John Como MD, MS

Gender: M
Medical School: Rutgers R W Johnson Medical School (cam/new Bruns/pisc)
Graduation Year: 1995
Primary Specialty: General Surgery

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted45
Total Provider Services588
Total Medicare beneficiaries receiving the provider services251
The total charges that the provider submitted for all services$243,679.25
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.$70,837.08
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$54,543.46
Total Medicare Standardized Payment Amount$55,382.29
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) services45
Total medical (non-ASP) services588
Total Medicare beneficiaries receiving medical (non-ASP) services251
The total charges that the provider submitted for medical services (non-ASP)$243,679.25
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.$70,837.08
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$54,543.46
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$55,382.29
Average age of beneficiaries72
Number of beneficiaries under the age of 6552
Number of beneficiaries between the ages of 65 and 74101
Number of beneficiaries between the ages of 75 and 8457
Number of beneficiaries over the age of 8441
Number of Female beneficiaries112
Number of Male Beneficiaries139
Number of Non-Hispanic White Beneficiaries188
Number of Black or African American Beneficiaries37
Number of Hispanic Beneficiaries14
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 year166
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 benefits85
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma8%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease57%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease52%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis58%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke23%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.9557

Source: data.cms.gov

John Como MD, MS's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Established patient office or other outpatient visit, typically 15 minutes 14 12 14 $50.5 $109.0 $39.59 275%
Initial hospital inpatient care, typically 50 minutes per day 12 12 12 $135.79 $389.0 $106.46 365%
Initial hospital inpatient care, typically 70 minutes per day 40 40 40 $200.98 $490.0 $147.65 332%
Subsequent hospital inpatient care, typically 15 minutes per day 111 70 111 $38.98 $134.0 $29.9 448%
Subsequent hospital inpatient care, typically 25 minutes per day 162 90 162 $71.56 $184.0 $54.68 337%
Subsequent hospital inpatient care, typically 35 minutes per day 86 42 86 $103.48 $292.0 $80.18 364%
Hospital discharge day management, 30 minutes or less 25 25 25 $71.54 $218.0 $56.09 389%
Emergency department visit, problem of high severity 16 16 16 $117.58 $306.0 $92.18 332%
Critical care delivery critically ill or injured patient, first 30-74 minutes 40 23 40 $222.59 $802.0 $174.51 460%
Source: 2017 Provider CMS Charge Data