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Original Medicare doctor bills
$34,235
Medicare paid this office $34,235 for 294 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Return visit (30+ min)
87
$8,249
$93
Short return visit (20+ min)
79
$5,177
$65
New patient visit (45+ min)
46
$4,934
$107
New patient visit (30+ min)
51
$4,179
$82
New patient visit (60+ min)
15
$2,460
$164
See all 9 services
Every Original Medicare service billed
Return visit (30+ min)
87
$8,249
$93
Short return visit (20+ min)
79
$5,177
$65
New patient visit (45+ min)
46
$4,934
$107
New patient visit (30+ min)
51
$4,179
$82
New patient visit (60+ min)
15
$2,460
$164
Long return visit (40+ min)
13
$2,015
$155
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
23
$1,207
$50
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
19
$770
$41
Automated urinalysis test
39
$88
$2
Who their Medicare patients are
294 Original Medicare patients in 2024. Average age 76 · Women 63% · Also on Medicaid 7% · Health risk score 0.80. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
The office billed $147,797, Medicare allowed $48,406 and paid $34,235; for 539 services of 44 kinds; $203 of it was for drugs given in the office and $34,032 for care.
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
294
539
76
0.80
$147,797
$34,235
2023
219
410
74
0.94
$97,920
$21,640
2022
230
424
72
0.95
$102,049
$25,310
2021
103
148
69
1.00
$47,143
$9,491
2020
121
184
70
1.08
$58,045
$10,974
2019
79
108
67
1.24
$48,253
$6,020
2018
71
79
66
1.65
$30,893
$5,181
2017
96
119
63
1.51
$41,211
$6,816
2016
65
74
64
1.59
$24,237
$4,306
2015
75
83
64
1.39
$30,011
$5,650
2014
48
50
64
1.38
$17,633
$2,092
2013
88
94
65
1.11
$35,405
$4,269
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: 9 services
Original Medicare services billed in 2023
New patient visit (30+ min)
80
$6,081
$76
Short return visit (20+ min)
89
$5,761
$63
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
44
$2,212
$50
New patient visit (45+ min)
17
$2,066
$122
Return visit (30+ min)
11
$1,072
$97
New patient visit (15+ min)
11
$710
$65
Short return visit
13
$486
$37
X-ray of chest, 2 views
13
$406
$16
Automated urinalysis test
31
$68
$2
2022: 7 services
Original Medicare services billed in 2022
New patient visit (30+ min)
63
$5,413
$86
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
102
$5,258
$51
Short return visit (20+ min)
66
$5,080
$76
New patient visit (15+ min)
41
$2,678
$65
Short return visit
29
$1,635
$56
Return visit (30+ min)
14
$1,314
$94
Automated urinalysis test
21
$46
$2
2021: 5 services
Original Medicare services billed in 2021
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
34
$1,745
$51
New patient visit (15+ min)
22
$1,550
$70
Emergency department visit with low level of medical decision making
24
$1,276
$51
Short return visit
15
$877
$58
Short return visit (20+ min)
12
$669
$56
2020: 5 services
Original Medicare services billed in 2020
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
37
$1,898
$51
New patient visit (15+ min)
23
$1,781
$77
New patient visit (30+ min)
20
$1,378
$69
Emergency department visit with moderate level of medical decision making
13
$1,056
$81
Emergency department visit with low level of medical decision making
23
$901
$39
2019: 2 services
Original Medicare services billed in 2019
Emergency department visit with low level of medical decision making
44
$1,964
$42
Emergency department visit with moderate level of medical decision making
21
$1,557
$74
2018: 2 services
Original Medicare services billed in 2018
Emergency department visit with low level of medical decision making
37
$1,612
$44
Emergency department visit with moderate level of medical decision making
18
$1,544
$86
2017: 3 services
Original Medicare services billed in 2017
Emergency department visit with low level of medical decision making
62
$2,589
$39
Emergency department visit with high level of medical decision making
15
$1,884
$126
Emergency department visit with moderate level of medical decision making
18
$1,376
$76
2016: 3 services
