Mourhaf Traboulssi M.D.

Gender: M
Medical School: Other
Graduation Year: 1983
Primary Specialty: Cardiovascular Disease (cardiology)

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted49
Total Provider Services6256
Total Medicare beneficiaries receiving the provider services2660
The total charges that the provider submitted for all services$895,981.50
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.$399,411.69
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$292,956.38
Total Medicare Standardized Payment Amount$303,691.19
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File2
Total drug services, as defined from the Medicare Part B Drug ASP File85
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.80
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$18,290.00
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.$13,833.46
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.$13,368.17
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.$13,560.81
Total number of HCPCS codes associated with medical (non-ASP) services47
Total medical (non-ASP) services6171
Total Medicare beneficiaries receiving medical (non-ASP) services2660
The total charges that the provider submitted for medical services (non-ASP)$877,691.50
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.$385,578.23
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$279,588.21
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$290,130.38
Average age of beneficiaries74
Number of beneficiaries under the age of 65320
Number of beneficiaries between the ages of 65 and 74984
Number of beneficiaries between the ages of 75 and 84908
Number of beneficiaries over the age of 84448
Number of Female beneficiaries1295
Number of Male Beneficiaries1365
Number of Non-Hispanic White Beneficiaries2393
Number of Black or African American Beneficiaries163
Number of Hispanic Beneficiaries41
Number of Beneficiaries With Race Not Elsewhere Classified50
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 year2164
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 benefits496
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma10%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease46%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes42%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease60%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis57%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders5%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke11%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.8001

Source: data.cms.gov

Mourhaf Traboulssi 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
New patient office or other outpatient visit, typically 60 minutes 15 15 15 $202.25 $290.0 $149.0 195%
Nuclear medicine study of vessels of heart using drugs or exercise multiple studies 115 115 115 $78.74 $380.0 $59.67 637%
Nuclear medicine study of vessels of heart using drugs or exercise multiple studies 257 257 257 $78.74 $380.0 $58.31 652%
Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study 13 13 13 $48.17 $160.0 $37.77 424%
Vaccine for influenza for injection into muscle 16 16 16 $49.03 $65.0 $48.05 135%
Pneumococcal vaccine for injection into muscle 69 69 69 $189.12 $250.0 $182.6 137%
External shock to heart to regulate heart beat 46 42 46 $105.9 $500.0 $81.68 612%
Routine EKG using at least 12 leads including interpretation and report 556 335 556 $16.37 $60.0 $11.84 507%
Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report 991 743 928 $8.44 $33.42 $6.35 526%
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision 60 59 60 $22.14 $90.0 $16.83 535%
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision 102 101 102 $21.95 $90.0 $16.15 557%
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report 119 117 119 $14.75 $60.0 $11.19 536%
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report 264 264 264 $14.75 $60.0 $10.99 546%
Heart rhythm tracing, analysis, and interpretation of 48-hour EKG 29 29 29 $80.12 $550.0 $62.67 878%
Heart rhythm tracing, analysis, and interpretation of 48-hour EKG 25 25 25 $26.29 $175.0 $20.61 849%
Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function 468 460 468 $63.6 $199.49 $49.28 405%
Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function 85 84 85 $63.6 $200.0 $44.23 452%
Follow-up or limited ultrasound examination of heart 16 16 16 $25.67 $175.0 $20.13 869%
Insertion of probe in esophagus for heart ultrasound examination including interpretation and report 13 13 13 $109.49 $650.0 $85.71 758%
Doppler ultrasound study of heart blood flow, valves, and chambers 13 13 13 $18.28 $150.0 $14.33 1047%
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function 13 13 13 $3.17 $25.0 $2.49 1004%
Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart 34 33 34 $298.56 $1100.0 $224.3 490%
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes 37 36 37 $12.09 $95.0 $9.3 1021%
New patient office or other outpatient visit, typically 45 minutes 51 51 51 $160.33 $250.0 $109.12 229%
Established patient office or other outpatient visit, typically 5 minutes 129 122 129 $19.34 $35.0 $13.18 266%
Source: 2017 Provider CMS Charge Data