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Original Medicare doctor bills
$1,774
Medicare paid this office $1,774 for 23 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Short return visit (20+ min)
14
$742
$53
Who their Medicare patients are
23 Original Medicare patients in 2024. Average age 62 · Health risk score 0.81. At or below the middle of the specialty; the typical family practice clinician is at 1.13.
Conditions among them: High blood pressure 48%.
The office billed $5,306, Medicare allowed $2,933 and paid $1,774; for 35 services of 13 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
Original Medicare by year
2024
23
35
62
0.81
$5,306
$1,774
2023
25
38
63
1.63
$4,746
$1,247
2022
16
18
54
0.83
$2,640
$752
2021
11
14
56
0.92
$1,590
$685
2019
22
35
64
0.88
$3,531
$1,092
2018
12
22
61
1.27
$2,138
$646
2015
39
47
64
0.91
$9,702
$1,673
2014
17
17
59
0.78
$3,207
$608
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 1 service
Original Medicare services billed in 2023
Telephone medical discussion with physician, 5-10 minutes
11
$464
$27
2019: 1 service
Original Medicare services billed in 2019
Short return visit
21
$886
$29
2018: 1 service
Original Medicare services billed in 2018
Short return visit
12
$569
$30
2015: 2 services
Original Medicare services billed in 2015
New patient visit (15+ min)
27
$871
$32
Short return visit (20+ min)
12
$736
$39
Medicaid work
$17,908 in 2024
Medicaid paid $17,908 for 235 billed services this clinician did in 2024, up to 29 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
Largest Medicaid services in 2024
Short return visit (20+ min)
205
$17,895
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
17
$12
TOBACCO NON-USER
13
$0
Medicaid work by year
2024
235
3
29
$17,908
2023
238
3
33
$1,143
2022
156
2
18
$102
2021
42
3
15
$0
2020
90
2
22
$81
2019
42
1
24
$85
See the largest Medicaid services in earlier years
2023
Largest Medicaid services in 2023
Short return visit (20+ min)
185
$1,131
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
41
$11
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
12
$0
2022
Largest Medicaid services in 2022
Short return visit (20+ min)
131
$85
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
25
$17
2021
Largest Medicaid services in 2021
Short return visit (20+ min)
15
$0
Return visit (30+ min)
15
$0
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
12
$0
2020
Largest Medicaid services in 2020
Short return visit
77
$64
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion
13
$17
2019
Largest Medicaid services in 2019
Short return visit
42
$85
Drugs they prescribed that Part D paid
$279,998
Pharmacies billed $279,998 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 4% of their Part D prescriptions (287 of 7,450) in 2024. Above the middle of the specialty; the typical family practice clinician is at 2%. Long-acting opioids: 45% of their opioid prescriptions.
6,735 generic and 643 brand-name prescriptions · $279,998 in drug cost · 425 antibiotic prescriptions to 333 people · 20 antipsychotic prescriptions to people over 65.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
Largest Part D drug costs
Wixela Inhub
107
$24,649
$230
Spiriva Respimat
28
$20,518
$733
Buprenorphine
125
$19,187
$153
Amjevita(Cf)
13
$12,480
$960
Advair Hfa
18
$9,838
$547
See all 121 drugs
Every Part D drug this clinician prescribed
Wixela Inhub
107
$24,649
$230
Spiriva Respimat
28
$20,518
$733
Buprenorphine
125
$19,187
$153
Amjevita(Cf)
13
$12,480
$960
Advair Hfa
18
$9,838
$547
Ozempic
13
$9,600
$738
