Gregory Grant D.O.

Gender: M
Medical School: Other
Graduation Year: 2002
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted64
Total Provider Services2645
Total Medicare beneficiaries receiving the provider services468
The total charges that the provider submitted for all services$293,785.00
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.$166,630.70
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$126,890.98
Total Medicare Standardized Payment Amount$133,212.97
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File9
Total drug services, as defined from the Medicare Part B Drug ASP File451
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.138
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$20,649.00
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.$11,076.48
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.$10,735.75
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.$10,744.66
Total number of HCPCS codes associated with medical (non-ASP) services55
Total medical (non-ASP) services2194
Total Medicare beneficiaries receiving medical (non-ASP) services468
The total charges that the provider submitted for medical services (non-ASP)$273,136.00
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.$155,554.22
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$116,155.23
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$122,468.31
Average age of beneficiaries72
Number of beneficiaries under the age of 6568
Number of beneficiaries between the ages of 65 and 74223
Number of beneficiaries between the ages of 75 and 84117
Number of beneficiaries over the age of 8460
Number of Female beneficiaries270
Number of Male Beneficiaries198
Number of Non-Hispanic White Beneficiaries444
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 year379
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 benefits89
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 dementia13%
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 cancer9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia44%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension65%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis50%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders3%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke6%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.2892

Source: data.cms.gov

Gregory Grant 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
Insertion of needle into vein for collection of blood sample 127 113 127 $3.0 $6.0 $2.92 206%
Testing for presence of drug 33 31 33 $8.89 $24.0 $8.45 284%
Urinalysis, manual test 47 36 47 $3.23 $7.0 $3.04 230%
Blood glucose (sugar) level 39 39 39 $5.39 $11.0 $5.28 208%
Pneumococcal vaccine for injection into muscle 48 48 48 $191.68 $308.0 $187.84 164%
Vaccine for influenza for administration into muscle, 0.5 ml dosage 47 47 47 $19.03 $39.0 $18.65 209%
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 98 64 96 $24.25 $42.0 $15.22 276%
Established patient office or other outpatient visit, typically 10 minutes 13 12 13 $42.05 $74.0 $31.15 238%
Established patient office or other outpatient visit, typically 15 minutes 554 251 554 $70.93 $124.0 $43.95 282%
Established patient office or other outpatient, visit typically 25 minutes 358 193 358 $104.53 $183.0 $68.95 265%
Initial nursing facility visit, typically 35 minutes per day 19 18 19 $128.59 $229.0 $100.81 227%
Subsequent nursing facility visit, typically 15 minutes per day 15 13 15 $67.89 $119.0 $45.62 261%
Subsequent nursing facility visit, typically 25 minutes per day 16 16 16 $89.85 $156.0 $70.44 221%
Subsequent nursing facility visit, typically 25 minutes per day 61 34 61 $89.85 $156.0 $63.91 244%
Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes 15 15 15 $14.27 $24.0 $13.98 172%
Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge 80 63 80 $224.33 $392.0 $172.37 227%
Advance care planning by the physician or other qualified health care professional 35 35 35 $80.78 $146.0 $72.38 202%
Administration of influenza virus vaccine 60 60 60 $24.25 $42.0 $23.76 177%
Administration of pneumococcal vaccine 52 52 52 $24.25 $42.0 $23.76 177%
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 19 16 19 $52.19 $90.0 $40.91 220%
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 116 116 116 $166.15 $288.0 $162.83 177%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 51 51 51 $112.77 $193.88 $110.51 175%
Annual alcohol misuse screening, 15 minutes 170 170 170 $17.36 $30.0 $17.01 176%
Annual depression screening, 15 minutes 41 41 41 $17.36 $30.0 $17.01 176%
Injection, dexamethasone sodium phosphate, 1 mg 126 11 11 $0.12 $8.0 $0.08 9805%
Source: 2017 Provider CMS Charge Data