Darrin Bunting DO

Gender: M
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 1995
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted53
Total Provider Services1945
Total Medicare beneficiaries receiving the provider services351
The total charges that the provider submitted for all services$224,958.00
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.$173,938.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$125,846.94
Total Medicare Standardized Payment Amount$137,663.61
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 File63
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.37
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$2,665.00
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.$1,829.32
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.$1,770.35
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.$1,770.35
Total number of HCPCS codes associated with medical (non-ASP) services49
Total medical (non-ASP) services1882
Total Medicare beneficiaries receiving medical (non-ASP) services351
The total charges that the provider submitted for medical services (non-ASP)$222,293.00
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.$172,108.68
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$124,076.59
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$135,893.26
Average age of beneficiaries74
Number of beneficiaries under the age of 6536
Number of beneficiaries between the ages of 65 and 74152
Number of beneficiaries between the ages of 75 and 84111
Number of beneficiaries over the age of 8452
Number of Female beneficiaries183
Number of Male Beneficiaries168
Number of Non-Hispanic White Beneficiaries326
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 year308
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 benefits43
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation19%
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 Asthma8%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease38%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis59%
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 stroke6%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.5293

Source: data.cms.gov

Darrin Bunting DO's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Insertion of needle into vein for collection of blood sample 25 16 25 $3.0 $15.0 $2.94 510%
Vaccine for influenza for injection into muscle 30 30 30 $49.03 $60.0 $48.05 125%
Established patient office or other outpatient visit, typically 15 minutes 175 101 175 $68.8 $87.16 $38.02 229%
Established patient office or other outpatient, visit typically 25 minutes 256 136 256 $101.39 $126.11 $64.71 195%
Established patient office or other outpatient, visit typically 40 minutes 237 143 237 $136.83 $170.0 $89.51 190%
Initial hospital inpatient care, typically 70 minutes per day 41 32 41 $192.5 $245.0 $138.51 177%
Subsequent hospital inpatient care, typically 25 minutes per day 25 16 25 $69.41 $90.0 $54.42 165%
Subsequent hospital inpatient care, typically 35 minutes per day 115 46 115 $100.38 $125.0 $78.11 160%
Hospital discharge day management, 30 minutes or less 25 20 25 $69.39 $120.0 $48.21 249%
Initial nursing facility visit, typically 45 minutes per day 78 68 78 $159.79 $200.0 $123.66 162%
Subsequent nursing facility visit, typically 10 minutes per day 30 17 30 $42.57 $60.0 $28.6 210%
Subsequent nursing facility visit, typically 15 minutes per day 348 68 348 $65.85 $90.0 $50.78 177%
Subsequent nursing facility visit, typically 25 minutes per day 252 58 252 $87.15 $110.0 $67.78 162%
Nursing facility discharge day management, 30 minutes or less 59 54 59 $70.03 $110.0 $53.97 204%
Administration of influenza virus vaccine 46 46 46 $24.25 $30.0 $23.76 126%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 51 51 51 $109.39 $155.49 $107.2 145%
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 16 16 16 $12.04 $35.0 $11.8 297%
Source: 2017 Provider CMS Charge Data