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Original Medicare doctor bills
$20,888
Medicare paid this office $20,888 for 255 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the
30
$10,681
$73
Anticoagulant management of patient taking warfarin
227
$6,409
$8
Return visit (30+ min)
14
$1,514
$101
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
31
$1,032
$7
Who their Medicare patients are
255 Original Medicare patients in 2024. Average age 81 · 85 and older 36% · Women 36% · Also on Medicaid 10% · Health risk score 1.54. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
The office billed $96,440, Medicare allowed $27,191 and paid $20,888; for 1,094 services of 9 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
255
1,094
81
1.54
$96,440
$20,888
2023
117
163
81
1.81
$9,462
$2,163
2022
205
1,472
81
1.55
$102,242
$18,860
2021
210
1,834
81
1.45
$171,313
$46,912
2020
184
1,611
80
1.74
$143,944
$36,210
2019
205
1,840
81
1.82
$165,118
$39,530
2018
243
2,406
80
1.85
$204,589
$49,796
2017
317
2,565
80
1.72
$200,288
$48,876
2016
311
2,433
80
1.56
$191,169
$48,364
2015
299
2,403
80
1.58
$191,821
$46,574
2014
307
2,887
80
1.61
$231,765
$58,862
2013
258
2,819
80
1.59
$224,594
$58,894
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
Anticoagulant management of patient taking warfarin
90
$952
$9
Blood test, clotting time
37
$164
$4
2022: 5 services
Original Medicare services billed in 2022
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the
31
$8,279
$47
Blood test, clotting time
173
$3,210
$4
Short return visit (20+ min)
31
$3,068
$55
Anticoagulant management of patient taking warfarin
119
$2,256
$8
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
38
$1,136
$6
2021: 4 services
Original Medicare services billed in 2021
Short return visit (20+ min)
147
$29,809
$70
Blood test, clotting time
186
$4,612
$4
Short return visit
58
$3,705
$43
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
27
$759
$6
2020: 7 services
Original Medicare services billed in 2020
Short return visit (20+ min)
118
$19,865
$57
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the
12
$5,246
$61
Blood test, clotting time
163
$3,974
$4
Short return visit
50
$2,209
$33
Influenza vaccine split virus, preservative free
26
$1,585
$61
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
12
$675
$7
Administration of influenza virus vaccine
27
$565
$21
2019: 5 services
Original Medicare services billed in 2019
Short return visit (20+ min)
129
$23,486
$55
Blood test, clotting time
188
$4,815
$4
Short return visit
70
$3,978
$35
Return visit (30+ min)
14
$1,158
$83
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
14
$582
$7
2018: 5 services
Original Medicare services billed in 2018
Short return visit (20+ min)
174
$30,955
$53
Blood test, clotting time
222
$6,593
$5
Short return visit
73
$3,271
$31
Return visit (30+ min)
19
$1,474
$78
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
29
$493
$7
2017: 5 services
Original Medicare services billed in 2017
Short return visit (20+ min)
202
$33,480
$53
Blood test, clotting time
270
$8,728
$5
Short return visit
100
$4,447
$31
Return visit (30+ min)
17
$1,464
$86
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
57
$740
$6
2016: 5 services
Original Medicare services billed in 2016
Short return visit (20+ min)
199
$32,568
$56
Blood test, clotting time
260
$8,258
$5
Short return visit
95
$4,492
$32
Return visit (30+ min)
22
$1,797
$82
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
53
$689
$7
2015: 5 services
Original Medicare services billed in 2015
Short return visit (20+ min)
200
$30,215
$53
Blood test, clotting time
281
$8,410
$5
Short return visit
112
$5,900
$33
New patient visit (30+ min)
12
$944
$79
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
17
$141
$7
2014: 5 services
Original Medicare services billed in 2014
Short return visit (20+ min)
227
$36,094
$53
Short return visit
166
$11,104
$33
Blood test, clotting time
289
$9,573
$5
New patient visit (30+ min)
21
$1,728
$82
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent
19
$133
$7
2013: 4 services
Original Medicare services billed in 2013
Short return visit (20+ min)
196
$29,281
$54
Short return visit
190
$18,088
$33
Blood test, clotting time
257
$9,006
$5
New patient visit (30+ min)
27
$2,315
$86
Drugs they prescribed that Part D paid
$3,465
Pharmacies billed $3,465 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 136) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.
136 generic and 0 brand-name prescriptions · $3,465 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
Enoxaparin
11
$1,927
$175
Warfarin
122
$1,515
$12
Year by year
Part D prescribing by year
2024
136
53
0% (0)
0%
$3,465
2023
189
74
0% (0)
0%
$5,486
2022
351
118
0% (0)
—None
$12,032
2021
251
106
0% (0)
8%
$13,897
2020
233
77
0% (0)
9%
$14,714
2019
216
79
0% (0)
—None
$9,040
2018
316
92
0% (0)
—None
$11,057
2017
295
92
0% (0)
—None
$9,593
2016
220
86
0% (0)
—None
$7,427
2015
262
81
0% (0)
—None
$9,462
2014
332
94
0% (0)
—None
$12,283
2013
253
76
0% (0)
—None
$10,376
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 2 drugs
Part D drugs prescribed in 2023
Warfarin
173
$4,946
$29
Jantoven
15
$277
$18
2022: 3 drugs
Part D drugs prescribed in 2022
Warfarin
318
$7,252
$23
Enoxaparin
12
$2,760
$230
Jantoven
20
$322
$16
2021: 3 drugs
Part D drugs prescribed in 2021
Warfarin
212
$5,082
$24
Enoxaparin
13
$2,109
$162
Jantoven
14
$378
$27
2020: 2 drugs
Part D drugs prescribed in 2020
Warfarin
199
$6,087
$31
Enoxaparin
13
$2,189
$168
2019: 1 drug
Part D drugs prescribed in 2019
Warfarin
196
$5,334
$27
2018: 2 drugs
Part D drugs prescribed in 2018
Warfarin
291
$8,068
$28
Jantoven
12
$321
$27
2017: 3 drugs
Part D drugs prescribed in 2017
Warfarin
269
$6,877
$26
Enoxaparin
11
$2,013
$183
Jantoven
14
$701
$50
2016: 2 drugs
Part D drugs prescribed in 2016
Warfarin
198
$4,126
$21
Enoxaparin
11
$2,762
$251
2015: 1 drug
Part D drugs prescribed in 2015
Warfarin
246
$5,610
$23
2014: 1 drug
Part D drugs prescribed in 2014
Warfarin
310
$5,997
$19
2013: 1 drug
Part D drugs prescribed in 2013
Warfarin
228
$4,157
$18
Money from drug and device companies
$329 in 2024
Industry payments by year
2024
3
3
—None
$329
2023
1
1
—None
$88
2022
1
1
—None
$128
2021
1
1
—None
$62
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.