Edward Hemeyer M.D.

Gender: M
Medical School: Wright State University Boonshoft School Of Medicine
Graduation Year: 1987
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted58
Total Provider Services1312
Total Medicare beneficiaries receiving the provider services334
The total charges that the provider submitted for all services$161,919.00
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.$86,764.67
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$59,577.43
Total Medicare Standardized Payment Amount$63,963.07
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File6
Total drug services, as defined from the Medicare Part B Drug ASP File161
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.13
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$6,203.00
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.$1,998.56
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.$1,531.57
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.$1,531.57
Total number of HCPCS codes associated with medical (non-ASP) services52
Total medical (non-ASP) services1151
Total Medicare beneficiaries receiving medical (non-ASP) services334
The total charges that the provider submitted for medical services (non-ASP)$155,716.00
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.$84,766.11
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$58,045.86
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$62,431.50
Average age of beneficiaries69
Number of beneficiaries under the age of 6582
Number of beneficiaries between the ages of 65 and 74137
Number of beneficiaries between the ages of 75 and 8481
Number of beneficiaries over the age of 8434
Number of Female beneficiaries168
Number of Male Beneficiaries166
Number of Non-Hispanic White Beneficiaries311
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 year245
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 benefits89
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 dementia14%
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 cancer12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia45%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke8%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.4611

Source: data.cms.gov

Edward Hemeyer 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
Urine microalbumin (protein) level 25 24 25 $7.93 $14.0 $7.77 180%
Routine EKG using at least 12 leads including interpretation and report 17 17 17 $16.37 $70.0 $11.33 618%
Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report 136 113 125 $8.44 $24.44 $6.32 386%
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision 26 26 26 $22.14 $60.0 $17.36 346%
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report 26 26 26 $14.75 $41.0 $11.56 355%
Established patient office or other outpatient visit, typically 15 minutes 114 69 114 $70.93 $130.0 $39.27 331%
Established patient office or other outpatient, visit typically 25 minutes 202 101 202 $104.53 $195.0 $60.54 322%
Hospital observation care discharge 30 30 30 $71.9 $135.0 $56.37 239%
Hospital observation care typically 50 minutes 25 25 25 $134.69 $250.0 $105.59 237%
Initial hospital inpatient care, typically 50 minutes per day 40 38 40 $134.02 $250.0 $102.41 244%
Initial hospital inpatient care, typically 70 minutes per day 11 11 11 $200.98 $370.0 $157.56 235%
Subsequent hospital inpatient care, typically 15 minutes per day 34 21 34 $38.98 $63.0 $29.66 212%
Subsequent hospital inpatient care, typically 25 minutes per day 76 48 76 $71.56 $116.16 $56.1 207%
Hospital observation or inpatient care moderate severity, 50 minutes per day' 11 11 11 $167.68 $282.0 $131.46 215%
Hospital discharge day management, 30 minutes or less 48 42 48 $71.54 $115.0 $54.92 209%
Established patient assisted living visit, typically 15 minutes 40 18 40 $59.36 $94.0 $29.09 323%
Established patient assisted living visit, typically 25 minutes 110 29 110 $93.68 $145.0 $58.78 247%
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 16 16 16 $167.05 $270.0 $163.71 165%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 17 17 17 $112.77 $190.0 $110.51 172%
Source: 2017 Provider CMS Charge Data