Shura Hegde MD

Gender: M
Medical School: Other
Graduation Year: 1983
Primary Specialty: Psychiatry

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted6
Total Provider Services425
Total Medicare beneficiaries receiving the provider services84
The total charges that the provider submitted for all services$104,149.74
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.$40,076.84
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$26,118.81
Total Medicare Standardized Payment Amount$30,538.22
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) services6
Total medical (non-ASP) services425
Total Medicare beneficiaries receiving medical (non-ASP) services84
The total charges that the provider submitted for medical services (non-ASP)$104,149.74
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.$40,076.84
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$26,118.81
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$30,538.22
Average age of beneficiaries57
Number of beneficiaries under the age of 6550
Number of Female beneficiaries40
Number of Male Beneficiaries44
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 year42
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 benefits42
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation0%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer0%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression67%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia42%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders39%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.1289

Source: data.cms.gov

Shura Hegde MD's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Established patient office or other outpatient visit, typically 15 minutes 94 28 94 $67.42 $119.31 $37.09 322%
Established patient office or other outpatient, visit typically 25 minutes 287 69 287 $99.36 $267.07 $66.3 403%
Established patient office or other outpatient, visit typically 40 minutes 33 21 33 $134.09 $450.0 $95.91 469%
Source: 2017 Provider CMS Charge Data