Maher Salam M.D.

Gender: M
Medical School: Other
Graduation Year: 1999
Primary Specialty: Gastroenterology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted63
Total Provider Services2202
Total Medicare beneficiaries receiving the provider services645
The total charges that the provider submitted for all services$935,336.00
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.$264,056.29
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$195,405.96
Total Medicare Standardized Payment Amount$203,584.09
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) services63
Total medical (non-ASP) services2202
Total Medicare beneficiaries receiving medical (non-ASP) services645
The total charges that the provider submitted for medical services (non-ASP)$935,336.00
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.$264,056.29
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$195,405.96
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$203,584.09
Average age of beneficiaries69
Number of beneficiaries under the age of 65162
Number of beneficiaries between the ages of 65 and 74274
Number of beneficiaries between the ages of 75 and 84162
Number of beneficiaries over the age of 8447
Number of Female beneficiaries361
Number of Male Beneficiaries284
Number of Non-Hispanic White Beneficiaries609
Number of Asian Pacific Islander Beneficiaries0
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified16
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 year457
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 benefits188
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia11%
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 cancer11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression38%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes38%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia54%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension70%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis50%
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 stroke6%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.655

Source: data.cms.gov

Maher Salam 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
Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope 96 86 96 $108.88 $521.0 $83.43 624%
Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope 203 184 203 $102.14 $614.0 $78.84 779%
Insertion of guide wire with dilation of esophagus using an endoscope 22 19 22 $147.2 $676.0 $109.33 618%
Removal of stone from bile or pancreatic duct using an endoscope 15 14 15 $87.33 $1849.0 $68.47 2700%
Placement of stent pancreatic or bile duct using an endoscope 16 16 16 $476.79 $1700.0 $373.8 455%
Dilation of esophagus 16 16 16 $40.51 $320.0 $31.76 1008%
Diagnostic examination of large bowel using an endoscope 14 14 14 $48.73 $221.0 $35.02 631%
Diagnostic examination of large bowel using an endoscope 48 45 48 $177.14 $779.0 $130.36 598%
Biopsy of large bowel using an endoscope 79 78 79 $122.95 $932.0 $90.78 1027%
Injections of large bowel using an endoscope 40 40 40 $22.96 $500.0 $17.91 2791%
Removal of polyps or growths of large bowel using an endoscope 147 144 147 $260.68 $1106.0 $198.44 557%
Drainage of fluid from abdominal cavity using imaging guidance 22 13 22 $107.69 $400.0 $76.57 522%
Measurement of esophageal swallowing movement 12 12 12 $66.65 $240.0 $52.25 459%
Measuring the stiffness in the liver via elastography 39 38 39 $13.67 $150.0 $9.09 1651%
New patient office or other outpatient visit, typically 30 minutes 15 15 15 $105.1 $204.0 $71.79 284%
New patient office or other outpatient visit, typically 45 minutes 163 163 163 $160.18 $315.0 $108.16 291%
Established patient office or other outpatient visit, typically 15 minutes 456 335 456 $70.89 $136.0 $51.77 263%
Established patient office or other outpatient, visit typically 25 minutes 18 17 18 $77.84 $202.0 $56.78 356%
Established patient office or other outpatient, visit typically 25 minutes 408 261 408 $104.49 $202.0 $71.85 281%
Established patient office or other outpatient, visit typically 40 minutes 32 32 32 $141.06 $273.0 $104.29 262%
Initial hospital inpatient care, typically 50 minutes per day 138 123 138 $135.64 $265.0 $104.28 254%
Subsequent hospital inpatient care, typically 25 minutes per day 12 12 12 $71.26 $138.0 $52.35 264%
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 23 23 23 $167.48 $779.0 $164.13 475%
Source: 2017 Provider CMS Charge Data