Allison Petznick DO

Gender: F
Medical School: Ohio University, College Of Osteopathic Medicine
Graduation Year: 2006
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted30
Total Provider Services2034
Total Medicare beneficiaries receiving the provider services365
The total charges that the provider submitted for all services$244,695.00
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.$131,530.52
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$92,783.07
Total Medicare Standardized Payment Amount$100,722.28
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 File57
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.51
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$6,120.00
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.$3,872.24
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.$3,791.98
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.$3,791.98
Total number of HCPCS codes associated with medical (non-ASP) services25
Total medical (non-ASP) services1977
Total Medicare beneficiaries receiving medical (non-ASP) services365
The total charges that the provider submitted for medical services (non-ASP)$238,575.00
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.$127,658.28
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$88,991.09
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$96,930.30
Average age of beneficiaries68
Number of beneficiaries between the ages of 65 and 74209
Number of beneficiaries between the ages of 75 and 8478
Number of Female beneficiaries228
Number of Male Beneficiaries137
Number of Non-Hispanic White Beneficiaries305
Number of Black or African American Beneficiaries26
Number of Hispanic Beneficiaries16
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 year284
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 benefits81
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 dementia9%
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 cancer8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease45%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis52%
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 stroke6%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.6337

Source: data.cms.gov

Allison Petznick DO's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Urinalysis, manual test 17 15 17 $3.23 $8.0 $3.17 252%
Hemoglobin A1C level 687 289 687 $13.32 $26.69 $12.93 206%
Pneumococcal vaccine for injection into muscle 14 14 14 $190.16 $310.0 $186.36 166%
Vaccine for influenza for administration into muscle, 0.5 ml dosage 37 37 37 $24.05 $32.97 $23.57 140%
Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours 16 15 16 $146.73 $226.63 $115.03 197%
Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours 14 12 14 $43.5 $67.0 $34.1 196%
New patient office or other outpatient visit, typically 45 minutes 31 31 31 $160.33 $295.0 $109.58 269%
Established patient office or other outpatient visit, typically 15 minutes 190 137 190 $70.93 $130.0 $40.07 324%
Established patient office or other outpatient, visit typically 25 minutes 769 301 769 $104.53 $195.0 $67.04 291%
Administration of influenza virus vaccine 37 37 37 $24.25 $44.95 $23.76 189%
Administration of pneumococcal vaccine 16 15 16 $24.25 $44.13 $23.76 186%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 88 88 88 $112.77 $190.0 $110.51 172%
Source: 2017 Provider CMS Charge Data