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Original Medicare doctor bills
$14,617
Medicare paid this office $14,617 for 157 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Short return visit (20+ min)
90
$5,592
$61
Sarscov2 vac 50 mcg/0.5ml im
20
$3,091
$155
Influenza vaccine, inactivated
22
$1,800
$82
New patient visit (30+ min)
15
$1,112
$74
Admn sarscov2 vacc 1 dose
20
$911
$46
See all 9 services
Every Original Medicare service billed
Short return visit (20+ min)
90
$5,592
$61
Sarscov2 vac 50 mcg/0.5ml im
20
$3,091
$155
Influenza vaccine, inactivated
22
$1,800
$82
New patient visit (30+ min)
15
$1,112
$74
Admn sarscov2 vacc 1 dose
20
$911
$46
Administration of influenza virus vaccine
16
$546
$34
Removal of impacted ear wax by washing
17
$231
$13
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
12
$194
$16
Automated urinalysis test
22
$51
$2
Who their Medicare patients are
157 Original Medicare patients in 2024. Average age 75 · Women 62% · Health risk score 0.84. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.
The office billed $45,052, Medicare allowed $17,385 and paid $14,617; for 261 services of 19 kinds; $4,913 of it was for drugs given in the office and $9,703 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
157
261
75
0.84
$45,052
$14,617
2021
14
18
70
1.11
$4,690
$1,118
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.
Medicaid work
$1,203 in 2023
Medicaid paid $1,203 for 43 billed services this clinician did in 2023, up to 14 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
Return visit (30+ min)
31
$681
New patient visit (30+ min)
12
$522
Medicaid work by year
2023
43
2
14
$1,203
Drugs they prescribed that Part D paid
$3,155
Pharmacies billed $3,155 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 177) in 2024. At or below the middle of the specialty; the typical physician assistant clinician is at 1%.
160 generic and 17 brand-name prescriptions · $3,155 in drug cost · 93 antibiotic prescriptions to 92 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
Amoxicillin-Clavulanate Potass
32
$258
$8
Cephalexin
28
$89
$3
Azithromycin
14
$28
$2
Year by year
Part D prescribing by year
2024
177
139
0% (0)
10%
$3,155
2023
182
106
—None
—None
$2,966
2022
280
88
—None
—None
$7,664
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 1 drug
Part D drugs prescribed in 2023
Amoxicillin-Clavulanate Potass
33
$364
$11
2022: 3 drugs
Part D drugs prescribed in 2022
Escitalopram
13
$411
$32
Bupropion Xl
11
$254
$23
Levothyroxine
17
$204
$12
Money from drug and device companies
$33 in 2024
Industry payments by year
2024
1
2
—None
$33
2022
5
48
—None
$610
2021
3
4
—None
$166
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.