Roxanne Rogers D.O.

Gender: F
Medical School: West Virginia School Of Osteopathic Medicine
Graduation Year: 2011
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted39
Total Provider Services643
Total Medicare beneficiaries receiving the provider services241
The total charges that the provider submitted for all services$68,511.00
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.$44,637.73
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$30,445.59
Total Medicare Standardized Payment Amount$32,224.15
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 File58
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.21
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$1,469.00
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.$714.96
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.$669.19
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.$669.19
Total number of HCPCS codes associated with medical (non-ASP) services31
Total medical (non-ASP) services585
Total Medicare beneficiaries receiving medical (non-ASP) services241
The total charges that the provider submitted for medical services (non-ASP)$67,042.00
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.$43,922.77
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$29,776.40
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$31,554.96
Average age of beneficiaries70
Number of beneficiaries under the age of 6552
Number of beneficiaries between the ages of 65 and 74107
Number of beneficiaries between the ages of 75 and 8465
Number of beneficiaries over the age of 8417
Number of Female beneficiaries159
Number of Male Beneficiaries82
Number of Non-Hispanic White Beneficiaries229
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 year194
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 benefits47
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation5%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia7%
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 cancer11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia47%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension57%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis47%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke5%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.0178

Source: data.cms.gov

Roxanne Rogers 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 23 20 23 $3.08 $15.0 $3.02 497%
Hemoglobin A1C level 39 24 39 $13.32 $32.0 $13.05 245%
Strep test (Streptococcus, group A) 16 16 16 $16.44 $40.0 $16.11 248%
Vaccine for influenza for injection into muscle 12 11 12 $47.98 $80.0 $47.02 170%
New patient office or other outpatient visit, typically 30 minutes 69 69 69 $105.1 $158.0 $63.81 248%
Established patient office or other outpatient visit, typically 15 minutes 213 134 213 $70.93 $105.0 $45.32 232%
Established patient office or other outpatient, visit typically 25 minutes 117 79 117 $104.53 $157.0 $67.57 232%
Administration of influenza virus vaccine 14 13 14 $24.25 $25.0 $23.76 105%
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 17 17 17 $167.05 $251.0 $163.71 153%
Source: 2017 Provider CMS Charge Data