Erin Thompson

Gender: F
Medical School: Other
Graduation Year: 2015
Primary Specialty: Nurse Practitioner

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted37
Total Provider Services995
Total Medicare beneficiaries receiving the provider services546
The total charges that the provider submitted for all services$143,941.00
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.$72,788.30
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$63,213.44
Total Medicare Standardized Payment Amount$65,430.14
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File8
Total drug services, as defined from the Medicare Part B Drug ASP File99
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.81
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$14,421.00
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.$8,878.01
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.$8,697.03
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.$8,697.03
Total number of HCPCS codes associated with medical (non-ASP) services29
Total medical (non-ASP) services896
Total Medicare beneficiaries receiving medical (non-ASP) services546
The total charges that the provider submitted for medical services (non-ASP)$129,520.00
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.$63,910.29
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$54,516.41
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$56,733.11
Average age of beneficiaries74
Number of beneficiaries under the age of 6560
Number of beneficiaries between the ages of 65 and 74248
Number of beneficiaries between the ages of 75 and 84142
Number of beneficiaries over the age of 8496
Number of Female beneficiaries348
Number of Male Beneficiaries198
Number of Non-Hispanic White Beneficiaries522
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified12
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 year442
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 benefits104
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 dementia15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma3%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke5%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.1032

Source: data.cms.gov

Erin Thompson's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Urinalysis, manual test 37 33 37 $3.23 $8.0 $3.17 252%
Hemoglobin A1C level 28 21 28 $13.32 $28.0 $13.05 215%
Strep test (Streptococcus, group A) 20 20 20 $16.44 $38.0 $16.11 236%
Vaccine for influenza for injection into muscle 35 35 35 $49.03 $75.0 $48.05 156%
Pneumococcal vaccine for injection into muscle 29 29 29 $191.84 $310.0 $188.01 165%
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older 14 14 14 $96.94 $156.43 $95.0 165%
Established patient office or other outpatient visit, typically 15 minutes 304 240 304 $60.29 $130.0 $38.25 340%
Established patient office or other outpatient, visit typically 25 minutes 22 21 22 $88.85 $195.0 $36.38 536%
Administration of influenza virus vaccine 46 46 46 $24.25 $44.83 $23.76 189%
Administration of pneumococcal vaccine 39 39 39 $24.25 $44.18 $23.76 186%
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 17 17 17 $138.07 $226.0 $135.31 167%
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 120 120 120 $141.99 $270.0 $139.15 194%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 202 202 202 $95.85 $190.0 $93.93 202%
Source: 2017 Provider CMS Charge Data