Jonathan Leake M.D.

Gender: M
Medical School: University Of Cincinnati College Of Medicine
Graduation Year: 1984
Primary Specialty: Obstetrics/gynecology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted20
Total Provider Services1742
Total Medicare beneficiaries receiving the provider services584
The total charges that the provider submitted for all services$191,515.00
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.$90,663.36
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$68,504.29
Total Medicare Standardized Payment Amount$72,280.21
Drug Suppress Indicator - Identifies whether the utilization, cost and payment information associated with HCPCS codes for drug services as listed on the Medicare Part B Drug Average Sales Price (ASP) list have been suppressed.*
Identifies whether the utilization, cost and payment information associated with HCPCS codes for Medical (non-ASP) services have been suppressed. An '*' identifies that the suppressed information is based on fewer than 11 beneficiaries and a '#' identifies that the information has been counter suppressed to prevent the re-calculation of information suppressed due to fewer than 11 beneficiaries. #
Average age of beneficiaries72
Number of beneficiaries under the age of 6540
Number of beneficiaries between the ages of 65 and 74356
Number of beneficiaries between the ages of 75 and 84158
Number of beneficiaries over the age of 8430
Number of Female beneficiaries584
Number of Male Beneficiaries0
Number of Non-Hispanic White Beneficiaries524
Number of Black or African American Beneficiaries42
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 year535
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 benefits49
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia4%
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 cancer11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia46%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension58%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke2%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries0.7892

Source: data.cms.gov

Jonathan Leake M.D.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Biopsy of uterine lining 13 13 13 $107.19 $202.0 $77.57 260%
Ultrasound pelvis through vagina 60 53 60 $116.83 $402.5 $79.0 510%
Ultrasound of pelvis 33 33 33 $105.63 $351.82 $75.16 468%
New patient office or other outpatient visit, typically 45 minutes 38 38 38 $160.33 $295.0 $114.69 257%
Established patient office or other outpatient visit, typically 15 minutes 287 216 287 $70.93 $130.0 $47.95 271%
Established patient office or other outpatient, visit typically 25 minutes 188 176 188 $104.53 $195.0 $68.59 284%
Cervical or vaginal cancer screening; pelvic and clinical breast examination 258 258 258 $37.38 $86.0 $36.63 235%
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 260 260 260 $43.05 $83.0 $42.19 197%
Source: 2017 Provider CMS Charge Data