Gary Fennig D.O.

Gender: M
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 2009
Primary Specialty: Anesthesiology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted65
Total Provider Services534
Total Medicare beneficiaries receiving the provider services399
The total charges that the provider submitted for all services$256,801.00
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.$76,735.59
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$60,058.05
Total Medicare Standardized Payment Amount$60,287.75
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File0
Total drug services, as defined from the Medicare Part B Drug ASP File0
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.0
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$0.00
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.$0.00
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.$0.00
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.$0.00
Total number of HCPCS codes associated with medical (non-ASP) services65
Total medical (non-ASP) services534
Total Medicare beneficiaries receiving medical (non-ASP) services399
The total charges that the provider submitted for medical services (non-ASP)$256,801.00
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.$76,735.59
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$60,058.05
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$60,287.75
Average age of beneficiaries71
Number of beneficiaries under the age of 6571
Number of beneficiaries between the ages of 65 and 74176
Number of beneficiaries between the ages of 75 and 84127
Number of beneficiaries over the age of 8425
Number of Female beneficiaries230
Number of Male Beneficiaries169
Number of Non-Hispanic White Beneficiaries373
Number of American Indian/Alaska Native Beneficiaries0
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 year319
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 benefits80
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 Asthma10%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure19%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia56%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis72%
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 stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.4128

Source: data.cms.gov

Gary Fennig 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
Anesthesia for procedure on gastrointestinal tract using an endoscope 39 39 39 $118.73 $400.5 $93.08 430%
Anesthesia for procedure on lower intestine using an endoscope 74 73 74 $123.63 $429.18 $100.03 429%
Anesthesia for open or endoscopic total knee joint replacement 13 13 13 $321.02 $999.0 $251.68 397%
Anesthesia for nerve block and injection procedure, prone position 136 106 136 $128.89 $387.13 $99.47 389%
Injection of anesthetic agent, brachial (arm) nerve bundle 16 16 16 $63.92 $340.0 $50.1 679%
Injection of anesthetic agent, thigh nerve 22 21 22 $61.24 $320.0 $48.01 667%
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 44 43 44 $32.37 $65.0 $24.93 261%
Source: 2017 Provider CMS Charge Data