David Pocos D.O.

Gender: M
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 1997
Primary Specialty: Orthopedic Surgery

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted129
Total Provider Services3834
Total Medicare beneficiaries receiving the provider services521
The total charges that the provider submitted for all services$1,038,139.00
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.$285,431.99
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$209,841.18
Total Medicare Standardized Payment Amount$222,023.35
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File4
Total drug services, as defined from the Medicare Part B Drug ASP File1530
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.132
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$51,139.00
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.$17,962.37
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.$13,950.75
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.$14,015.23
Total number of HCPCS codes associated with medical (non-ASP) services125
Total medical (non-ASP) services2304
Total Medicare beneficiaries receiving medical (non-ASP) services521
The total charges that the provider submitted for medical services (non-ASP)$987,000.00
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.$267,469.62
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$195,890.43
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$208,008.12
Average age of beneficiaries74
Number of beneficiaries under the age of 6550
Number of beneficiaries between the ages of 65 and 74236
Number of beneficiaries between the ages of 75 and 84163
Number of beneficiaries over the age of 8472
Number of Female beneficiaries322
Number of Male Beneficiaries199
Number of Non-Hispanic White Beneficiaries488
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified16
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 year461
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 benefits60
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia9%
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 failure13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia50%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension72%
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 schizophrenia and other psychotic disorders2%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke5%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.1352

Source: data.cms.gov

David Pocos 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
Injections of tendon sheath, ligament, or muscle membrane 13 11 12 $47.9 $238.92 $36.25 659%
Aspiration and/or injection of large joint or joint capsule 142 67 122 $55.16 $211.0 $41.44 509%
Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance 85 57 77 $84.84 $224.0 $62.06 361%
Repair of torn tendons of shoulder, open procedure 11 11 11 $630.76 $2162.0 $485.19 446%
Injection of dye for X-ray imaging of hip joint 17 13 17 $70.78 $837.0 $52.23 1603%
Replacement of thigh bone and hip joint prosthesis 22 21 22 $1049.36 $3434.0 $796.77 431%
Repair of knee joint 66 63 66 $653.66 $4090.91 $490.36 834%
Extensive removal of shoulder joint tissue using an endoscope 15 15 15 $113.03 $1567.0 $88.12 1778%
Partial removal of collar bone at shoulder using an endoscope 14 14 14 $182.46 $1673.0 $140.13 1194%
Shaving of shoulder bone using an endoscope 17 17 17 $99.16 $1696.0 $76.66 2212%
X-ray of lower and sacral spine, 2 or 3 views 59 57 59 $33.32 $117.8 $24.09 489%
X-ray of pelvis, 1 or 2 views 26 24 26 $30.21 $101.15 $22.78 444%
X-ray of shoulder, minimum of 2 views 66 47 62 $27.6 $100.38 $20.18 497%
X-ray of wrist, minimum of 3 views 42 22 38 $33.5 $109.52 $22.51 487%
X-ray of hand, minimum of 3 views 20 16 18 $27.18 $102.25 $19.76 517%
X-ray of fingers, minimum of 2 views 18 15 17 $29.76 $91.5 $21.33 429%
X-ray of hip with pelvis, 2-3 views 98 62 98 $38.11 $140.8 $26.35 534%
X-ray of both hips with pelvis, 2 views 14 13 14 $37.6 $133.14 $27.37 486%
X-ray of knee, 1 or 2 views 215 121 183 $28.93 $96.35 $20.92 461%
X-ray of both knees, standing, front to back view 177 119 177 $33.66 $109.97 $23.8 462%
Ultrasound of arm or leg 22 21 22 $35.16 $130.0 $25.75 505%
New patient office or other outpatient visit, typically 30 minutes 28 28 28 $105.1 $195.0 $74.81 261%
New patient office or other outpatient visit, typically 45 minutes 119 119 119 $160.33 $295.0 $112.46 262%
Established patient office or other outpatient visit, typically 15 minutes 273 192 273 $70.93 $130.0 $47.37 274%
Established patient office or other outpatient, visit typically 25 minutes 393 246 393 $104.53 $195.0 $71.33 273%
Source: 2017 Provider CMS Charge Data