Jonathan Zahler D.O.

Gender: M
Medical School: Philadelphia College Of Osteopathic Medicine
Graduation Year: 2006
Primary Specialty: Ophthalmology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted47
Total Provider Services4229
Total Medicare beneficiaries receiving the provider services1032
The total charges that the provider submitted for all services$1,631,651.00
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.$638,012.87
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$467,556.45
Total Medicare Standardized Payment Amount$489,425.78
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File2
Total drug services, as defined from the Medicare Part B Drug ASP File161
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.12
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$132,300.00
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.$119,404.53
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.$93,367.13
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.$93,367.13
Total number of HCPCS codes associated with medical (non-ASP) services45
Total medical (non-ASP) services4068
Total Medicare beneficiaries receiving medical (non-ASP) services1032
The total charges that the provider submitted for medical services (non-ASP)$1,499,351.00
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.$518,608.34
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$374,189.32
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$396,058.65
Average age of beneficiaries76
Number of beneficiaries under the age of 6550
Number of beneficiaries between the ages of 65 and 74415
Number of beneficiaries between the ages of 75 and 84390
Number of beneficiaries over the age of 84177
Number of Female beneficiaries679
Number of Male Beneficiaries353
Number of Non-Hispanic White Beneficiaries970
Number of Hispanic Beneficiaries14
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified35
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 year949
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 benefits83
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma6%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension67%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis47%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders2%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke6%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.1372

Source: data.cms.gov

Jonathan Zahler D.O.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Internal insertion of eye fluid drainage device 30 19 30 $1106.91 $1700.0 $824.41 206%
Removal of recurring cataract in lens capsule using laser 90 63 90 $301.04 $750.0 $231.85 323%
Removal of cataract with insertion of lens 117 28 42 $246.05 $1004.27 $190.14 528%
Removal of cataract with insertion of lens 598 174 284 $263.78 $1246.33 $204.2 610%
Injection of drug into eye 159 36 159 $99.77 $400.0 $73.99 541%
Ultrasound of corneal structure and measurement 14 14 14 $13.81 $45.0 $9.89 455%
Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits 254 254 254 $143.93 $195.0 $94.27 207%
Eye and medical examination for diagnosis and treatment, established patient 280 197 280 $82.22 $105.0 $56.0 187%
Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits 875 688 875 $119.33 $160.0 $75.9 211%
Examination of cornea and iris using lens device and slit lamp 24 23 24 $26.16 $90.0 $19.44 463%
Measurement of field of vision during daylight conditions 196 181 196 $61.42 $150.0 $41.79 359%
Diagnostic imaging of optic nerve of eye 161 158 161 $35.85 $89.99 $26.12 344%
Diagnostic imaging of retina 567 302 567 $39.36 $90.0 $27.74 324%
Measurement of corneal curvature and depth of eye 347 180 180 $42.61 $180.0 $32.38 556%
Examination of eye by ophthalmoscope with retinal drawing 30 25 25 $26.19 $65.0 $16.52 393%
Examination of eye by ophthalmoscope with retinal drawing 13 11 12 $24.06 $65.0 $16.04 405%
New patient office or other outpatient visit, typically 60 minutes 15 15 15 $202.25 $285.0 $121.58 234%
Established patient office or other outpatient visit, typically 5 minutes 69 68 69 $19.34 $70.0 $14.94 469%
Established patient office or other outpatient visit, typically 15 minutes 19 19 19 $70.93 $116.74 $54.49 214%
Established patient office or other outpatient, visit typically 25 minutes 38 38 38 $104.53 $198.45 $76.38 260%
Injection, aflibercept, 1 mg 112 12 56 $978.27 $1050.0 $765.07 137%
Unclassified biologics 95 29 95 $60.0 $120.0 $42.48 282%
Source: 2017 Provider CMS Charge Data