John Fry M.D.

Gender: M
Medical School: Ohio State University College Of Medicine
Graduation Year: 1993
Primary Specialty: Interventional Cardiology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted69
Total Provider Services1765
Total Medicare beneficiaries receiving the provider services486
The total charges that the provider submitted for all services$409,690.05
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.$142,615.76
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$98,767.36
Total Medicare Standardized Payment Amount$114,470.07
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) services69
Total medical (non-ASP) services1765
Total Medicare beneficiaries receiving medical (non-ASP) services486
The total charges that the provider submitted for medical services (non-ASP)$409,690.05
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.$142,615.76
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$98,767.36
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$114,470.07
Average age of beneficiaries75
Number of beneficiaries under the age of 6536
Number of beneficiaries between the ages of 65 and 74194
Number of beneficiaries between the ages of 75 and 84190
Number of beneficiaries over the age of 8466
Number of Female beneficiaries237
Number of Male Beneficiaries249
Number of Non-Hispanic White Beneficiaries458
Number of Black or African American Beneficiaries15
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 year425
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 benefits61
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma8%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia60%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease69%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis4%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis50%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke6%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.4495

Source: data.cms.gov

John Fry 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
Insertion of needle into vein for collection of blood sample 20 20 20 $3.0 $17.0 $2.94 578%
Blood test, lipids (cholesterol and triglycerides) 29 29 29 $18.37 $88.0 $18.0 489%
Blood test, clotting time 229 39 229 $5.39 $30.0 $5.28 568%
Routine EKG using at least 12 leads including interpretation and report 137 128 137 $14.92 $55.06 $10.02 549%
Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report 41 35 35 $8.19 $30.0 $6.42 467%
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision 12 12 12 $21.48 $175.0 $16.84 1039%
Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report 12 12 12 $14.31 $52.0 $11.22 463%
Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function 24 24 24 $61.69 $233.0 $48.36 482%
Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function 82 80 82 $204.99 $706.0 $150.34 470%
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function 47 47 47 $22.36 $179.21 $16.8 1066%
Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report 50 50 50 $243.9 $784.87 $179.71 437%
Ultrasound study of arteries and arterial grafts of one leg or limited 14 13 14 $121.18 $430.75 $93.11 463%
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes 14 14 14 $11.5 $115.62 $8.88 1303%
New patient office or other outpatient visit, typically 60 minutes 31 31 31 $187.45 $445.0 $107.62 413%
Established patient office or other outpatient visit, typically 5 minutes 201 40 201 $18.24 $55.0 $11.21 491%
Established patient office or other outpatient visit, typically 15 minutes 43 36 43 $66.36 $161.49 $47.18 342%
Established patient office or other outpatient, visit typically 25 minutes 420 304 420 $97.79 $176.89 $63.29 280%
Established patient office or other outpatient, visit typically 40 minutes 163 132 163 $131.65 $230.0 $81.69 282%
Subsequent hospital inpatient care, typically 25 minutes per day 29 18 29 $69.21 $220.62 $54.19 407%
Source: 2017 Provider CMS Charge Data