Juan Weksler M.D.

Gender: M
Medical School: Texas A & M University System, Hsc, College Of Medicine
Graduation Year: 1998
Primary Specialty: Cardiovascular Disease (cardiology)

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted71
Total Provider Services885
Total Medicare beneficiaries receiving the provider services490
The total charges that the provider submitted for all services$252,292.91
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.$77,093.21
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$59,542.41
Total Medicare Standardized Payment Amount$63,510.02
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) services71
Total medical (non-ASP) services885
Total Medicare beneficiaries receiving medical (non-ASP) services490
The total charges that the provider submitted for medical services (non-ASP)$252,292.91
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.$77,093.21
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$59,542.41
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$63,510.02
Average age of beneficiaries73
Number of beneficiaries under the age of 6592
Number of beneficiaries between the ages of 65 and 74189
Number of beneficiaries between the ages of 75 and 84135
Number of beneficiaries over the age of 8474
Number of Female beneficiaries236
Number of Male Beneficiaries254
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 year346
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 benefits144
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia19%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma9%
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 failure49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes46%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia74%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders4%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke12%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.7271

Source: data.cms.gov

Juan Weksler 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
Catheter insertion of stents in major coronary artery or branch, accessed through the skin 23 21 21 $551.77 $1776.04 $428.04 415%
Routine electrocardiogram (EKG) with tracing using at least 12 leads 11 11 11 $7.52 $16.0 $4.83 331%
Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report 202 166 184 $8.28 $29.52 $6.39 462%
Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function 142 142 142 $62.74 $286.39 $48.29 593%
Follow-up or limited ultrasound examination of heart 13 13 13 $25.33 $71.15 $19.85 358%
Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers 11 11 11 $7.24 $46.82 $5.67 826%
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function 16 16 16 $3.16 $47.25 $2.48 1906%
Insertion of catheter for imaging of heart blood vessels or grafts 12 12 12 $157.22 $600.0 $123.26 487%
Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart 31 30 31 $239.66 $803.9 $187.89 428%
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes 59 56 59 $12.03 $125.0 $9.43 1326%
Established patient office or other outpatient visit, typically 10 minutes 12 11 12 $40.71 $89.75 $31.92 281%
Established patient office or other outpatient visit, typically 15 minutes 67 66 67 $69.08 $152.96 $50.25 304%
Initial hospital inpatient care, typically 30 minutes per day 19 19 19 $98.28 $246.58 $77.06 320%
Initial hospital inpatient care, typically 50 minutes per day 35 35 35 $132.76 $269.23 $104.09 259%
Subsequent hospital inpatient care, typically 25 minutes per day 63 36 63 $70.1 $162.29 $54.96 295%
Source: 2017 Provider CMS Charge Data