Brian Lynch PA-C

Gender: F
Medical School: Other
Graduation Year: 2013
Primary Specialty: Physician Assistant

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted36
Total Provider Services942
Total Medicare beneficiaries receiving the provider services215
The total charges that the provider submitted for all services$89,943.00
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.$45,178.76
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$30,743.23
Total Medicare Standardized Payment Amount$32,155.95
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File7
Total drug services, as defined from the Medicare Part B Drug ASP File114
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.45
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$11,824.00
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.$7,054.46
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.$6,713.61
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.$6,906.27
Total number of HCPCS codes associated with medical (non-ASP) services29
Total medical (non-ASP) services828
Total Medicare beneficiaries receiving medical (non-ASP) services215
The total charges that the provider submitted for medical services (non-ASP)$78,119.00
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.$38,124.30
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$24,029.62
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$25,249.68
Average age of beneficiaries70
Number of beneficiaries under the age of 6547
Number of beneficiaries between the ages of 65 and 7492
Number of beneficiaries between the ages of 75 and 8458
Number of beneficiaries over the age of 8418
Number of Female beneficiaries123
Number of Male Beneficiaries92
Number of Non-Hispanic White Beneficiaries203
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 year163
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 benefits52
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 dementia8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma8%
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 disease21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension71%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis41%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.2234

Source: data.cms.gov

Brian Lynch PA-C'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 176 102 176 $3.0 $6.0 $2.93 205%
Urine microalbumin (protein) analysis 29 27 29 $6.28 $13.0 $6.15 211%
Vaccine for influenza for injection into muscle 16 16 16 $49.03 $64.0 $48.05 133%
Pneumococcal vaccine for injection into muscle 32 31 32 $190.83 $308.0 $181.12 170%
Established patient office or other outpatient visit, typically 15 minutes 394 188 394 $60.29 $124.0 $35.76 347%
Established patient office or other outpatient, visit typically 25 minutes 79 60 79 $88.85 $183.0 $50.26 364%
Administration of influenza virus vaccine 33 33 33 $24.25 $42.0 $23.76 177%
Administration of pneumococcal vaccine 30 29 30 $24.25 $42.0 $23.76 177%
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 11 11 11 $12.04 $25.0 $11.8 212%
Source: 2017 Provider CMS Charge Data