Nicholas Liben D.O.

Gender: M
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 1990
Primary Specialty: Anesthesiology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted48
Total Provider Services720
Total Medicare beneficiaries receiving the provider services520
The total charges that the provider submitted for all services$310,662.50
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.$98,998.69
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$77,712.00
Total Medicare Standardized Payment Amount$77,685.03
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) services48
Total medical (non-ASP) services720
Total Medicare beneficiaries receiving medical (non-ASP) services520
The total charges that the provider submitted for medical services (non-ASP)$310,662.50
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.$98,998.69
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$77,712.00
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$77,685.03
Average age of beneficiaries70
Number of beneficiaries under the age of 65103
Number of beneficiaries between the ages of 65 and 74236
Number of beneficiaries between the ages of 75 and 84143
Number of beneficiaries over the age of 8438
Number of Female beneficiaries324
Number of Male Beneficiaries196
Number of Non-Hispanic White Beneficiaries484
Number of Black or African American Beneficiaries15
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 year404
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 benefits116
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation15%
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 Asthma12%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis69%
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 stroke8%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.4882

Source: data.cms.gov

Nicholas Liben 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 118 111 118 $131.91 $395.5 $102.83 385%
Anesthesia for procedure on lower intestine using an endoscope 132 132 132 $147.76 $443.38 $119.1 372%
Anesthesia for open or endoscopic total knee joint replacement 24 24 24 $293.94 $921.38 $230.45 400%
Anesthesia for open procedure on bones of lower leg, ankle and foot 22 22 22 $152.89 $481.89 $119.86 402%
Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including 17 17 17 $257.27 $771.21 $201.7 382%
Anesthesia for nerve block and injection procedure, prone position 166 130 166 $124.79 $375.63 $97.09 387%
Injection of anesthetic agent, brachial (arm) nerve bundle 19 19 19 $65.98 $362.11 $51.72 700%
Injection of anesthetic agent, sciatic nerve 12 12 12 $72.99 $383.33 $57.22 670%
Injection of anesthetic agent, thigh nerve 32 32 32 $55.78 $316.88 $43.73 725%
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 62 62 62 $32.37 $65.0 $25.07 259%
Source: 2017 Provider CMS Charge Data