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Original Medicare doctor bills
$64,359
Medicare paid this office $64,359 for 138 people. Most of that is long return visits and Botox.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Long return visit (40+ min)
124
$35,272
$144
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
58
$3,230
$25
Return visit (30+ min)
23
$2,749
$102
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
17
$332
$13
Who their Medicare patients are
138 Original Medicare patients in 2024. Average age 78 · Women 58% · Also on Medicaid 9% · Health risk score 2.03. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
The office billed $208,297, Medicare allowed $81,952 and paid $64,359; for 1,313 services of 19 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
138
1,313
78
2.03
$208,297
$64,359
2023
120
737
78
2.08
$172,549
$49,031
2022
116
405
76
1.96
$134,740
$39,657
2021
112
304
78
1.97
$106,362
$32,531
2020
94
203
76
2.09
$66,176
$17,974
2019
127
276
75
1.97
$91,831
$23,264
2018
127
315
75
1.88
$102,414
$25,866
2017
136
2,007
76
2.07
$141,191
$39,449
2016
128
302
74
2.11
$98,980
$25,730
2015
109
261
74
2.08
$83,845
$21,736
2014
134
290
75
1.74
$86,197
$23,636
2013
108
321
73
1.87
$121,299
$33,055
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: 3 services
Original Medicare services billed in 2023
Long return visit (40+ min)
109
$31,802
$142
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
52
$2,812
$25
Return visit (30+ min)
13
$1,383
$106
2022: 3 services
Original Medicare services billed in 2022
Long return visit (40+ min)
111
$34,603
$143
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
40
$2,046
$25
Return visit (30+ min)
17
$1,909
$100
2021: 3 services
Original Medicare services billed in 2021
Long return visit (40+ min)
87
$22,022
$150
Return visit (30+ min)
60
$8,510
$98
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
33
$1,749
$26
2020: 2 services
Original Medicare services billed in 2020
Return visit (30+ min)
82
$13,354
$86
Long return visit (40+ min)
25
$3,191
$123
2019: 2 services
Original Medicare services billed in 2019
Return visit (30+ min)
116
$20,793
$84
Long return visit (40+ min)
17
$2,011
$118
2018: 1 service
Original Medicare services billed in 2018
Return visit (30+ min)
125
$24,595
$81
2017: 2 services
Original Medicare services billed in 2017
Return visit (30+ min)
124
$22,573
$82
Long return visit (40+ min)
15
$1,624
$108
2016: 2 services
Original Medicare services billed in 2016
Return visit (30+ min)
117
$20,328
$81
Long return visit (40+ min)
41
$5,120
$111
2015: 2 services
Original Medicare services billed in 2015
Return visit (30+ min)
96
$18,284
$82
Long return visit (40+ min)
24
$2,874
$111
2014: 3 services
Original Medicare services billed in 2014
Return visit (30+ min)
112
$20,106
$82
Long return visit (40+ min)
21
$2,380
$113
Short return visit (20+ min)
20
$1,053
$50
2013: 2 services
Original Medicare services billed in 2013
Return visit (30+ min)
92
$17,955
$81
Long return visit (40+ min)
27
$3,073
$99
Drugs they prescribed that Part D paid
$987,396
Pharmacies billed $987,396 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
143 generic and fewer than 11 brand-name prescriptions · $987,396 in drug cost · 12 antibiotic prescriptions.
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
Alunbrig
18
$272,814
$15,156
Pomalyst
11
$237,927
$21,630
Atovaquone
13
$3,700
$285
Acyclovir
34
$889
$26
Year by year
Part D prescribing by year
2024
211
48
—None
—None
$987,396
2023
120
36
0% (0)
19%
$220,824
2022
105
35
—None
0%
$4,637
2021
103
38
—None
—None
$5,546
2020
101
36
—None
—None
$3,434
2019
128
41
—None
—None
$4,562
2018
149
48
—None
—None
$9,715
2017
132
43
8% (11)
13%
$21,163
2016
121
46
13% (16)
12%
$6,738
2015
132
48
16% (21)
20%
$7,508
2014
98
40
33% (32)
12%
$8,641
2013
97
37
34% (33)
—None
$9,897
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
Acyclovir
22
$236
$11
Gabapentin
11
$222
$20
2022: 2 drugs
Part D drugs prescribed in 2022
Acyclovir
17
$189
$11
Ondansetron
12
$96
$8
2021: 1 drug
Part D drugs prescribed in 2021
Anastrozole
11
$456
$41
2020: 2 drugs
Part D drugs prescribed in 2020
Anastrozole
22
$1,580
$72
Famotidine
13
$87
$7
2019: 2 drugs
Part D drugs prescribed in 2019
Anastrozole
15
$1,556
$104
Venlafaxine Hcl Er
13
$337
$26
2018: 2 drugs
Part D drugs prescribed in 2018
Lamivudine Hbv
12
$4,067
$339
Fluticasone Propionate
16
$217
$14
2017: 1 drug
Part D drugs prescribed in 2017
Lisinopril
15
$131
$9
2015: 2 drugs
Part D drugs prescribed in 2015
Pantoprazole
12
$122
$10
Dexamethasone
12
$83
$7
2013: 1 drug
Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen
19
$324
$17
Money from drug and device companies
$43 in 2025
Industry payments by year
2025
1
1
—None
$43
2024
4
4
—None
$188
2023
2
2
—None
$53
2022
1
1
—None
$32
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.