Kerry Allen M.D.

Gender: M
Medical School: University Of New Mexico School Of Medicine
Graduation Year: 1983
Primary Specialty: Ophthalmology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted60
Total Provider Services2285
Total Medicare beneficiaries receiving the provider services714
The total charges that the provider submitted for all services$704,960.00
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.$324,623.53
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$233,172.59
Total Medicare Standardized Payment Amount$245,228.62
Drug Suppress Indicator - Identifies whether the utilization, cost and payment information associated with HCPCS codes for drug services as listed on the Medicare Part B Drug Average Sales Price (ASP) list have been suppressed.*
Identifies whether the utilization, cost and payment information associated with HCPCS codes for Medical (non-ASP) services have been suppressed. An '*' identifies that the suppressed information is based on fewer than 11 beneficiaries and a '#' identifies that the information has been counter suppressed to prevent the re-calculation of information suppressed due to fewer than 11 beneficiaries. #
Average age of beneficiaries74
Number of beneficiaries under the age of 6553
Number of beneficiaries between the ages of 65 and 74324
Number of beneficiaries between the ages of 75 and 84240
Number of beneficiaries over the age of 8497
Number of Female beneficiaries438
Number of Male Beneficiaries276
Number of Non-Hispanic White Beneficiaries680
Number of Beneficiaries With Race Not Elsewhere Classified13
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 year624
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 benefits90
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia9%
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 failure16%
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 disease16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes42%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia52%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension70%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis6%
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 disorders3%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.2989

Source: data.cms.gov

Kerry Allen 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
Removal of recurring cataract in lens capsule using laser 28 26 28 $297.81 $750.0 $226.6 331%
Removal of cataract with insertion of lens 26 20 26 $777.5 $2500.0 $608.3 411%
Removal of cataract with insertion of lens 92 62 92 $624.48 $2400.0 $482.24 498%
Injection of drug into eye 56 16 56 $99.77 $400.0 $78.2 511%
Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits 217 217 217 $143.93 $195.0 $92.7 210%
Eye and medical examination for diagnosis and treatment, established patient 204 133 204 $82.22 $105.0 $56.82 185%
Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits 553 458 553 $119.33 $160.0 $75.63 212%
Examination of cornea and iris using lens device and slit lamp 40 40 40 $26.16 $90.0 $17.39 518%
Measurement of field of vision during daylight conditions 103 100 103 $61.49 $150.0 $42.64 352%
Diagnostic imaging of optic nerve of eye 120 117 120 $36.14 $90.0 $23.7 380%
Diagnostic imaging of retina 144 87 144 $39.58 $90.0 $26.52 339%
Measurement of corneal curvature and depth of eye 159 82 82 $41.91 $180.0 $32.39 556%
Examination of eye by ophthalmoscope with retinal drawing 14 13 13 $26.19 $65.0 $17.6 369%
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes 30 26 30 $12.32 $100.0 $9.66 1035%
Established patient office or other outpatient visit, typically 5 minutes 69 68 69 $19.34 $70.0 $14.77 474%
Established patient office or other outpatient visit, typically 10 minutes 16 14 16 $42.05 $100.0 $30.91 324%
Unclassified biologics 34 11 34 $60.0 $120.0 $44.7 268%
Source: 2017 Provider CMS Charge Data