Francis Kearney M.D.

Gender: M
Medical School: Hahnemann University College Of Medicine
Graduation Year: 1980
Primary Specialty: Diagnostic Radiology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted169
Total Provider Services4407
Total Medicare beneficiaries receiving the provider services2853
The total charges that the provider submitted for all services$516,653.00
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$154,456.72
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$113,644.78
Total Medicare Standardized Payment Amount$118,338.36
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File0
Total drug services, as defined from the Medicare Part B Drug ASP File0
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.0
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$0.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$0.00
Total number of HCPCS codes associated with medical (non-ASP) services169
Total medical (non-ASP) services4407
Total Medicare beneficiaries receiving medical (non-ASP) services2853
The total charges that the provider submitted for medical services (non-ASP)$516,653.00
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$154,456.72
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$113,644.78
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$118,338.36
Average age of beneficiaries72
Number of beneficiaries under the age of 65514
Number of beneficiaries between the ages of 65 and 741122
Number of beneficiaries between the ages of 75 and 84841
Number of beneficiaries over the age of 84376
Number of Female beneficiaries1758
Number of Male Beneficiaries1095
Number of Non-Hispanic White Beneficiaries2481
Number of Black or African American Beneficiaries167
Number of Asian Pacific Islander Beneficiaries20
Number of Hispanic Beneficiaries138
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified47
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year2240
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits613
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma10%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease44%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia62%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease45%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis57%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders5%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke12%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.6573

Source: data.cms.gov

Francis Kearney M.D.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
X-ray of pelvis, 1 or 2 views 11 11 11 $8.59 $32.64 $6.64 492%
CT scan head or brain 273 264 273 $41.36 $163.33 $28.8 567%
CT scan of face 20 20 20 $40.73 $183.9 $31.48 584%
CT scan of neck with contrast 14 14 14 $67.65 $207.5 $46.58 445%
MRA scan of head blood vessels 47 47 47 $59.19 $161.43 $44.28 365%
MRI scan brain 81 81 81 $72.44 $237.88 $52.64 452%
MRI scan of brain before and after contrast 42 41 42 $112.55 $353.95 $76.87 460%
X-ray of chest, 1 view, front 496 430 487 $8.94 $32.56 $6.12 532%
X-ray of chest, 2 views, front and side 404 380 404 $10.67 $38.41 $6.99 550%
X-ray of ribs on one side of body including the chest, minimum of 3 views 14 14 14 $13.43 $66.86 $8.78 761%
CT scan chest 52 52 52 $50.01 $205.69 $36.12 569%
CT scan chest with contrast 49 48 49 $59.75 $233.29 $43.86 532%
CT scan of blood vessels in chest with contrast 56 56 56 $89.4 $212.23 $63.94 332%
X-ray of spine, 1 view 16 13 13 $7.55 $29.63 $5.82 509%
X-ray of spine of neck, 2 or 3 views 26 25 26 $11.0 $41.85 $7.4 565%
X-ray of upper spine, 4 or 5 views 22 22 22 $15.48 $54.64 $10.04 544%
X-ray of middle spine, 3 views 15 15 15 $11.0 $37.8 $8.48 446%
X-ray of middle spine, 3 views 27 27 27 $10.67 $50.0 $7.15 700%
X-ray of lower and sacral spine, 2 or 3 views 66 66 66 $11.0 $41.7 $7.44 560%
X-ray of lower and sacral spine, minimum of 4 views 75 75 75 $15.48 $60.25 $10.03 601%
CT scan of upper spine 53 53 53 $52.36 $211.21 $37.19 568%
CT scan of lower spine 15 15 15 $48.57 $215.0 $34.79 618%
MRI scan of upper spinal canal 33 33 33 $71.98 $250.09 $51.13 489%
MRI scan of lower spinal canal 75 75 75 $73.1 $240.16 $52.88 454%
MRI scan of lower spinal canal 12 12 12 $72.99 $232.0 $51.56 450%
Source: 2017 Provider CMS Charge Data