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Original Medicare doctor bills
$829
Medicare paid this office $829 for 11 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Procedures year by year
Procedures billed to Original Medicare by year
Procedure
2019
2020
2021
2022
2023
2024
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
–
–
–
11
–
–
Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.
Who their Medicare patients are
11 Original Medicare patients in 2024. Average age 76 · Health risk score 2.88. Sicker patients than 9 in 10 peers; the typical nurse practitioner clinician is at 1.42.
The office billed $4,802, Medicare allowed $1,227 and paid $829; for 11 services of 3 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
11
11
76
2.88
$4,802
$829
2023
57
61
75
2.16
$51,714
$4,583
2022
163
196
74
1.36
$208,820
$16,092
2021
169
190
71
1.31
$182,815
$16,935
2020
189
205
70
1.96
$163,659
$18,070
2019
127
143
67
1.72
$116,026
$12,319
2018
145
157
71
1.52
$128,220
$13,405
2017
114
123
67
1.81
$76,917
$9,237
2016
217
242
67
1.96
$140,681
$16,873
2015
264
300
64
2.02
$190,679
$25,215
2014
266
299
63
1.87
$180,664
$24,386
2013
179
200
64
1.88
$122,217
$16,536
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
Emergency department visit with moderate level of medical decision making
35
$2,549
$73
2022: 5 services
Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making
69
$9,070
$130
Emergency department visit with moderate level of medical decision making
49
$4,060
$83
Emergency department visit with low level of medical decision making
25
$1,226
$49
Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less
11
$368
$33
Electrocardiogram (ecg) 1 to 3 leads with review by physician only
16
$82
$5
2021: 3 services
Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making
59
$8,465
$143
Emergency department visit with moderate level of medical decision making
71
$5,554
$77
Emergency department visit with low level of medical decision making
34
$1,557
$44
2020: 3 services
Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making
58
$7,453
$129
Emergency department visit with moderate level of medical decision making
80
$6,689
$84
Emergency department visit with low level of medical decision making
41
$1,900
$45
2019: 3 services
Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making
57
$7,266
$123
Emergency department visit with moderate level of medical decision making
40
$3,271
$82
Emergency department visit with low level of medical decision making
26
$1,102
$42
2018: 3 services
Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making
69
$8,415
$122
Emergency department visit with moderate level of medical decision making
39
$2,910
$75
Emergency department visit with low level of medical decision making
35
$1,480
$41
2017: 3 services
Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making
46
$4,841
$105
Emergency department visit with moderate level of medical decision making
36
$2,587
$70
Emergency department visit with low level of medical decision making
28
$1,048
$37
2016: 4 services
Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making
69
$7,362
$105
Emergency department visit with moderate level of medical decision making
81
$5,603
$65
Emergency department visit with low level of medical decision making
52
$1,779
$32
Critical care, first 30-74 minutes
11
$1,615
$147
2015: 4 services
Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making
111
$13,693
$120
Emergency department visit with moderate level of medical decision making
86
$6,352
$72
Emergency department visit with low level of medical decision making
57
$2,332
$40
Critical care, first 30-74 minutes
12
$1,868
$156
2014: 3 services
Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making
121
$14,490
$119
Emergency department visit with moderate level of medical decision making
77
$6,057
$77
Emergency department visit with low level of medical decision making
63
$2,506
$37
2013: 3 services
Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making
77
$8,752
$114
Emergency department visit with moderate level of medical decision making
58
$4,598
$78
Emergency department visit with low level of medical decision making
39
$1,503
$39
Medicaid work
$3,442 in 2021
Medicaid paid $3,442 for 59 billed services this clinician did in 2021, up to 16 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
EMERGENCY DEPT VISIT MOD MDM
47
$3,083
EMERGENCY DEPT VISIT LOW MDM
12
$359
Medicaid work by year
2021
59
2
16
$3,442
2020
33
2
15
$1,502
2019
238
3
22
$10,010
2018
51
1
15
$2,023
See the largest Medicaid services in earlier years
2020
Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM
19
$1,018
EMERGENCY DEPT VISIT MOD MDM
14
$484
2019
Largest Medicaid services in 2019
EMERGENCY DEPT VISIT LOW MDM
140
$6,547
EMERGENCY DEPT VISIT MOD MDM
85
$3,439
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, with microscopy
13
$24
2018
Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM
51
$2,023
Drugs they prescribed that Part D paid
$4,452
Pharmacies billed $4,452 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 17% of their Part D prescriptions (26 of 153) in 2024. A higher opioid share than 9 in 10 peers; the typical nurse practitioner clinician is at 0%.
140 generic and 13 brand-name prescriptions · $4,452 in drug cost.
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
Levothyroxine
18
$267
$15
Lorazepam
12
$39
$3
Year by year
Part D prescribing by year
2024
153
45
17% (26)
8%
$4,452
2023
93
57
—None
—None
$5,568
2022
165
118
21% (35)
—None
$1,794
2021
125
84
24% (30)
—None
$854
2020
88
60
17% (15)
—None
$806
2019
113
78
19% (21)
10%
$1,473
2018
76
53
21% (16)
—None
$866
2017
42
36
33% (14)
—None
$316
2016
120
96
34% (41)
10%
$1,004
2015
155
108
32% (50)
10%
$2,103
2014
123
92
26% (32)
—None
$1,626
2013
132
90
21% (27)
—None
$3,813
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2022: 3 drugs
Part D drugs prescribed in 2022
Cephalexin
31
$247
$8
Hydrocodone-Acetaminophen
21
$98
$5
Acetaminophen-Codeine
11
$56
$5
2021: 3 drugs
Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen
22
$101
$5
Cephalexin
11
$60
$5
Meloxicam
15
$52
$3
2020: 2 drugs
Part D drugs prescribed in 2020
Cephalexin
11
$61
$6
Meloxicam
11
$47
$4
2019: 1 drug
Part D drugs prescribed in 2019
Meloxicam
27
$68
$3
2016: 3 drugs
Part D drugs prescribed in 2016
Cephalexin
16
$108
$7
Tramadol
26
$100
$4
Nabumetone
12
$76
$6
2015: 4 drugs
Part D drugs prescribed in 2015
Nabumetone
13
$121
$9
Cephalexin
14
$99
$7
Tramadol
28
$96
$3
Hydrocodone-Acetaminophen
12
$74
$6
2014: 3 drugs
Part D drugs prescribed in 2014
Nabumetone
14
$139
$10
Cephalexin
17
$125
$7
Tramadol
19
$58
$3
2013: 3 drugs
Part D drugs prescribed in 2013
Nabumetone
23
$186
$8
Cephalexin
11
$85
$8
Tramadol
12
$42
$3
Money from drug and device companies
$16 in 2025
Industry payments by year
2025
1
1
—None
$16
2024
2
2
—None
$145
2023
1
1
—None
$29
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.