Gregory Cook MD

Gender: M
Medical School: Medical College Of Ohio
Graduation Year: 1990
Primary Specialty: Urology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted65
Total Provider Services4538
Total Medicare beneficiaries receiving the provider services1054
The total charges that the provider submitted for all services$1,557,400.00
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.$396,984.50
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$288,881.08
Total Medicare Standardized Payment Amount$301,074.75
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File2
Total drug services, as defined from the Medicare Part B Drug ASP File284
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.31
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$160,800.00
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.$57,515.03
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.$44,261.26
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.$44,261.26
Total number of HCPCS codes associated with medical (non-ASP) services63
Total medical (non-ASP) services4254
Total Medicare beneficiaries receiving medical (non-ASP) services1054
The total charges that the provider submitted for medical services (non-ASP)$1,396,600.00
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.$339,469.47
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$244,619.82
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$256,813.49
Average age of beneficiaries74
Number of beneficiaries under the age of 65100
Number of beneficiaries between the ages of 65 and 74475
Number of beneficiaries between the ages of 75 and 84339
Number of beneficiaries over the age of 84140
Number of Female beneficiaries291
Number of Male Beneficiaries763
Number of Non-Hispanic White Beneficiaries982
Number of Black or African American Beneficiaries38
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified23
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 year908
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 benefits146
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma7%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension69%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis53%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders4%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.3425

Source: data.cms.gov

Gregory Cook 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
Dilation of bladder canal (urethra) using an endoscope 30 30 30 $259.04 $1041.0 $194.56 535%
Examination with injections of chemical for destruction of bladder using an endoscope 12 12 12 $171.9 $1500.0 $134.77 1113%
Insertion of indwelling bladder catheter 172 32 172 $60.62 $255.0 $41.11 620%
Removal of skin suture with change of bladder tube 84 11 84 $88.27 $498.0 $64.06 777%
Insertion of electronic device into bladder with voiding pressure studies 40 40 40 $98.24 $915.0 $75.26 1216%
Electronic assessment of bladder emptying 32 32 32 $4.22 $210.0 $3.24 6486%
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 40 40 40 $18.98 $596.0 $14.63 4074%
Insertion of device into the abdomen with measurement of pressure and urine flow rate 40 40 40 $40.77 $572.0 $31.3 1828%
Ultrasound measurement of bladder capacity after voiding 114 88 114 $18.18 $200.0 $13.12 1524%
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 88 84 88 $100.12 $900.0 $72.12 1248%
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 137 126 137 $158.18 $900.0 $113.08 796%
Dilation of bladder canal (urethra) using an endoscope 22 22 22 $154.29 $1041.0 $109.96 947%
Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope 13 13 13 $238.17 $2327.0 $186.73 1246%
Insertion of stent in urinary duct (ureter) using an endoscope 27 22 27 $133.58 $3071.0 $104.73 2932%
Crushing of stone in urinary duct (ureter) with stent using an endoscope 11 11 11 $422.77 $2410.0 $331.46 727%
Insertion of implant material in bladder using an endoscope 17 17 17 $230.82 $700.0 $180.97 387%
Insertion of implant material in bladder using an endoscope 65 16 16 $61.56 $200.0 $48.26 414%
Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope 15 15 15 $854.69 $4000.0 $670.07 597%
Destruction of prostate tissue through bladder canal (urethra) 15 15 15 $627.4 $2000.0 $462.66 432%
Biopsy of prostate gland 12 12 12 $133.04 $795.0 $104.3 762%
Ultrasound of rectum 13 13 13 $82.2 $259.0 $64.37 402%
Automated urinalysis test 1258 811 1255 $3.08 $15.0 $2.99 502%
Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle 42 25 42 $30.93 $90.0 $18.63 483%
New patient office or other outpatient visit, typically 30 minutes 41 41 41 $105.1 $200.0 $69.9 286%
New patient office or other outpatient visit, typically 45 minutes 149 149 149 $160.33 $250.0 $113.7 220%
Source: 2017 Provider CMS Charge Data