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Original Medicare doctor bills
$1,609
Medicare paid this office $1,609 for 19 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
Largest Original Medicare bills
Emergency department visit with moderate level of medical decision making
14
$1,328
$95
Who their Medicare patients are
19 Original Medicare patients in 2024. Average age 65 · Health risk score 1.87. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.
The office billed $10,586, Medicare allowed $2,225 and paid $1,609; for 20 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
19
20
65
1.87
$10,586
$1,609
2023
28
28
74
1.97
$17,382
$2,173
2022
14
15
74
1.94
$5,846
$1,138
2021
39
42
65
2.81
$16,513
$3,679
2020
39
41
67
2.39
$14,740
$3,075
2019
28
31
62
3.57
$13,696
$2,588
2018
42
43
65
3.15
$15,669
$2,738
2017
36
38
67
1.58
$13,868
$2,656
2016
26
28
69
1.46
$11,126
$2,397
2015
29
36
63
1.70
$13,696
$2,572
2014
32
37
66
2.19
$13,846
$2,790
2013
38
41
65
1.60
$18,304
$3,099
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
18
$1,187
$66
2021: 1 service
Original Medicare services billed in 2021
Emergency department visit with moderate level of medical decision making
25
$2,533
$101
2020: 1 service
Original Medicare services billed in 2020
Emergency department visit with moderate level of medical decision making
26
$2,404
$92
2019: 1 service
Original Medicare services billed in 2019
Emergency department visit with moderate level of medical decision making
19
$1,789
$89
2018: 1 service
Original Medicare services billed in 2018
Emergency department visit with moderate level of medical decision making
29
$2,225
$77
2017: 1 service
Original Medicare services billed in 2017
Emergency department visit with moderate level of medical decision making
26
$2,166
$83
2016: 1 service
Original Medicare services billed in 2016
Emergency department visit with moderate level of medical decision making
22
$2,156
$94
2015: 1 service
Original Medicare services billed in 2015
Emergency department visit with moderate level of medical decision making
18
$1,565
$82
2014: 1 service
Original Medicare services billed in 2014
Emergency department visit with moderate level of medical decision making
24
$2,363
$95
2013: 1 service
Original Medicare services billed in 2013
Emergency department visit with moderate level of medical decision making
34
$2,698
$77
Medicaid work
$6,296 in 2024
Medicaid paid $6,296 for 83 billed services this clinician did in 2024, 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 2024
EMERGENCY DEPT VISIT LOW MDM
71
$4,426
EMERGENCY DEPT VISIT MOD MDM
12
$1,870
Medicaid work by year
2024
83
2
16
$6,296
2023
92
2
22
$930
2022
139
2
19
$1,648
2021
105
2
20
$2,091
2020
38
1
14
$191
2019
91
1
24
$997
2018
156
1
24
$2,936
See the largest Medicaid services in earlier years
2023
Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM
78
$752
EMERGENCY DEPT VISIT LOW MDM
14
$178
2022
Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM
125
$1,558
EMERGENCY DEPT VISIT LOW MDM
14
$89
2021
Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM
91
$2,018
EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM
14
$73
2020
Largest Medicaid services in 2020
EMERGENCY DEPT VISIT MOD MDM
38
$191
2019
Largest Medicaid services in 2019
EMERGENCY DEPT VISIT MOD MDM
91
$997
2018
Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM
156
$2,936
Drugs they prescribed that Part D paid
$3,225
Pharmacies billed $3,225 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 11% of their Part D prescriptions (16 of 143) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.
125 generic and fewer than 11 brand-name prescriptions · $3,225 in drug cost · 42 antibiotic prescriptions to 37 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
Ondansetron Odt
17
$108
$6
Tramadol
12
$70
$6
Year by year
Part D prescribing by year
2024
143
101
11% (16)
—None
$3,225
2023
189
128
11% (21)
—None
$9,236
2022
165
104
8% (13)
—None
$8,322
2021
218
143
12% (27)
10%
$5,526
2020
194
117
11% (22)
—None
$8,401
2019
198
128
19% (37)
—None
$6,073
2018
262
166
17% (45)
—None
$10,452
2017
227
138
15% (34)
12%
$7,423
2016
251
143
20% (49)
14%
$10,885
2015
252
167
23% (59)
—None
$5,219
2014
208
139
25% (51)
—None
$3,738
2013
204
139
23% (47)
—None
$4,492
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.