Original Medicare services billed in 2016
Emergency department visit with low level of medical decision making
38
$1,626
$43
Emergency department visit with high level of medical decision making
11
$1,259
$114
Emergency department visit with moderate level of medical decision making
13
$989
$76
2015: 3 services
Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making
18
$2,275
$126
Emergency department visit with moderate level of medical decision making
18
$1,543
$86
Emergency department visit with low level of medical decision making
37
$1,450
$39
2014: 2 services
Original Medicare services billed in 2014
Emergency department visit with moderate level of medical decision making
13
$1,024
$79
Emergency department visit with low level of medical decision making
31
$743
$24
2013: 2 services
Original Medicare services billed in 2013
Emergency department visit with low level of medical decision making
62
$2,269
$35
Emergency department visit with moderate level of medical decision making
12
$834
$70
Medicaid work
$67,850 in 2023
Medicaid paid $67,850 for 557 billed services this clinician did in 2023, up to 37 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 2023
Short return visit (20+ min)
267
$37,949
New patient visit (30+ min)
164
$22,562
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES
31
$3,864
Return visit (30+ min)
35
$2,063
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique
33
$1,398
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy
13
$15
Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique
14
$0
Medicaid work by year
2023
557
7
37
$67,850
2022
497
6
33
$30,170
2021
26
2
14
$2,157
See the largest Medicaid services in earlier years
2022
Largest Medicaid services in 2022
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique
180
$8,485
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES
94
$7,339
New patient visit (30+ min)
86
$6,701
Short return visit (20+ min)
93
$4,923
Return visit (30+ min)
32
$1,933
Short return visit
12
$789
2021
Largest Medicaid services in 2021
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES
14
$1,746
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique
12
$411
Drugs they prescribed that Part D paid
$8,812
Pharmacies billed $8,812 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
158 generic and fewer than 11 brand-name prescriptions · $8,812 in drug cost · 83 antibiotic prescriptions to 71 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
Paxlovid
15
$1,429
$95
Albuterol Sulfate Hfa
12
$254
$20
Cephalexin
25
$167
$7
Nitrofurantoin Mono-Macro
13
$147
$9
Year by year
Part D prescribing by year
2024
182
151
—None
—None
$8,812
2023
200
168
—None
8%
$3,066
2022
125
99
—None
—None
$3,747
2021
81
62
—None
—None
$2,044
2020
90
62
—None
—None
$1,592
2019
89
66
—None
—None
$2,580
2018
67
48
19% (13)
—None
$1,676
2017
88
65
16% (14)
16%
$1,905
2016
69
50
23% (16)
—None
$3,946
2015
89
59
21% (19)
15%
$2,708
2014
83
58
17% (14)
—None
$1,251
2013
91
64
30% (27)
—None
$1,303
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 7 drugs
Part D drugs prescribed in 2023
Albuterol Sulfate Hfa
13
$398
$31
Nitrofurantoin Mono-Macro
15
$289
$19
Fluticasone Propionate
18
$238
$13
Paxlovid (Eua)
21
$220
$10
Cephalexin
22
$170
$8
Doxycycline Hyclate
11
$140
$13
Amoxicillin-Clavulanate Potass
14
$124
$9
2022: 1 drug
Part D drugs prescribed in 2022
Cephalexin
16
$120
$7
2021: 1 drug
Part D drugs prescribed in 2021
Cephalexin
11
$98
$9
2020: 1 drug
Part D drugs prescribed in 2020
Sulfamethoxazole-Trimethoprim
11
$34
$3
2017: 1 drug
Part D drugs prescribed in 2017
Hydrocodone-Acetaminophen
14
$53
$4
2016: 1 drug
Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen
14
$68
$5
2015: 1 drug
Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen
13
$82
$6
2014: 1 drug
Part D drugs prescribed in 2014
Azithromycin
11
$87
$8
2013: 1 drug
Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen
18
$70
$4
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
Medicare’s overall office score
96.5 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.