Anshul Dutta M.D.

Gender: F
Medical School: Other
Graduation Year: 2014
Primary Specialty: Internal Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted13
Total Provider Services271
Total Medicare beneficiaries receiving the provider services122
The total charges that the provider submitted for all services$57,370.00
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.$31,826.60
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$24,712.71
Total Medicare Standardized Payment Amount$25,445.87
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) services13
Total medical (non-ASP) services271
Total Medicare beneficiaries receiving medical (non-ASP) services122
The total charges that the provider submitted for medical services (non-ASP)$57,370.00
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.$31,826.60
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$24,712.71
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$25,445.87
Average age of beneficiaries72
Number of beneficiaries under the age of 6525
Number of beneficiaries between the ages of 65 and 7439
Number of beneficiaries between the ages of 75 and 8438
Number of beneficiaries over the age of 8420
Number of Female beneficiaries72
Number of Male Beneficiaries50
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 year77
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 benefits45
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma16%
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 failure44%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease58%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression43%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia68%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis53%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke18%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.2416

Source: data.cms.gov

Anshul Dutta 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
Hospital observation care discharge 33 33 33 $71.9 $125.0 $55.3 226%
Hospital observation care typically 70 minutes per day 22 22 22 $184.14 $321.0 $138.16 232%
Initial hospital inpatient care, typically 70 minutes per day 11 11 11 $200.98 $352.0 $157.56 223%
Subsequent hospital inpatient care, typically 25 minutes per day 37 27 37 $71.56 $125.0 $56.1 223%
Subsequent hospital inpatient care, typically 35 minutes per day 71 41 71 $103.48 $180.0 $81.12 222%
Hospital discharge day management, more than 30 minutes 49 49 49 $106.1 $185.0 $83.18 222%
Critical care delivery critically ill or injured patient, first 30-74 minutes 23 11 23 $222.59 $470.0 $174.51 269%
Source: 2017 Provider CMS Charge Data