com/kristenmartino/specialtypulse_pipeline/blob/7cd9592e01f24cdfe77612ca97dc0852a5753877/data/sample_2022_puf_10k.csv
https://github.com/kristenmartino/specialtypulse_pipeline/blob/7cd9592e01f24cdfe77612ca97dc0852a5753877/data/sample_2023_puf_10k.csv
https://github.com/kristenmartino/specialtypulse_pipeline/blob/7cd9592e01f24cdfe77612ca97dc0852a5753877/data/sample_sfdc_pipeline.csv