Kareem Dolce DPM

Gender: F
Medical School: Kent State University College Of Podiatric Medicine
Graduation Year: 2006
Primary Specialty: Podiatry

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted75
Total Provider Services2581
Total Medicare beneficiaries receiving the provider services528
The total charges that the provider submitted for all services$383,072.00
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.$172,716.06
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$122,125.03
Total Medicare Standardized Payment Amount$128,690.34
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File1
Total drug services, as defined from the Medicare Part B Drug ASP File95
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.57
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$665.00
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.$174.03
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.$133.36
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.$133.36
Total number of HCPCS codes associated with medical (non-ASP) services74
Total medical (non-ASP) services2486
Total Medicare beneficiaries receiving medical (non-ASP) services528
The total charges that the provider submitted for medical services (non-ASP)$382,407.00
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.$172,542.03
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$121,991.67
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$128,556.98
Average age of beneficiaries76
Number of beneficiaries under the age of 6571
Number of beneficiaries between the ages of 65 and 74171
Number of beneficiaries between the ages of 75 and 84147
Number of beneficiaries over the age of 84139
Number of Female beneficiaries343
Number of Male Beneficiaries185
Number of Non-Hispanic White Beneficiaries503
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 year395
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 benefits133
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma7%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease42%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis52%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders5%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke8%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.7003

Source: data.cms.gov

Kareem Dolce DPM's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Removal of skin and tissue first 20 sq cm or less 131 39 131 $60.46 $223.0 $46.66 478%
Removal of skin and tissue first 20 sq cm or less 51 23 51 $110.09 $223.0 $82.86 269%
Removal of tissue from 1 to 5 finger or toe nails 136 99 136 $30.98 $62.0 $21.78 285%
Removal of tissue from 6 or more finger or toe nails 1159 374 1159 $43.55 $69.0 $28.97 238%
Removal of nail 37 31 32 $137.98 $433.0 $94.59 458%
Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 26 22 26 $271.63 $785.0 $196.4 400%
Injections of tendon sheath, ligament, or muscle membrane 73 52 73 $53.67 $123.37 $39.69 311%
Strapping, Unna boot 29 16 29 $40.82 $113.66 $29.25 389%
X-ray of foot, minimum of 3 views 30 24 28 $26.93 $61.0 $18.96 322%
Ultrasound of arm or leg 79 53 75 $35.16 $70.0 $25.39 276%
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 79 56 79 $58.43 $184.43 $38.59 478%
New patient office or other outpatient visit, typically 30 minutes 13 13 13 $76.11 $173.0 $55.22 313%
New patient office or other outpatient visit, typically 30 minutes 87 87 87 $105.1 $173.0 $63.82 271%
Established patient office or other outpatient visit, typically 15 minutes 37 26 37 $50.5 $117.0 $37.02 316%
Established patient office or other outpatient visit, typically 15 minutes 302 154 302 $70.93 $117.0 $50.59 231%
Initial hospital inpatient care, typically 50 minutes per day 16 14 16 $135.79 $225.0 $84.88 265%
Injection, triamcinolone acetonide, not otherwise specified, 10 mg 95 57 85 $1.83 $7.0 $1.4 499%
Source: 2017 Provider CMS Charge Data