Timothy Woisnet M.D.

Gender: M
Medical School: University Of Toledo College Of Medicine
Graduation Year: 1984
Primary Specialty: Diagnostic Radiology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted196
Total Provider Services6328
Total Medicare beneficiaries receiving the provider services4064
The total charges that the provider submitted for all services$711,412.00
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.$220,201.50
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$163,415.93
Total Medicare Standardized Payment Amount$170,215.27
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) services196
Total medical (non-ASP) services6328
Total Medicare beneficiaries receiving medical (non-ASP) services4064
The total charges that the provider submitted for medical services (non-ASP)$711,412.00
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.$220,201.50
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$163,415.93
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$170,215.27
Average age of beneficiaries72
Number of beneficiaries under the age of 65617
Number of beneficiaries between the ages of 65 and 741794
Number of beneficiaries between the ages of 75 and 841194
Number of beneficiaries over the age of 84459
Number of Female beneficiaries2587
Number of Male Beneficiaries1477
Number of Non-Hispanic White Beneficiaries3602
Number of Black or African American Beneficiaries208
Number of Asian Pacific Islander Beneficiaries17
Number of Hispanic Beneficiaries162
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified75
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 year3303
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 benefits761
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma9%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia60%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease41%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis55%
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 stroke10%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.5346

Source: data.cms.gov

Timothy Woisnet 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
X-ray of middle spine, 3 views 15 15 15 $11.14 $36.4 $7.56 481%
X-ray of upper spine, 4 or 5 views 27 27 27 $15.66 $53.89 $10.76 501%
CT scan head or brain 232 223 231 $41.8 $164.63 $27.98 588%
CT scan head or brain 11 11 11 $42.84 $156.0 $27.47 568%
CT scan of face 22 22 22 $41.85 $177.64 $26.19 678%
CT scan of neck with contrast 17 17 17 $68.88 $209.24 $46.96 446%
CT scan of neck blood vessels with contrast 15 15 15 $84.62 $265.67 $65.46 406%
MRA scan of head blood vessels 44 43 44 $59.95 $157.59 $41.77 377%
MRI scan brain 82 81 82 $73.05 $238.84 $50.24 475%
MRI scan brain 17 17 17 $73.66 $232.0 $54.33 427%
MRI scan of brain before and after contrast 34 34 34 $113.43 $349.47 $84.87 412%
MRI scan of brain before and after contrast 12 12 12 $114.85 $373.0 $89.55 417%
X-ray of chest, 1 view, front 620 533 616 $9.07 $32.05 $6.31 508%
X-ray of chest, 2 views, front and side 648 606 647 $10.8 $37.94 $7.19 528%
X-ray of chest, 2 views, front and side 21 21 21 $10.89 $36.0 $6.71 537%
X-ray of ribs on one side of body including the chest, minimum of 3 views 15 15 15 $13.61 $56.33 $9.09 619%
CT scan chest 109 105 109 $50.57 $208.55 $36.09 578%
CT scan chest 17 16 17 $50.53 $198.0 $32.39 611%
CT scan chest with contrast 76 71 76 $60.72 $235.26 $41.67 565%
CT scan chest with contrast 22 22 22 $61.37 $229.0 $42.3 541%
CT scan of blood vessels in chest with contrast 56 56 56 $90.48 $219.02 $65.93 332%
X-ray of spine of neck, 2 or 3 views 34 32 34 $11.1 $40.47 $7.28 556%
X-ray of lower and sacral spine, 2 or 3 views 110 106 108 $11.15 $38.4 $7.33 524%
X-ray of lower and sacral spine, 2 or 3 views 12 12 12 $11.22 $36.0 $8.07 446%
X-ray of lower and sacral spine, minimum of 4 views 57 57 57 $15.54 $59.6 $10.04 593%
Source: 2017 Provider CMS Charge Data