Nicole Moses CAA

Gender: F
Medical School: Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University
Graduation Year: 2017
Primary Specialty: Anesthesiology Assistant

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted36
Total Provider Services139
Total Medicare beneficiaries receiving the provider services135
The total charges that the provider submitted for all services$83,310.50
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.$13,914.72
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$10,981.26
Total Medicare Standardized Payment Amount$11,165.51
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) services36
Total medical (non-ASP) services139
Total Medicare beneficiaries receiving medical (non-ASP) services135
The total charges that the provider submitted for medical services (non-ASP)$83,310.50
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.$13,914.72
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$10,981.26
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$11,165.51
Average age of beneficiaries70
Number of beneficiaries between the ages of 65 and 7466
Number of beneficiaries between the ages of 75 and 8435
Number of Female beneficiaries86
Number of Male Beneficiaries49
Number of Non-Hispanic White Beneficiaries124
Number of American Indian/Alaska Native Beneficiaries0
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 year107
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 benefits28
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma9%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease19%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia53%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension72%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis56%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.357

Source: data.cms.gov

Nicole Moses CAA's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Anesthesia for procedure on gastrointestinal tract using an endoscope 17 16 17 $66.66 $398.03 $52.26 762%
Anesthesia for procedure on lower intestine using an endoscope 37 37 37 $72.93 $435.5 $59.85 728%
Anesthesia for open procedure on bones of lower leg, ankle and foot 12 12 12 $79.83 $476.67 $62.58 762%
Source: 2017 Provider CMS Charge Data