Timothy Adamowicz DO

Gender: M
Medical School: Lake Erie College Of Osteopathic Medicine, Erie
Graduation Year: 2008
Primary Specialty: Medical Oncology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted106
Total Provider Services112568
Total Medicare beneficiaries receiving the provider services524
The total charges that the provider submitted for all services$10,532,407.90
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.$2,094,678.47
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$1,642,055.58
Total Medicare Standardized Payment Amount$1,655,277.66
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File59
Total drug services, as defined from the Medicare Part B Drug ASP File103939
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.185
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$7,442,307.15
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.$1,420,581.50
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.$1,109,152.49
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.$1,111,763.06
Total number of HCPCS codes associated with medical (non-ASP) services47
Total medical (non-ASP) services8629
Total Medicare beneficiaries receiving medical (non-ASP) services524
The total charges that the provider submitted for medical services (non-ASP)$3,090,100.75
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.$674,096.97
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$532,903.09
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$543,514.60
Average age of beneficiaries73
Number of beneficiaries under the age of 6573
Number of beneficiaries between the ages of 65 and 74214
Number of beneficiaries between the ages of 75 and 84191
Number of beneficiaries over the age of 8446
Number of Female beneficiaries298
Number of Male Beneficiaries226
Number of Non-Hispanic White Beneficiaries488
Number of Black or African American Beneficiaries18
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 year440
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 benefits84
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma6%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease41%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia51%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension73%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis50%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders3%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke5%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.181

Source: data.cms.gov

Timothy Adamowicz DO's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Urinalysis, manual test 20 15 20 $3.23 $24.0 $3.17 757%
Hydration infusion into a vein 31 minutes to 1 hour 14 13 14 $54.29 $383.0 $42.56 900%
Hydration infusion into a vein 49 20 39 $14.46 $369.0 $11.34 3254%
Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour 40 23 40 $64.98 $442.0 $49.67 890%
Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour 36 11 32 $29.28 $406.0 $22.95 1769%
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 178 62 172 $24.25 $162.0 $18.87 859%
Injection of drug or substance into a vein for therapy, diagnosis, or prevention 79 31 79 $54.02 $266.0 $40.75 653%
Injection of different drug or substance into a vein for therapy, diagnosis, or prevention 688 82 303 $21.08 $240.0 $16.5 1454%
Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle 97 17 97 $69.95 $574.0 $54.38 1055%
Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle 32 13 32 $30.93 $534.0 $24.25 2202%
Infusion of chemotherapy into a vein using push technique 31 13 31 $104.03 $572.0 $80.84 708%
Infusion of different chemotherapy drug or substance into a vein 28 12 28 $58.69 $557.0 $46.01 1211%
Infusion of chemotherapy into a vein up to 1 hour 423 88 423 $129.17 $674.0 $100.5 671%
Infusion of chemotherapy into a vein 125 23 96 $26.97 $588.0 $20.81 2826%
Infusion of different chemotherapy drug or substance into a vein up to 1 hour 78 28 75 $61.35 $593.0 $47.56 1247%
Irrigation of implanted venous access drug delivery device 94 49 94 $23.21 $243.0 $16.79 1447%
New patient office or other outpatient visit, typically 60 minutes 16 16 16 $167.65 $759.81 $122.23 622%
New patient office or other outpatient visit, typically 60 minutes 68 68 68 $202.25 $715.0 $149.42 479%
Established patient office or other outpatient visit, typically 15 minutes 82 69 82 $50.5 $219.0 $33.48 654%
Established patient office or other outpatient visit, typically 15 minutes 88 78 88 $70.93 $219.0 $44.87 488%
Established patient office or other outpatient, visit typically 25 minutes 191 63 191 $77.84 $339.0 $58.46 580%
Established patient office or other outpatient, visit typically 25 minutes 711 200 711 $104.5 $339.0 $78.46 432%
Established patient office or other outpatient, visit typically 40 minutes 12 12 12 $141.06 $477.0 $105.92 450%
Initial hospital inpatient care, typically 70 minutes per day 47 42 47 $200.98 $957.0 $157.56 607%
Subsequent hospital inpatient care, typically 25 minutes per day 14 12 14 $71.56 $351.0 $56.1 626%
Source: 2017 Provider CMS Charge Data