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Original Medicare doctor bills
$2,157
Medicare paid this office $2,157 for 16 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Who their Medicare patients are
16 Original Medicare patients in 2024. Average age 67 · Health risk score 2.38. Above the middle of the specialty; the typical internal medicine clinician is at 1.76.
Conditions among them: High blood pressure 75%.
The office billed $5,088, Medicare allowed $2,707 and paid $2,157; for 24 services of 5 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
16
24
67
2.38
$5,088
$2,157
2023
16
37
68
1.88
$5,988
$2,327
2022
16
46
74
2.28
$7,821
$2,943
2021
23
48
75
2.39
$8,208
$2,976
2020
47
70
70
2.54
$5,433
$1,872
2019
96
153
72
2.12
$11,883
$2,809
2018
63
100
70
2.12
$8,970
$2,602
2017
85
130
72
1.91
$11,124
$2,998
2016
30
47
67
3.50
$7,074
$2,005
2014
13
42
68
5.07
$9,594
$2,792
2013
11
26
61
3.51
$9,146
$1,598
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
2022: 1 service
Original Medicare services billed in 2022
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
11
$1,945
$63
2021: 1 service
Original Medicare services billed in 2021
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes
15
$1,798
$62
2020: 1 service
Original Medicare services billed in 2020
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
37
$245
$6
2019: 1 service
Original Medicare services billed in 2019
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
75
$694
$7
2018: 1 service
Original Medicare services billed in 2018
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
46
$376
$7
2017: 3 services
Original Medicare services billed in 2017
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
54
$449
$7
Routine electrocardiogram (ecg) using at least 12 leads with tracing
12
$85
$7
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
12
$74
$6
2016: 1 service
Original Medicare services billed in 2016
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
13
$126
$7
Medicaid work
$0 in 2021
Medicaid paid $0 for 56 billed services this clinician did in 2021, up to 15 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 2021
COLLECTION VENOUS BLOOD VENIPUNCTURE
16
$0
Creatinine; blood
13
$0
Urea nitrogen; quantitative
12
$0
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
15
$0
Medicaid work by year
2021
56
4
15
$0
2020
197
1
41
$1,523
2019
196
1
32
$1,076
2018
154
1
25
$966
See the largest Medicaid services in earlier years
2020
Largest Medicaid services in 2020
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
197
$1,523
2019
Largest Medicaid services in 2019
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
196
$1,076
2018
Largest Medicaid services in 2018
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
154
$966
Drugs they prescribed that Part D paid
$41,538
Pharmacies billed $41,538 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
259 generic and 38 brand-name prescriptions · $41,538 in drug cost · 47 antibiotic prescriptions to 32 people.
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
Cefpodoxime Proxetil
14
$293
$21
Furosemide
18
$272
$12
Amlodipine Besylate
13
$255
$16
Losartan
13
$147
$10
Year by year
Part D prescribing by year
2024
297
125
—None
13%
$41,538
2023
371
136
—None
—None
$20,794
2022
317
127
—None
—None
$15,745
2021
295
122
—None
—None
$22,065
2020
302
121
4% (12)
—None
$40,874
2019
307
135
4% (12)
—None
$18,023
2018
376
163
—None
—None
$19,180
2017
257
123
4% (11)
—None
$16,268
2016
356
147
5% (19)
—None
$15,204
2015
509
192
5% (27)
—None
$22,537
2014
516
201
5% (26)
19%
$29,193
2013
481
194
5% (22)
—None
$30,313
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.