Michael Blank MD

Gender: M
Medical School: Other
Graduation Year: 2000
Primary Specialty: Infectious Disease

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted9
Total Provider Services1423
Total Medicare beneficiaries receiving the provider services412
The total charges that the provider submitted for all services$189,634.00
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.$126,052.59
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$97,294.12
Total Medicare Standardized Payment Amount$100,344.63
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) services9
Total medical (non-ASP) services1423
Total Medicare beneficiaries receiving medical (non-ASP) services412
The total charges that the provider submitted for medical services (non-ASP)$189,634.00
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.$126,052.59
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$97,294.12
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$100,344.63
Average age of beneficiaries70
Number of beneficiaries under the age of 65119
Number of beneficiaries between the ages of 65 and 74143
Number of beneficiaries between the ages of 75 and 84102
Number of beneficiaries over the age of 8448
Number of Female beneficiaries187
Number of Male Beneficiaries225
Number of Non-Hispanic White Beneficiaries353
Number of Black or African American Beneficiaries37
Number of Asian Pacific Islander Beneficiaries0
Number of Hispanic Beneficiaries11
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified11
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 benefits156
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 dementia25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma12%
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 failure49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease72%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease42%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression45%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes57%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia69%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease57%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis61%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke9%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries3.3706

Source: data.cms.gov

Michael Blank 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
New patient office or other outpatient visit, typically 45 minutes 29 29 29 $160.33 $241.0 $113.81 212%
Established patient office or other outpatient, visit typically 25 minutes 169 87 169 $104.53 $157.0 $75.79 207%
Initial hospital inpatient care, typically 50 minutes per day 241 215 241 $135.79 $204.0 $106.21 192%
Subsequent hospital inpatient care, typically 25 minutes per day 946 230 946 $71.56 $107.0 $56.1 191%
Source: 2017 Provider CMS Charge Data