Cathy Miller M.D.

Gender: F
Medical School: Louisiana State University School Of Medicine In New Orleans
Graduation Year: 1982
Primary Specialty: Diagnostic Radiology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted150
Total Provider Services5280
Total Medicare beneficiaries receiving the provider services3533
The total charges that the provider submitted for all services$530,592.00
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.$161,034.76
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$120,054.52
Total Medicare Standardized Payment Amount$123,410.08
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) services150
Total medical (non-ASP) services5280
Total Medicare beneficiaries receiving medical (non-ASP) services3533
The total charges that the provider submitted for medical services (non-ASP)$530,592.00
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.$161,034.76
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$120,054.52
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$123,410.08
Average age of beneficiaries72
Number of beneficiaries under the age of 65590
Number of beneficiaries between the ages of 65 and 741480
Number of beneficiaries between the ages of 75 and 841058
Number of beneficiaries over the age of 84405
Number of Female beneficiaries2299
Number of Male Beneficiaries1234
Number of Non-Hispanic White Beneficiaries3079
Number of Black or African American Beneficiaries198
Number of Hispanic Beneficiaries180
Number of Beneficiaries With Race Not Elsewhere Classified61
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 year2813
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 benefits720
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia16%
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 cancer14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia62%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease42%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders5%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke11%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.548

Source: data.cms.gov

Cathy Miller 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
CT scan head or brain 219 214 218 $41.8 $165.14 $27.87 592%
CT scan head or brain 12 12 12 $42.66 $156.0 $30.64 509%
CT scan of face 12 12 12 $41.6 $182.17 $32.07 568%
MRA scan of head blood vessels 21 21 21 $59.65 $139.24 $42.15 330%
MRI scan brain 35 35 35 $72.75 $242.69 $49.52 490%
MRI scan brain 13 13 13 $74.1 $232.0 $53.62 433%
MRI scan of brain before and after contrast 16 16 16 $113.7 $348.0 $76.26 456%
MRI scan of brain before and after contrast 18 17 18 $114.85 $373.0 $89.95 415%
X-ray of chest, 1 view, front 796 719 794 $9.07 $31.95 $6.12 522%
X-ray of chest, 2 views, front and side 532 503 531 $10.8 $37.96 $7.2 527%
X-ray of chest, 2 views, front and side 19 19 19 $10.89 $36.0 $7.19 501%
X-ray of ribs on one side of body including the chest, minimum of 3 views 19 19 19 $13.56 $62.89 $9.84 639%
CT scan chest 43 42 43 $50.49 $214.28 $32.88 652%
CT scan chest 17 17 17 $51.13 $198.0 $31.82 622%
CT scan chest with contrast 36 36 36 $60.81 $234.44 $45.58 514%
CT scan chest with contrast 18 15 18 $60.77 $229.0 $42.87 534%
CT scan of blood vessels in chest with contrast 34 33 34 $88.32 $233.09 $65.7 355%
X-ray of spine of neck, 2 or 3 views 15 14 15 $11.09 $40.8 $7.94 514%
X-ray of upper spine, 4 or 5 views 22 22 22 $15.7 $53.64 $12.15 441%
X-ray of middle spine, 3 views 21 21 21 $10.83 $40.0 $7.61 526%
X-ray of lower and sacral spine, 2 or 3 views 33 32 33 $11.09 $40.61 $7.18 565%
X-ray of lower and sacral spine, minimum of 4 views 71 70 71 $15.52 $55.7 $10.95 509%
CT scan of upper spine 48 48 48 $52.75 $215.71 $36.3 594%
CT scan of lower spine 13 13 13 $48.59 $218.38 $35.55 614%
MRI scan of upper spinal canal 16 16 16 $72.74 $249.63 $52.03 480%
Source: 2017 Provider CMS Charge Data