Jessica Yonley MD

Gender: F
Medical School: Ohio State University College Of Homeopathic Medicine
Graduation Year: 2012
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted68
Total Provider Services1642
Total Medicare beneficiaries receiving the provider services317
The total charges that the provider submitted for all services$177,386.00
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.$107,839.31
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$74,020.77
Total Medicare Standardized Payment Amount$81,038.79
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File10
Total drug services, as defined from the Medicare Part B Drug ASP File295
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.114
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$21,940.00
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.$10,327.16
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.$9,841.43
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.$10,034.07
Total number of HCPCS codes associated with medical (non-ASP) services58
Total medical (non-ASP) services1347
Total Medicare beneficiaries receiving medical (non-ASP) services317
The total charges that the provider submitted for medical services (non-ASP)$155,446.00
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.$97,512.15
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$64,179.34
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$71,004.72
Average age of beneficiaries73
Number of beneficiaries under the age of 6532
Number of beneficiaries between the ages of 65 and 74149
Number of beneficiaries between the ages of 75 and 84100
Number of beneficiaries over the age of 8436
Number of Female beneficiaries199
Number of Male Beneficiaries118
Number of Non-Hispanic White Beneficiaries304
Number of Asian Pacific Islander Beneficiaries0
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 year272
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 benefits45
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia8%
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 failure12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression19%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension63%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis5%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis41%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke4%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.1997

Source: data.cms.gov

Jessica Yonley 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 21 14 16 $50.86 $136.0 $38.31 355%
Removal of impact ear wax, one ear 12 12 12 $47.79 $86.0 $28.1 306%
Urinalysis, manual test 48 41 48 $3.23 $7.0 $3.17 221%
Urine microalbumin (protein) analysis 20 20 20 $6.28 $14.0 $5.91 237%
Stool analysis for blood 36 33 36 $21.82 $45.0 $21.38 210%
Hemoglobin A1C level 77 53 77 $13.32 $32.0 $12.75 251%
Pneumococcal vaccine for injection into muscle 34 34 34 $188.89 $363.0 $179.57 202%
Vaccine for influenza for administration into muscle, 0.5 ml dosage 49 49 49 $19.03 $40.0 $18.65 214%
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older 27 27 27 $95.55 $180.0 $93.64 192%
Established patient office or other outpatient visit, typically 15 minutes 238 165 238 $70.93 $109.0 $42.41 257%
Established patient office or other outpatient, visit typically 25 minutes 541 228 541 $104.53 $159.0 $66.13 240%
Established patient office or other outpatient, visit typically 40 minutes 14 14 14 $141.06 $213.0 $82.94 257%
Administration of influenza virus vaccine 49 49 49 $24.25 $47.0 $23.76 198%
Administration of pneumococcal vaccine 60 60 60 $24.25 $47.0 $23.76 198%
Injection, triamcinolone acetonide, not otherwise specified, 10 mg 112 21 23 $1.8 $12.0 $1.36 881%
Source: 2017 Provider CMS Charge Data