Hilary Timmis M.D.

Gender: M
Medical School: University Of North Carolina At Chapel Hill School Of Medicine
Graduation Year: 1994
Primary Specialty: Otolaryngology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted63
Total Provider Services1041
Total Medicare beneficiaries receiving the provider services400
The total charges that the provider submitted for all services$322,070.00
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.$109,253.82
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$77,875.12
Total Medicare Standardized Payment Amount$82,265.46
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) services63
Total medical (non-ASP) services1041
Total Medicare beneficiaries receiving medical (non-ASP) services400
The total charges that the provider submitted for medical services (non-ASP)$322,070.00
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.$109,253.82
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$77,875.12
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$82,265.46
Average age of beneficiaries71
Number of beneficiaries under the age of 6563
Number of beneficiaries between the ages of 65 and 74183
Number of beneficiaries between the ages of 75 and 84114
Number of beneficiaries over the age of 8440
Number of Female beneficiaries227
Number of Male Beneficiaries173
Number of Non-Hispanic White Beneficiaries376
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 year329
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 benefits71
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia8%
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 cancer8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia47%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension66%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders3%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke4%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.2808

Source: data.cms.gov

Hilary Timmis 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
Diagnostic examination of nasal passages using an endoscope 30 24 30 $195.4 $794.77 $145.01 548%
Diagnostic examination of voice box using flexible endoscope 71 50 71 $108.79 $437.3 $78.05 560%
Removal of foreign body from ear canal 34 26 34 $82.92 $463.82 $58.77 789%
Removal of impact ear wax, one ear 69 57 69 $43.29 $189.8 $30.94 613%
Removal of skin debris and drainage of mastoid cavity 22 11 22 $87.13 $466.0 $59.32 786%
New patient office or other outpatient visit, typically 30 minutes 99 99 99 $105.1 $195.0 $72.13 270%
New patient office or other outpatient visit, typically 45 minutes 116 116 116 $160.33 $295.0 $109.26 270%
New patient office or other outpatient visit, typically 60 minutes 18 18 18 $202.25 $375.0 $139.2 269%
Established patient office or other outpatient visit, typically 10 minutes 38 38 38 $42.05 $100.0 $26.04 384%
Established patient office or other outpatient visit, typically 15 minutes 267 160 267 $70.93 $130.0 $50.33 258%
Established patient office or other outpatient, visit typically 25 minutes 86 73 86 $104.53 $195.0 $74.6 261%
Established patient office or other outpatient, visit typically 40 minutes 23 23 23 $141.06 $260.0 $105.78 246%
Source: 2017 Provider CMS Charge Data