Edward Radatz DO

Gender: M
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 1982
Primary Specialty: Emergency Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted64
Total Provider Services2051
Total Medicare beneficiaries receiving the provider services1062
The total charges that the provider submitted for all services$829,091.00
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.$196,291.08
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$142,084.29
Total Medicare Standardized Payment Amount$158,572.34
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) services64
Total medical (non-ASP) services2051
Total Medicare beneficiaries receiving medical (non-ASP) services1062
The total charges that the provider submitted for medical services (non-ASP)$829,091.00
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.$196,291.08
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$142,084.29
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$158,572.34
Average age of beneficiaries71
Number of beneficiaries under the age of 65272
Number of beneficiaries between the ages of 65 and 74320
Number of beneficiaries between the ages of 75 and 84263
Number of beneficiaries over the age of 84207
Number of Female beneficiaries586
Number of Male Beneficiaries476
Number of Non-Hispanic White Beneficiaries851
Number of Black or African American Beneficiaries157
Number of Hispanic Beneficiaries37
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 year694
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 benefits368
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma13%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes44%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia66%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease47%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis64%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke12%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.0883

Source: data.cms.gov

Edward Radatz DO's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
X-ray of chest, 1 view, front 14 14 14 $8.67 $33.0 $6.53 505%
X-ray of chest, 2 views, front and side 14 14 14 $10.35 $49.0 $6.68 734%
Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report 691 573 642 $8.19 $41.0 $5.85 701%
Emergency department visit, self limited or minor problem 12 12 12 $20.16 $114.0 $15.17 751%
Emergency department visit, low to moderately severe problem 13 13 13 $39.33 $187.0 $25.05 747%
Emergency department visit, moderately severe problem 60 60 60 $58.89 $312.0 $39.9 782%
Emergency department visit, problem of high severity 454 409 454 $111.77 $505.0 $78.29 645%
Emergency department visit, problem with significant threat to life or function 422 390 422 $165.05 $785.0 $119.12 659%
Critical care delivery critically ill or injured patient, first 30-74 minutes 261 246 261 $211.59 $646.0 $158.25 408%
Source: 2017 Provider CMS Charge Data