Rolland Rogers D.O.

Gender: M
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 2000
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted41
Total Provider Services965
Total Medicare beneficiaries receiving the provider services252
The total charges that the provider submitted for all services$98,847.00
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.$68,562.52
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$46,618.97
Total Medicare Standardized Payment Amount$49,731.46
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File5
Total drug services, as defined from the Medicare Part B Drug ASP File70
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.59
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$6,322.00
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.$5,590.88
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.$5,235.84
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.$5,482.57
Total number of HCPCS codes associated with medical (non-ASP) services36
Total medical (non-ASP) services895
Total Medicare beneficiaries receiving medical (non-ASP) services252
The total charges that the provider submitted for medical services (non-ASP)$92,525.00
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.$62,971.64
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$41,383.13
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$44,248.89
Average age of beneficiaries69
Number of beneficiaries under the age of 6563
Number of beneficiaries between the ages of 65 and 74111
Number of beneficiaries between the ages of 75 and 8456
Number of beneficiaries over the age of 8422
Number of Female beneficiaries108
Number of Male Beneficiaries144
Number of Non-Hispanic White Beneficiaries234
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 year197
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 benefits55
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 dementia7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma6%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia56%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension62%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke5%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.0996

Source: data.cms.gov

Rolland Rogers D.O.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Automated urinalysis test 15 13 15 $3.08 $15.0 $3.02 497%
Urine microalbumin (protein) analysis 30 30 30 $6.28 $28.0 $5.95 471%
Hemoglobin A1C level 88 49 88 $13.32 $55.0 $12.61 436%
Vaccine for influenza for injection into muscle 38 38 38 $49.03 $55.0 $46.79 118%
Pneumococcal vaccine for injection into muscle 14 14 14 $190.16 $215.0 $186.36 115%
New patient office or other outpatient visit, typically 30 minutes 11 11 11 $105.1 $149.0 $48.33 308%
Established patient office or other outpatient visit, typically 15 minutes 226 146 226 $70.93 $100.0 $43.64 229%
Established patient office or other outpatient, visit typically 25 minutes 324 165 324 $104.53 $149.0 $66.07 226%
Administration of influenza virus vaccine 41 41 41 $24.25 $35.0 $23.18 151%
Administration of pneumococcal vaccine 21 21 21 $24.25 $30.0 $21.5 140%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 14 14 $106.0 $106.0 $103.88 102%
Source: 2017 Provider CMS Charge Data