Patrick Breslin D.O.

Gender: M
Medical School: University Of New England, College Of Osteo Medicine
Graduation Year: 1992
Primary Specialty: Internal Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted12
Total Provider Services388
Total Medicare beneficiaries receiving the provider services337
The total charges that the provider submitted for all services$127,241.00
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.$72,711.25
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$55,083.96
Total Medicare Standardized Payment Amount$56,747.85
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) services12
Total medical (non-ASP) services388
Total Medicare beneficiaries receiving medical (non-ASP) services337
The total charges that the provider submitted for medical services (non-ASP)$127,241.00
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.$72,711.25
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$55,083.96
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$56,747.85
Average age of beneficiaries72
Number of beneficiaries under the age of 6578
Number of beneficiaries between the ages of 65 and 7499
Number of beneficiaries between the ages of 75 and 84104
Number of beneficiaries over the age of 8456
Number of Female beneficiaries181
Number of Male Beneficiaries156
Number of Non-Hispanic White Beneficiaries319
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 year212
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 benefits125
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma14%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression43%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes47%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia71%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease54%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis56%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke14%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.5322

Source: data.cms.gov

Patrick Breslin D.O.'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 typically 70 minutes per day 177 168 177 $184.14 $321.0 $138.01 233%
Initial hospital inpatient care, typically 70 minutes per day 170 161 170 $200.98 $352.0 $152.88 230%
Source: 2017 Provider CMS Charge Data