Nicole Danner D.O.

Gender: F
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 2001
Primary Specialty: Neurology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted63
Total Provider Services28936
Total Medicare beneficiaries receiving the provider services1080
The total charges that the provider submitted for all services$809,937.00
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.$434,517.29
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$354,488.27
Total Medicare Standardized Payment Amount$333,426.38
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File5
Total drug services, as defined from the Medicare Part B Drug ASP File26423
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.57
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$290,805.00
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.$157,690.46
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.$123,538.44
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.$123,538.44
Total number of HCPCS codes associated with medical (non-ASP) services58
Total medical (non-ASP) services2513
Total Medicare beneficiaries receiving medical (non-ASP) services1080
The total charges that the provider submitted for medical services (non-ASP)$519,132.00
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.$276,826.83
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$230,949.83
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$209,887.94
Average age of beneficiaries69
Number of beneficiaries under the age of 65308
Number of beneficiaries between the ages of 65 and 74402
Number of beneficiaries between the ages of 75 and 84256
Number of beneficiaries over the age of 84114
Number of Female beneficiaries581
Number of Male Beneficiaries499
Number of Non-Hispanic White Beneficiaries954
Number of Black or African American Beneficiaries74
Number of Hispanic Beneficiaries25
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 year736
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 benefits344
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma11%
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 failure24%
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 disease25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression42%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension73%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis54%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke22%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.737

Source: data.cms.gov

Nicole Danner 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
Injection of chemical for destruction of nerve muscles on one side of face 32 14 32 $155.85 $656.25 $130.65 502%
Sleep monitoring of patient (6 years or older) in sleep lab 120 118 120 $120.66 $325.0 $106.7 305%
Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube 106 99 106 $126.61 $350.0 $113.58 308%
Measurement and recording of brain wave (EEG) activity, awake and asleep 68 68 68 $57.71 $180.0 $51.61 349%
Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles 54 24 54 $70.0 $75.0 $62.65 120%
Needle measurement and recording of electrical activity of muscles of arm or leg complete study 241 123 133 $87.31 $197.74 $75.46 262%
Nerve transmission studies, 5-6 studies 22 22 22 $144.01 $269.0 $126.46 213%
Nerve transmission studies, 9-10 studies 70 69 70 $225.82 $429.0 $202.35 212%
Nerve transmission studies, 11-12 studies 38 38 38 $251.45 $503.0 $227.46 221%
New patient office or other outpatient visit, typically 45 minutes 47 47 47 $128.7 $225.0 $108.82 207%
New patient office or other outpatient visit, typically 45 minutes 108 108 108 $160.33 $225.0 $120.72 186%
New patient office or other outpatient visit, typically 60 minutes 11 11 11 $202.25 $275.0 $182.8 150%
Established patient office or other outpatient visit, typically 15 minutes 18 17 18 $50.5 $102.0 $34.17 298%
Established patient office or other outpatient visit, typically 15 minutes 402 305 402 $70.93 $102.0 $53.48 191%
Established patient office or other outpatient, visit typically 25 minutes 39 32 39 $77.84 $160.0 $59.22 270%
Established patient office or other outpatient, visit typically 25 minutes 528 392 528 $104.53 $160.0 $79.92 200%
Established patient office or other outpatient, visit typically 40 minutes 37 37 37 $141.06 $233.0 $126.38 184%
Initial hospital inpatient care, typically 70 minutes per day 137 134 137 $200.98 $275.0 $179.92 153%
Subsequent hospital inpatient care, typically 25 minutes per day 167 107 167 $71.56 $150.0 $63.82 235%
Subsequent hospital inpatient care, typically 35 minutes per day 16 15 16 $103.48 $190.0 $88.78 214%
Injection, onabotulinumtoxina, 1 unit 26385 41 99 $5.97 $11.0 $4.68 235%
Source: 2017 Provider CMS Charge Data