Amy Browne D.O.

Gender: F
Medical School: Other
Graduation Year: 2007
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted45
Total Provider Services1050
Total Medicare beneficiaries receiving the provider services252
The total charges that the provider submitted for all services$102,852.00
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.$72,113.67
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$50,846.75
Total Medicare Standardized Payment Amount$53,276.34
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File7
Total drug services, as defined from the Medicare Part B Drug ASP File93
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.61
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$5,556.00
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.$4,598.75
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.$4,492.91
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.$4,492.94
Total number of HCPCS codes associated with medical (non-ASP) services38
Total medical (non-ASP) services957
Total Medicare beneficiaries receiving medical (non-ASP) services252
The total charges that the provider submitted for medical services (non-ASP)$97,296.00
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.$67,514.92
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$46,353.84
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$48,783.40
Average age of beneficiaries71
Number of beneficiaries under the age of 6557
Number of beneficiaries between the ages of 65 and 7499
Number of beneficiaries between the ages of 75 and 8458
Number of beneficiaries over the age of 8438
Number of Female beneficiaries168
Number of Male Beneficiaries84
Number of Non-Hispanic White Beneficiaries237
Number of American Indian/Alaska Native Beneficiaries0
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 year180
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 benefits72
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia12%
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 cancer6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension60%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis48%
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 stroke9%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.2353

Source: data.cms.gov

Amy Browne 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
Automated urinalysis test 47 36 47 $3.08 $15.0 $3.02 497%
Urine microalbumin (protein) analysis 13 13 13 $6.28 $28.0 $6.15 455%
Hemoglobin A1C level 60 33 60 $13.32 $55.0 $13.05 421%
Vaccine for influenza for injection into muscle 23 23 23 $49.03 $55.0 $48.05 114%
Vaccine for influenza for administration into muscle, 0.5 ml dosage 11 11 11 $24.05 $32.0 $23.57 136%
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older 13 13 13 $97.48 $105.0 $95.53 110%
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 16 15 15 $24.25 $32.0 $19.01 168%
New patient office or other outpatient visit, typically 30 minutes 13 13 13 $105.1 $149.0 $41.69 357%
Established patient office or other outpatient visit, typically 15 minutes 229 139 229 $70.93 $100.0 $46.92 213%
Established patient office or other outpatient, visit typically 25 minutes 334 152 334 $104.53 $149.0 $68.75 217%
Subsequent nursing facility visit, typically 10 minutes per day 57 17 57 $43.89 $62.0 $29.18 212%
Administration of influenza virus vaccine 34 34 34 $24.25 $35.0 $23.76 147%
Administration of pneumococcal vaccine 22 22 22 $24.25 $30.0 $23.76 126%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 17 17 17 $106.0 $106.0 $103.88 102%
Source: 2017 Provider CMS Charge Data