Christina Canfield MD

Gender: F
Medical School: Ohio State University College Of Medicine
Graduation Year: 1990
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted73
Total Provider Services3257
Total Medicare beneficiaries receiving the provider services446
The total charges that the provider submitted for all services$320,147.00
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.$183,184.10
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$146,107.93
Total Medicare Standardized Payment Amount$152,642.36
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File13
Total drug services, as defined from the Medicare Part B Drug ASP File299
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.152
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$22,749.00
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.$13,865.04
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.$13,300.14
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.$13,472.68
Total number of HCPCS codes associated with medical (non-ASP) services60
Total medical (non-ASP) services2958
Total Medicare beneficiaries receiving medical (non-ASP) services446
The total charges that the provider submitted for medical services (non-ASP)$297,398.00
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.$169,319.06
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$132,807.79
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$139,169.68
Average age of beneficiaries72
Number of beneficiaries under the age of 6550
Number of beneficiaries between the ages of 65 and 74228
Number of beneficiaries between the ages of 75 and 84114
Number of beneficiaries over the age of 8454
Number of Female beneficiaries297
Number of Male Beneficiaries149
Number of Non-Hispanic White Beneficiaries424
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 year393
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 benefits53
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma4%
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 failure13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease19%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension69%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis45%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke5%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.0323

Source: data.cms.gov

Christina Canfield 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
Aspiration and/or injection of large joint or joint capsule 18 14 16 $57.69 $125.61 $42.13 298%
Insertion of needle into vein for collection of blood sample 390 210 390 $3.0 $6.0 $2.92 205%
Manual urinalysis test with examination using microscope 32 25 32 $4.35 $9.0 $4.26 211%
Automated urinalysis test 29 28 29 $3.08 $7.0 $3.02 232%
Urine microalbumin (protein) analysis 70 62 70 $6.28 $13.0 $6.15 211%
Blood glucose (sugar) level 20 20 20 $5.39 $11.0 $5.28 208%
Vaccine for influenza for injection into muscle 66 66 66 $49.03 $64.0 $48.05 133%
Pneumococcal vaccine for injection into muscle 43 43 43 $191.29 $308.0 $184.14 167%
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older 19 19 19 $97.91 $156.0 $95.95 163%
Routine EKG using at least 12 leads including interpretation and report 24 24 24 $16.37 $29.0 $11.24 258%
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 40 16 40 $24.25 $44.65 $14.25 313%
Established patient office or other outpatient visit, typically 15 minutes 261 165 261 $70.93 $124.0 $46.69 266%
Established patient office or other outpatient, visit typically 25 minutes 538 288 538 $104.53 $183.0 $66.78 274%
Established patient office or other outpatient, visit typically 40 minutes 12 12 12 $141.06 $245.0 $85.15 288%
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes 27 27 27 $14.27 $24.0 $13.98 172%
Chronic care management services at least 20 minutes per calendar month 74 12 74 $41.12 $72.0 $30.5 236%
Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge 34 32 34 $158.47 $277.0 $120.59 230%
Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge 27 21 27 $224.33 $392.0 $175.87 223%
Advance care planning by the physician or other qualified health care professional 117 117 117 $80.78 $146.0 $72.82 200%
Administration of influenza virus vaccine 157 155 157 $24.25 $42.0 $23.76 177%
Administration of pneumococcal vaccine 60 60 60 $24.25 $42.0 $23.76 177%
Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp 21 11 21 $39.96 $70.0 $30.36 231%
Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem 66 36 66 $52.19 $90.0 $40.29 223%
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment 15 15 15 $162.43 $280.0 $159.18 176%
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 111 111 111 $167.05 $288.0 $163.71 176%
Source: 2017 Provider CMS Charge Data