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Original Medicare doctor bills
$12,278
Medicare paid this office $12,278 for 122 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Emergency department visit with moderate level of medical decision making
70
$5,952
$83
Emergency department visit with high level of medical decision making
48
$5,827
$121
Who their Medicare patients are
122 Original Medicare patients in 2024. Average age 71 · Under 65 22% · 85 and older 12% · Women 57% · Also on Medicaid 45% · Health risk score 1.90. Above the middle of the specialty; the typical physician assistant clinician is at 1.31.
The office billed $124,219, Medicare allowed $15,315 and paid $12,278; for 130 services of 8 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
122
130
71
1.90
$124,219
$12,278
2023
115
132
71
1.64
$115,526
$11,872
2022
146
167
73
1.47
$154,326
$14,171
2021
186
224
69
1.62
$383,299
$21,041
2020
143
167
70
1.75
$278,576
$14,406
2019
186
208
70
1.79
$279,832
$14,630
2018
110
125
65
1.64
$119,846
$8,777
2017
97
112
68
1.39
$52,945
$6,128
2016
151
188
70
2.03
$82,870
$14,191
2015
141
183
71
1.85
$81,033
$12,685
2014
174
220
66
1.39
$100,656
$13,439
2013
152
195
68
1.40
$74,608
$11,472
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: 2 services
Original Medicare services billed in 2023
Emergency department visit with moderate level of medical decision making
70
$6,134
$81
Emergency department visit with high level of medical decision making
40
$5,085
$124
2022: 3 services
Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making
57
$7,977
$140
Emergency department visit with moderate level of medical decision making
37
$3,211
$87
Emergency department visit with low level of medical decision making
56
$2,718
$47
2021: 3 services
Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making
111
$15,103
$130
Emergency department visit with moderate level of medical decision making
30
$2,616
$84
Emergency department visit with low level of medical decision making
46
$2,320
$47
2020: 3 services
Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making
76
$9,540
$122
Emergency department visit with moderate level of medical decision making
40
$3,009
$75
Emergency department visit with low level of medical decision making
33
$1,573
$45
2019: 3 services
Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making
57
$6,448
$113
Emergency department visit with moderate level of medical decision making
64
$5,182
$80
Emergency department visit with low level of medical decision making
68
$2,598
$38
2018: 3 services
Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making
26
$2,968
$114
Emergency department visit with moderate level of medical decision making
34
$2,729
$80
Emergency department visit with low level of medical decision making
50
$2,120
$42
2017: 3 services
Original Medicare services billed in 2017
Emergency department visit with low level of medical decision making
50
$1,962
$38
Emergency department visit with high level of medical decision making
17
$1,911
$112
Emergency department visit with moderate level of medical decision making
29
$1,899
$65
2016: 3 services
Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making
52
$6,774
$125
Emergency department visit with moderate level of medical decision making
44
$3,725
$85
Emergency department visit with low level of medical decision making
53
$2,156
$40
2015: 3 services
Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making
40
$4,463
$112
Emergency department visit with moderate level of medical decision making
39
$3,154
$79
Emergency department visit with low level of medical decision making
60
$2,685
$43
2014: 3 services
Original Medicare services billed in 2014
Emergency department visit with low level of medical decision making
98
$4,040
$40
Emergency department visit with moderate level of medical decision making
46
$3,854
$84
Emergency department visit with high level of medical decision making
31
$3,607
$116
2013: 3 services
Original Medicare services billed in 2013
Emergency department visit with moderate level of medical decision making
45
$3,692
$82
Emergency department visit with low level of medical decision making
85
$3,537
$41
Emergency department visit with high level of medical decision making
19
$2,304
$121
Medicaid work
$625 in 2019
Medicaid paid $625 for 12 billed services this clinician did in 2019, up to 12 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 2019
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
12
$625
Medicaid work by year
2019
12
1
12
$625
2018
25
1
12
$1,389
See the largest Medicaid services in earlier years
2018
Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
25
$1,389
Drugs they prescribed that Part D paid
$2,392
Pharmacies billed $2,392 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 11% of their Part D prescriptions (24 of 216) in 2024. Above the middle of the specialty; the typical physician assistant clinician is at 1%.
198 generic and fewer than 11 brand-name prescriptions · $2,392 in drug cost · 75 antibiotic prescriptions to 66 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
Albuterol Sulfate Hfa
13
$440
$31
Cephalexin
22
$124
$6
Ibuprofen
20
$59
$3
Azithromycin
12
$40
$3
Prednisone
14
$27
$2
See all 6 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa
13
$440
$31
Cephalexin
22
$124
$6
Ibuprofen
20
$59
$3
Azithromycin
12
$40
$3
Prednisone
14
$27
$2
Tramadol
12
$21
$2
Year by year
Part D prescribing by year
2024
216
133
11% (24)
—None
$2,392
2023
219
128
12% (27)
—None
$4,416
2022
188
114
10% (18)
—None
$2,767
2021
191
121
16% (31)
6%
$2,720
2020
127
88
13% (16)
—None
$2,045
2019
144
98
18% (26)
—None
$3,498
2018
83
50
—None
—None
$1,175
2017
82
52
24% (20)
—None
$1,254
2016
137
98
24% (33)
—None
$1,624
2015
144
89
28% (40)
—None
$1,620
2014
147
87
27% (40)
—None
$3,138
2013
138
83
30% (41)
—None
$1,512
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 6 drugs
Part D drugs prescribed in 2023
Cephalexin
30
$261
$9
Ibuprofen
22
$122
$6
Hydrocodone-Acetaminophen
16
$91
$6
Sulfamethoxazole-Trimethoprim
11
$37
$3
Prednisone
13
$34
$3
Tramadol
11
$19
$2
2022: 6 drugs
Part D drugs prescribed in 2022
Cephalexin
29
$236
$8
Sulfamethoxazole-Trimethoprim
16
$113
$7
Cyclobenzaprine
11
$90
$8
Ibuprofen
15
$82
$5
Hydrocodone-Acetaminophen
11
$66
$6
Prednisone
13
$48
$4
2021: 6 drugs
Part D drugs prescribed in 2021
Cephalexin
26
$168
$6
Ibuprofen
18
$110
$6
Hydrocodone-Acetaminophen
16
$78
$5
Azithromycin
12
$70
$6
Prednisone
19
$62
$3
Tramadol
15
$25
$2
2020: 2 drugs
Part D drugs prescribed in 2020
Cephalexin
22
$141
$6
Ibuprofen
12
$79
$7
2019: 3 drugs
Part D drugs prescribed in 2019
Cephalexin
19
$134
$7
Ibuprofen
11
$57
$5
Tramadol
11
$31
$3
2018: 1 drug
Part D drugs prescribed in 2018
Cephalexin
14
$111
$8
2017: 2 drugs
Part D drugs prescribed in 2017
Cephalexin
12
$74
$6
Tramadol
11
$22
$2
2016: 3 drugs
Part D drugs prescribed in 2016
Cephalexin
27
$219
$8
Hydrocodone-Acetaminophen
15
$122
$8
Ibuprofen
15
$63
$4
2015: 3 drugs
Part D drugs prescribed in 2015
Cephalexin
22
$236
$11
Hydrocodone-Acetaminophen
27
$131
$5
Ibuprofen
17
$59
$3
2014: 3 drugs
Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen
29
$173
$6
Cephalexin
16
$110
$7
Ibuprofen
15
$60
$4
2013: 2 drugs
Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen
30
$159
$5
Cephalexin
19
$152
$8
Money from drug and device companies
$39 in 2024
Industry payments by year
2024
1
1
—None
$39
2021
1
1
—None
$17
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.