Donna Boyd-smith NP-C

Gender: F
Medical School: Other
Graduation Year: 2008
Primary Specialty: Nurse Practitioner

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted16
Total Provider Services685
Total Medicare beneficiaries receiving the provider services461
The total charges that the provider submitted for all services$94,840.00
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.$54,408.97
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$40,704.80
Total Medicare Standardized Payment Amount$42,458.43
Drug Suppress Indicator - Identifies whether the utilization, cost and payment information associated with HCPCS codes for drug services as listed on the Medicare Part B Drug Average Sales Price (ASP) list have been suppressed.*
Identifies whether the utilization, cost and payment information associated with HCPCS codes for Medical (non-ASP) services have been suppressed. An '*' identifies that the suppressed information is based on fewer than 11 beneficiaries and a '#' identifies that the information has been counter suppressed to prevent the re-calculation of information suppressed due to fewer than 11 beneficiaries. #
Average age of beneficiaries76
Number of beneficiaries under the age of 6550
Number of beneficiaries between the ages of 65 and 74154
Number of beneficiaries between the ages of 75 and 84146
Number of beneficiaries over the age of 84111
Number of Female beneficiaries221
Number of Male Beneficiaries240
Number of Non-Hispanic White Beneficiaries405
Number of Black or African American Beneficiaries38
Number of Asian Pacific Islander Beneficiaries0
Number of American Indian/Alaska Native Beneficiaries0
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 year355
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 benefits106
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma11%
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 failure55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease56%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia75%
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 osteoporosis9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis65%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders3%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke13%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.2525

Source: data.cms.gov

Donna Boyd-smith NP-C's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision 17 17 17 $18.82 $90.0 $13.89 648%
Established patient office or other outpatient visit, typically 15 minutes 57 53 57 $60.29 $100.0 $44.78 223%
Established patient office or other outpatient, visit typically 25 minutes 420 323 420 $88.85 $150.0 $66.47 226%
Subsequent nursing facility visit, typically 15 minutes per day 55 27 55 $57.71 $95.0 $39.54 240%
Subsequent nursing facility visit, typically 25 minutes per day 76 53 76 $76.37 $150.0 $58.19 258%
Subsequent nursing facility visit, typically 25 minutes per day 21 19 21 $76.37 $150.0 $59.88 251%
Source: 2017 Provider CMS Charge Data