Jason Brown MD

Gender: M
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 2008
Primary Specialty: Orthopedic Surgery

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted105
Total Provider Services4945
Total Medicare beneficiaries receiving the provider services280
The total charges that the provider submitted for all services$688,992.00
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.$244,260.26
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$184,713.35
Total Medicare Standardized Payment Amount$189,859.27
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File5
Total drug services, as defined from the Medicare Part B Drug ASP File3198
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.117
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$115,669.00
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.$50,140.05
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.$39,284.37
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.$39,308.81
Total number of HCPCS codes associated with medical (non-ASP) services100
Total medical (non-ASP) services1747
Total Medicare beneficiaries receiving medical (non-ASP) services280
The total charges that the provider submitted for medical services (non-ASP)$573,323.00
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.$194,120.21
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$145,428.98
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$150,550.46
Average age of beneficiaries71
Number of beneficiaries under the age of 6541
Number of beneficiaries between the ages of 65 and 74141
Number of beneficiaries between the ages of 75 and 8474
Number of beneficiaries over the age of 8424
Number of Female beneficiaries166
Number of Male Beneficiaries114
Number of Non-Hispanic White Beneficiaries258
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 year227
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 benefits53
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma6%
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 failure16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease19%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension71%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.1673

Source: data.cms.gov

Jason Brown MD's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Aspiration and/or injection of large joint or joint capsule 262 66 189 $50.85 $211.0 $39.04 540%
Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance 49 32 43 $83.58 $224.0 $61.69 363%
Anchoring of biceps tendon 19 19 19 $390.0 $1768.0 $284.06 622%
Prosthetic repair of shoulder joint 13 13 13 $1460.52 $2926.0 $1145.05 256%
Repair of knee joint 14 14 14 $1115.62 $4000.0 $874.64 457%
X-ray of shoulder, minimum of 2 views 153 91 138 $27.36 $99.18 $20.06 494%
X-ray of wrist, minimum of 3 views 36 21 31 $33.5 $113.33 $26.26 432%
X-ray of hand, minimum of 3 views 22 17 21 $29.22 $96.36 $21.87 441%
X-ray of fingers, minimum of 2 views 16 12 14 $29.76 $82.75 $21.87 378%
X-ray of hip with pelvis, 2-3 views 23 16 23 $33.16 $133.13 $25.61 520%
X-ray of knee, 1 or 2 views 145 80 121 $28.9 $99.9 $22.34 447%
X-ray of both knees, standing, front to back view 115 76 115 $33.36 $112.83 $25.3 446%
X-ray of foot, minimum of 3 views 15 12 15 $27.57 $99.0 $20.43 484%
Imaging guidance for procedure, up to 1 hour 19 18 19 $8.79 $223.0 $6.89 3237%
Ultrasound of arm or leg 46 31 40 $35.16 $123.04 $26.83 459%
New patient office or other outpatient visit, typically 45 minutes 122 122 122 $160.33 $295.0 $108.87 271%
Established patient office or other outpatient visit, typically 15 minutes 39 32 39 $70.93 $130.0 $54.5 239%
Established patient office or other outpatient, visit typically 25 minutes 360 193 360 $104.53 $195.0 $74.81 261%
Initial hospital inpatient care, typically 50 minutes per day 19 18 19 $135.79 $250.0 $106.46 235%
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 305 101 139 $6.93 $30.0 $5.37 558%
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 2512 38 112 $12.52 $32.0 $9.81 326%
Source: 2017 Provider CMS Charge Data