Eric Schmidt M.D.

Gender: M
Medical School: Wayne State University School Of Medicine
Graduation Year: 1985
Primary Specialty: General Surgery

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted80
Total Provider Services575
Total Medicare beneficiaries receiving the provider services273
The total charges that the provider submitted for all services$253,253.68
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.$112,239.20
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$94,989.39
Total Medicare Standardized Payment Amount$92,135.23
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) services80
Total medical (non-ASP) services575
Total Medicare beneficiaries receiving medical (non-ASP) services273
The total charges that the provider submitted for medical services (non-ASP)$253,253.68
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.$112,239.20
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$94,989.39
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$92,135.23
Average age of beneficiaries71
Number of beneficiaries under the age of 6540
Number of beneficiaries between the ages of 65 and 74137
Number of beneficiaries between the ages of 75 and 8476
Number of beneficiaries over the age of 8420
Number of Female beneficiaries167
Number of Male Beneficiaries106
Number of Non-Hispanic White Beneficiaries262
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 year228
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 fibrillation11%
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 cancer33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure12%
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 disease15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia54%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension68%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis42%
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 stroke8%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.0993

Source: data.cms.gov

Eric Schmidt M.D.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Biopsy of breast accessed through the skin with stereotactic guidance 14 14 14 $166.7 $681.14 $143.7 474%
Diagnostic examination of large bowel using an endoscope 11 11 11 $184.48 $531.36 $156.84 339%
Removal of gallbladder with X-ray study of bile ducts using endoscope 15 15 15 $700.94 $1443.8 $617.57 234%
New patient office or other outpatient visit, typically 20 minutes 12 12 12 $70.32 $138.67 $49.64 279%
New patient office or other outpatient visit, typically 30 minutes 66 66 66 $101.95 $204.48 $79.18 258%
New patient office or other outpatient visit, typically 45 minutes 51 51 51 $155.52 $307.59 $123.42 249%
Established patient office or other outpatient visit, typically 10 minutes 15 14 15 $40.79 $83.53 $29.86 280%
Established patient office or other outpatient visit, typically 15 minutes 95 72 95 $68.8 $139.25 $53.31 261%
Established patient office or other outpatient, visit typically 25 minutes 52 44 52 $101.39 $204.29 $83.41 245%
Initial hospital inpatient care, typically 50 minutes per day 23 23 23 $131.72 $265.87 $106.07 251%
Colorectal cancer screening; colonoscopy on individual at high risk 11 11 11 $183.79 $439.64 $202.92 217%
Source: 2017 Provider CMS Charge Data