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Original Medicare doctor bills
$45,364
Medicare paid this office $45,364 for 518 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Return visit (30+ min)
262
$20,472
$76
Short return visit (20+ min)
223
$12,725
$54
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
43
$6,011
$140
New patient visit (30+ min)
14
$918
$66
New patient visit (15+ min)
18
$796
$44
See all 10 services
Every Original Medicare service billed
Return visit (30+ min)
262
$20,472
$76
Short return visit (20+ min)
223
$12,725
$54
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
43
$6,011
$140
New patient visit (30+ min)
14
$918
$66
New patient visit (15+ min)
18
$796
$44
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
14
$704
$50
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
17
$275
$16
Automated urinalysis test
77
$178
$2
Injection of drug or substance under skin or into muscle
11
$142
$8
Blood glucose (sugar) test performed by hand-held instrument
18
$61
$3
Who their Medicare patients are
518 Original Medicare patients in 2024. Average age 75 · Under 65 5% · 85 and older 12% · Women 61% · Also on Medicaid 14% · Health risk score 1.01. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
The office billed $206,184, Medicare allowed $64,884 and paid $45,364; for 842 services of 41 kinds; $137 of it was for drugs given in the office and $45,227 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
518
842
75
1.01
$206,184
$45,364
2023
241
392
74
0.99
$88,593
$22,749
2022
307
522
75
0.90
$108,610
$26,471
2021
451
728
75
0.98
$152,411
$38,132
2020
410
602
73
1.11
$123,165
$25,504
2019
289
463
74
1.10
$90,856
$19,832
2018
551
860
72
1.08
$173,516
$33,308
2017
490
1,244
73
1.15
$148,172
$29,183
2016
109
151
70
1.28
$27,322
$5,826
2015
323
459
72
1.09
$90,425
$15,744
2014
319
478
73
0.93
$94,433
$18,326
2013
220
342
74
0.86
$64,309
$14,820
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: 4 services
Original Medicare services billed in 2023
Return visit (30+ min)
138
$12,513
$89
Short return visit (20+ min)
89
$5,754
$65
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
14
$1,957
$140
Automated urinalysis test
30
$66
$2
2022: 5 services
Original Medicare services billed in 2022
Return visit (30+ min)
158
$13,974
$88
Short return visit (20+ min)
118
$6,658
$56
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
38
$1,929
$51
New patient visit (15+ min)
18
$935
$52
Automated urinalysis test
55
$122
$2
2021: 6 services
Original Medicare services billed in 2021
Return visit (30+ min)
245
$21,043
$85
Short return visit (20+ min)
166
$9,983
$59
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
42
$2,206
$51
New patient visit (15+ min)
15
$780
$52
Automated urinalysis test
94
$214
$2
Blood glucose (sugar) test performed by hand-held instrument
16
$52
$3
2020: 4 services
Original Medicare services billed in 2020
Return visit (30+ min)
194
$13,367
$68
Short return visit (20+ min)
190
$9,120
$47
Short return visit
12
$374
$31
Automated urinalysis test
63
$145
$2
2019: 3 services
Original Medicare services billed in 2019
Return visit (30+ min)
150
$11,121
$74
Short return visit (20+ min)
119
$6,390
$52
Automated urinalysis test
48
$117
$2
2018: 9 services
Original Medicare services billed in 2018
Return visit (30+ min)
289
$18,884
$64
Short return visit (20+ min)
221
$9,385
$42
Short return visit
22
$606
$26
Inhalation treatment for airway obstruction or sputum production
18
$214
$12
Automated urinalysis test
66
$182
$3
Injection of drug or substance under skin or into muscle
12
$178
$14
Blood glucose (sugar) test performed by hand-held instrument
32
$103
$3
Infusion, normal saline solution , 1000 cc
11
$22
—None
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
18
$2
—None
2017: 11 services
Original Medicare services billed in 2017
Return visit (30+ min)
260
$16,917
$64
Short return visit (20+ min)
191
$8,194
$42
New patient visit (15+ min)
13
$636
$49
Short return visit
18
$373
$21
Injection of drug or substance under skin or into muscle
14
$290
$17
Inhalation treatment for airway obstruction or sputum production
22
$231
$11
Automated urinalysis test
61
$184
$3
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
11
$137
$12
Blood glucose (sugar) test performed by hand-held instrument
28
$88
$3
Manual urinalysis test with examination using microscope, non-automated
11
$47
$4
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
20
$2
—None
2016: 3 services
Original Medicare services billed in 2016
Return visit (30+ min)
31
$2,217
$72
Short return visit (20+ min)
46
$2,192
$48
Emergency department visit with straightforward medical decision making
14
$365
$26
2015: 6 services
Original Medicare services billed in 2015
Return visit (30+ min)
132
$7,871
$59
Short return visit (20+ min)
152
$5,262
$34
New patient visit (15+ min)
16
$523
$33
Short return visit
17
$434
$26
Automated urinalysis test
28
$84
$3
Manual urinalysis test with examination using microscope, automated
19
$80
$4
2014: 6 services
Original Medicare services billed in 2014
Return visit (30+ min)
133
$9,237
$64
Short return visit (20+ min)
155
$6,118
$37
Short return visit
18
$457
$25
New patient visit (15+ min)
12
$414
$34
Manual urinalysis test with examination using microscope, automated
54
$262
$4
Inhalation treatment for airway obstruction or sputum production
11
$144
$13
2013: 5 services
Original Medicare services billed in 2013
Return visit (30+ min)
88
$6,497
$71
Short return visit (20+ min)
105
$5,245
$49
New patient visit (15+ min)
15
$538
$36
Short return visit
11
$312
$28
Manual urinalysis test with examination using microscope, automated
33
$145
$4
Drugs they prescribed that Part D paid
$10,649
Pharmacies billed $10,649 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 5% of their Part D prescriptions (24 of 482) in 2024. Above the middle of the specialty; the typical physician assistant clinician is at 1%.
408 generic and fewer than 11 brand-name prescriptions · $10,649 in drug cost · 225 antibiotic prescriptions to 177 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
40
$1,340
$27
Doxycycline Hyclate
62
$489
$8
Amoxicillin-Clavulanate Potass
46
$326
$7
Cephalexin
34
$206
$6
Prednisone
32
$126
$4
See all 9 drugs
Every Part D drug this clinician prescribed
Albuterol Sulfate Hfa
40
$1,340
$27
Doxycycline Hyclate
62
$489
$8
Amoxicillin-Clavulanate Potass
46
$326
$7
Cephalexin
34
$206
$6
Prednisone
32
$126
$4
Sulfamethoxazole-Trimethoprim
25
$126
$5
Hydrocodone-Acetaminophen
20
$108
$5
Ciprofloxacin
13
$76
$6
Paxlovid
11
$0
$0
Year by year
Part D prescribing by year
2024
482
323
5% (24)
—None
$10,649
2023
220
158
5% (11)
—None
$7,086
2022
252
182
6% (15)
—None
$6,476
2021
318
230
8% (24)
—None
$8,532
2020
285
202
5% (15)
—None
$10,509
2019
214
152
8% (17)
—None
$4,788
2018
407
299
12% (48)
10%
$6,552
2017
355
253
10% (36)
—None
$8,439
2016
227
163
24% (54)
13%
$6,370
2015
260
178
9% (23)
—None
$8,524
2014
203
147
8% (16)
—None
$8,026
2013
210
134
12% (26)
—None
$6,843
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.