William Godfrey M.D.

Gender: M
Medical School: Wayne State University School Of Medicine
Graduation Year: 2006
Primary Specialty: Diagnostic Radiology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted97
Total Provider Services2044
Total Medicare beneficiaries receiving the provider services1013
The total charges that the provider submitted for all services$502,744.00
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.$68,014.32
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$52,111.35
Total Medicare Standardized Payment Amount$51,766.86
Drug Suppress Indicator - Identifies whether the utilization, cost and payment information associated with HCPCS codes for drug services as listed on the Medicare Part B Drug Average Sales Price (ASP) list have been suppressed.*
Identifies whether the utilization, cost and payment information associated with HCPCS codes for Medical (non-ASP) services have been suppressed. An '*' identifies that the suppressed information is based on fewer than 11 beneficiaries and a '#' identifies that the information has been counter suppressed to prevent the re-calculation of information suppressed due to fewer than 11 beneficiaries. #
Average age of beneficiaries67
Number of beneficiaries under the age of 65368
Number of beneficiaries between the ages of 65 and 74328
Number of beneficiaries between the ages of 75 and 84200
Number of beneficiaries over the age of 84117
Number of Female beneficiaries548
Number of Male Beneficiaries465
Number of Non-Hispanic White Beneficiaries631
Number of Black or African American Beneficiaries275
Number of Asian Pacific Islander Beneficiaries13
Number of Hispanic Beneficiaries75
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified19
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 year462
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 benefits551
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 dementia21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma14%
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 failure37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease53%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression42%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia56%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease46%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis9%
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 disorders10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke16%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.234

Source: data.cms.gov

William Godfrey 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
CT scan head or brain 213 207 213 $41.93 $317.0 $32.3 981%
CT scan of face 35 35 35 $41.01 $330.0 $32.15 1026%
CT scan of blood vessel of head with contrast 31 30 31 $87.24 $1153.0 $68.37 1686%
CT scan of neck blood vessels with contrast 36 35 36 $83.66 $1153.0 $65.6 1758%
MRI scan brain 14 14 14 $73.31 $410.0 $57.47 713%
X-ray of chest, 1 view, front 176 161 171 $9.12 $46.0 $6.87 670%
X-ray of chest, 2 views, front and side 317 298 317 $10.89 $60.0 $7.78 771%
CT scan chest 19 19 19 $49.26 $324.0 $38.62 839%
CT scan chest with contrast 39 39 39 $60.02 $336.0 $43.32 776%
CT scan of blood vessels in chest with contrast 52 51 52 $90.87 $796.0 $70.45 1130%
CT scan of upper spine 75 75 75 $52.55 $282.0 $41.2 685%
CT scan of middle spine 43 43 43 $48.01 $336.0 $37.06 907%
CT scan of lower spine 48 48 48 $47.93 $336.0 $37.58 894%
X-ray of pelvis, 1 or 2 views 14 14 14 $8.77 $54.0 $6.88 785%
CT scan pelvis 11 11 11 $54.78 $247.0 $42.94 575%
X-ray of shoulder, minimum of 2 views 38 37 38 $9.45 $64.0 $7.22 887%
X-ray of upper arm, minimum of 2 views 13 12 12 $8.41 $54.0 $6.09 886%
X-ray of elbow, minimum of 3 views 20 16 16 $8.77 $57.0 $6.88 828%
X-ray of forearm, 2 views 24 21 21 $8.41 $54.0 $6.05 893%
X-ray of wrist, minimum of 3 views 23 21 22 $8.77 $60.0 $6.88 872%
X-ray of hand, minimum of 3 views 26 22 22 $8.77 $57.0 $6.88 828%
X-ray of hip with pelvis, 2-3 views 39 38 38 $11.22 $33.0 $8.8 375%
X-ray of femur, minimum 2 views 15 15 15 $9.45 $27.0 $6.92 390%
X-ray of knee, 1 or 2 views 15 15 15 $8.41 $54.0 $5.72 944%
X-ray of knee, 4 or more views 41 34 34 $11.22 $82.0 $8.8 932%
Source: 2017 Provider CMS Charge Data