Jardiance
15
$8,738
$583
Atrovent Hfa
12
$8,319
$693
Pradaxa
44
$8,261
$188
Humulin N
36
$7,394
$205
Amlodipine Besylate
529
$6,198
$12
Atorvastatin
458
$5,387
$12
Levothyroxine
210
$3,814
$18
Enoxaparin
11
$3,726
$339
Albuterol Sulfate Hfa
212
$3,584
$17
Alvesco
28
$3,536
$126
Losartan
292
$3,453
$12
Breyna
12
$3,239
$270
Gabapentin
115
$3,209
$28
Hydrochlorothiazide
265
$2,965
$11
Humulin N Kwikpen
18
$2,694
$150
Fluticasone Propionate
136
$2,566
$19
Lisinopril
209
$2,496
$12
Tamsulosin
150
$2,473
$16
Metoprolol
179
$2,298
$13
Terazosin
49
$2,082
$42
Famotidine
140
$2,021
$14
Hydrocodone-Acetaminophen
81
$1,932
$24
Atenolol
122
$1,464
$12
Levetiracetam
21
$1,350
$64
Simvastatin
94
$1,319
$14
Trazodone
101
$1,296
$13
Quetiapine
25
$1,160
$46
Metformin Hcl Er
146
$1,157
$8
Finasteride
67
$1,039
$16
Propranolol
15
$1,035
$69
Duloxetine
44
$1,033
$23
Metoprolol
100
$1,032
$10
Amoxicillin
83
$978
$12
Fluoxetine
79
$975
$12
Cephalexin
106
$970
$9
Acetaminophen-Codeine
24
$967
$40
Triamcinolone Acetonide
69
$942
$14
Metformin
81
$924
$11
Potassium Chloride
32
$923
$29
Pantoprazole
88
$856
$10
Glipizide Er
48
$854
$18
Tizanidine
61
$853
$14
Lisinopril-Hydrochlorothiazide
73
$844
$12
Aripiprazole
14
$843
$60
Bupropion Xl
34
$792
$23
Azithromycin
121
$790
$7
Sertraline
36
$789
$22
Escitalopram
53
$737
$14
Allopurinol
66
$718
$11
Gemfibrozil
13
$694
$53
Buprenorphine
18
$670
$37
Clopidogrel
36
$666
$18
Furosemide
52
$665
$13
Colchicine
35
$650
$19
Doxycycline Monohydrate
35
$596
$17
Oxycodone-Acetaminophen
21
$595
$28
Buspirone
13
$592
$46
Montelukast
52
$584
$11
Lovastatin
48
$584
$12
Rosuvastatin
32
$572
$18
Topiramate
28
$562
$20
Ropinirole
42
$547
$13
Valacyclovir
13
$543
$42
Omeprazole
41
$531
$13
Ibuprofen
40
$523
$13
Divalproex
14
$499
$36
Lactulose
20
$477
$24
Fluocinonide
19
$445
$23
Neomycin-Polymyxin-Dexameth
19
$439
$23
Hydralazine
27
$428
$16
Hydroxyzine
59
$404
$7
Citalopram Hbr
32
$397
$12
Veo Insulin
16
$385
$24
Olanzapine
16
$380
$24
Venlafaxine Hcl Er
18
$376
$21
Mupirocin
37
$375
$10
Clobetasol Propionate
19
$368
$19
Warfarin
25
$366
$15
Prednisone
48
$360
$8
Clindamycin Phosphate
16
$351
$22
Acyclovir
20
$342
$17
Alendronate
33
$323
$10
Paxlovid (Eua)
19
$323
$17
Fenofibrate
16
$318
$20
Nystatin
11
$305
$28
Chlorthalidone
29
$298
$10
Carvedilol
27
$296
$11
Ofloxacin
19
$282
$15
Ipratropium
13
$275
$21
Losartan-Hydrochlorothiazide
25
$274
$11
Naproxen
32
$269
$8
Ultra-Fine Short Pen Needle
11
$267
$24
Baclofen
21
$257
$12
Chlorhexidine Gluconate
12
$256
$21
Isosorbide Mononitrate Er
22
$241
$11
Amoxicillin-Clavulanate Potass
14
$237
$17
Paroxetine
19
$236
$12
Veo Insulin
12
$224
$19
Ciprofloxacin
25
$207
$8
Glipizide
19
$205
$11
Sumatriptan
22
$204
$9
Hydrocortisone
15
$184
$12
Clonidine
18
$178
$10
Donepezil
13
$175
$13
Digoxin
11
$159
$14
Oxycodone
16
$150
$9
Tramadol
17
$148
$9
Methocarbamol
13
$145
$11
Meloxicam
19
$141
$7
Ondansetron
21
$136
$6
Sulfamethoxazole-Trimethoprim
16
$132
$8
Zolpidem
15
$97
$6
Fluconazole
13
$78
$6
Lorazepam
14
$77
$6
Paxlovid
91
$0
$0
Year by year
Part D prescribing by year
2024
7,450
991
4% (287)
9%
$279,998
2023
7,213
833
5% (366)
7%
$281,960
2022
6,463
896
5% (332)
8%
$268,462
2021
4,962
548
7% (325)
8%
$194,520
2020
4,559
603
7% (302)
10%
$191,668
2019
4,379
676
7% (289)
13%
$225,638
2018
4,025
605
5% (213)
20%
$228,568
2017
3,173
489
4% (123)
18%
$176,781
2016
2,157
519
8% (169)
18%
$111,015
2015
1,797
214
6% (98)
13%
$75,050
2014
1,923
162
5% (91)
15%
$95,665
2013
1,275
152
3% (43)
16%
$52,700
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.