Jeffrey Harwood M.D.

Gender: M
Medical School: University Of Toledo College Of Medicine
Graduation Year: 1986
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted67
Total Provider Services1661
Total Medicare beneficiaries receiving the provider services339
The total charges that the provider submitted for all services$190,588.00
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.$109,101.50
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$78,143.73
Total Medicare Standardized Payment Amount$82,195.81
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File11
Total drug services, as defined from the Medicare Part B Drug ASP File167
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.96
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$12,731.00
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.$8,182.43
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.$7,921.53
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.$7,995.45
Total number of HCPCS codes associated with medical (non-ASP) services56
Total medical (non-ASP) services1494
Total Medicare beneficiaries receiving medical (non-ASP) services339
The total charges that the provider submitted for medical services (non-ASP)$177,857.00
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.$100,919.07
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$70,222.20
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$74,200.36
Average age of beneficiaries72
Number of beneficiaries under the age of 6561
Number of beneficiaries between the ages of 65 and 74137
Number of beneficiaries between the ages of 75 and 8485
Number of beneficiaries over the age of 8456
Number of Female beneficiaries165
Number of Male Beneficiaries174
Number of Non-Hispanic White Beneficiaries324
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 year256
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 benefits83
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation14%
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 Asthma6%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension64%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis35%
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 stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.3155

Source: data.cms.gov

Jeffrey Harwood 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
Insertion of needle into vein for collection of blood sample 86 63 86 $3.0 $6.0 $2.91 206%
Urinalysis, manual test 14 13 14 $3.23 $7.0 $3.17 221%
Blood glucose (sugar) level 12 12 12 $5.39 $11.0 $5.28 208%
Vaccine for influenza for injection into muscle 65 65 65 $49.03 $64.0 $47.49 135%
Pneumococcal vaccine for injection into muscle 18 18 18 $190.71 $308.0 $186.9 165%
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older 12 12 12 $98.11 $156.0 $94.71 165%
New patient office or other outpatient visit, typically 20 minutes 12 12 12 $72.49 $126.0 $33.15 380%
New patient office or other outpatient visit, typically 30 minutes 12 12 12 $105.1 $184.0 $61.8 298%
Established patient office or other outpatient visit, typically 15 minutes 449 203 449 $70.93 $124.0 $38.35 323%
Established patient office or other outpatient, visit typically 25 minutes 126 79 126 $104.53 $183.0 $65.44 280%
Initial nursing facility visit, typically 35 minutes per day 60 53 60 $127.39 $229.0 $98.98 231%
Initial nursing facility visit, typically 45 minutes per day 14 14 14 $164.73 $290.0 $129.14 225%
Subsequent nursing facility visit, typically 10 minutes per day 82 18 82 $43.89 $77.0 $33.15 232%
Subsequent nursing facility visit, typically 15 minutes per day 52 28 52 $67.89 $119.0 $52.2 228%
Subsequent nursing facility visit, typically 15 minutes per day 73 18 73 $67.89 $119.0 $49.46 241%
Nursing facility discharge day management, 30 minutes or less 34 33 34 $72.2 $126.0 $54.94 229%
Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge 21 20 21 $158.47 $277.0 $124.24 223%
Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge 12 12 12 $224.33 $392.0 $175.87 223%
Advance care planning by the physician or other qualified health care professional 15 15 15 $80.78 $146.0 $74.94 195%
Administration of influenza virus vaccine 102 99 102 $24.25 $42.0 $23.76 177%
Administration of pneumococcal vaccine 30 30 30 $24.25 $42.0 $23.1 182%
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 35 35 35 $167.05 $288.0 $159.59 180%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 20 20 20 $112.77 $192.0 $105.96 181%
Annual alcohol misuse screening, 15 minutes 55 55 55 $17.36 $30.0 $16.76 179%
Annual depression screening, 15 minutes 17 17 17 $17.36 $30.0 $17.01 176%
Source: 2017 Provider CMS Charge Data