Michael Powers D.O.

Gender: M
Medical School: Lake Erie College Of Osteopathic Medicine, Erie
Graduation Year: 1998
Primary Specialty: Orthopedic Surgery

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted125
Total Provider Services15125
Total Medicare beneficiaries receiving the provider services725
The total charges that the provider submitted for all services$1,819,141.00
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.$562,164.45
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$422,243.15
Total Medicare Standardized Payment Amount$430,202.19
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File4
Total drug services, as defined from the Medicare Part B Drug ASP File10988
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.318
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$362,985.00
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.$140,102.56
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.$109,329.20
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.$109,898.53
Total number of HCPCS codes associated with medical (non-ASP) services121
Total medical (non-ASP) services4137
Total Medicare beneficiaries receiving medical (non-ASP) services725
The total charges that the provider submitted for medical services (non-ASP)$1,456,156.00
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.$422,061.89
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$312,913.95
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$320,303.66
Average age of beneficiaries73
Number of beneficiaries under the age of 6568
Number of beneficiaries between the ages of 65 and 74382
Number of beneficiaries between the ages of 75 and 84211
Number of beneficiaries over the age of 8464
Number of Female beneficiaries461
Number of Male Beneficiaries264
Number of Non-Hispanic White Beneficiaries695
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified17
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 year636
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 benefits89
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia5%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma7%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension70%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke5%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.082

Source: data.cms.gov

Michael Powers 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
Injections of tendon sheath, ligament, or muscle membrane 17 12 17 $48.84 $206.0 $37.94 543%
Aspiration and/or injection of small joint or joint capsule with recording and reporting using ultrasound guidance 17 11 13 $62.45 $175.0 $48.96 357%
Aspiration and/or injection of large joint or joint capsule 650 161 462 $50.37 $211.97 $38.46 551%
Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance 350 147 277 $79.62 $224.0 $59.58 376%
Closed treatment of broken forearm bones 12 12 12 $316.69 $764.0 $246.8 310%
Incision of tendon covering 15 11 11 $232.13 $761.0 $174.36 436%
Replacement of thigh bone and hip joint prosthesis 23 21 23 $668.17 $3508.7 $520.74 674%
Repair of knee joint 82 79 82 $919.51 $4414.63 $718.25 615%
Application of non-moveable, short arm splint (forearm to hand) 24 22 24 $19.45 $154.0 $15.25 1010%
Extensive removal of shoulder joint tissue using an endoscope 18 18 18 $104.77 $1567.0 $82.14 1908%
Partial removal of collar bone at shoulder using an endoscope 17 17 17 $369.39 $1673.0 $289.6 578%
Shaving of shoulder bone using an endoscope 20 20 20 $133.57 $1696.0 $104.72 1620%
Release and/or relocation of median nerve of hand 18 16 18 $420.46 $1051.83 $329.64 319%
X-ray of shoulder, minimum of 2 views 133 88 109 $27.26 $96.84 $20.0 484%
X-ray of wrist, minimum of 3 views 47 28 40 $33.5 $116.17 $25.88 449%
X-ray of hand, minimum of 3 views 22 17 19 $29.22 $101.14 $22.1 458%
X-ray of fingers, minimum of 2 views 46 30 40 $29.27 $95.76 $22.94 417%
X-ray of hip with pelvis, 2-3 views 87 66 87 $38.61 $136.49 $28.43 480%
X-ray of both hips with pelvis, 2 views 11 11 11 $37.6 $125.82 $29.48 427%
X-ray of knee, 1 or 2 views 449 247 337 $29.19 $98.72 $21.66 456%
X-ray of both knees, standing, front to back view 331 244 331 $33.8 $112.37 $24.4 461%
X-ray of ankle, minimum of 3 views 21 17 20 $26.45 $107.14 $20.73 517%
X-ray of foot, minimum of 3 views 16 12 15 $27.57 $98.13 $20.51 478%
Ultrasound of arm or leg 281 168 231 $35.12 $127.94 $27.15 471%
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 20 15 20 $58.43 $313.0 $45.05 695%
Source: 2017 Provider CMS Charge Data