Bashar Salem MD

Gender: M
Medical School: Other
Graduation Year: 2000
Primary Specialty: Critical Care (intensivists)

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted46
Total Provider Services2548
Total Medicare beneficiaries receiving the provider services678
The total charges that the provider submitted for all services$567,629.00
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.$324,152.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$252,783.14
Total Medicare Standardized Payment Amount$259,397.21
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) services46
Total medical (non-ASP) services2548
Total Medicare beneficiaries receiving medical (non-ASP) services678
The total charges that the provider submitted for medical services (non-ASP)$567,629.00
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.$324,152.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$252,783.14
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$259,397.21
Average age of beneficiaries74
Number of beneficiaries under the age of 65118
Number of beneficiaries between the ages of 65 and 74207
Number of beneficiaries between the ages of 75 and 84213
Number of beneficiaries over the age of 84140
Number of Female beneficiaries370
Number of Male Beneficiaries308
Number of Non-Hispanic White Beneficiaries602
Number of Black or African American Beneficiaries38
Number of Hispanic Beneficiaries24
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 year452
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 benefits226
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma19%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure66%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease68%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease67%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression44%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia67%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease67%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis53%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke14%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries3.0075

Source: data.cms.gov

Bashar Salem 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
Emergent insertion of breathing tube into windpipe cartilage using an endoscope 24 24 24 $143.96 $290.0 $112.87 257%
Irrigation and suction of lung airways to obtain cells using an endoscope 46 44 46 $108.48 $643.24 $85.05 756%
Removal of fluid from chest cavity with imaging guidance 19 16 18 $111.3 $428.0 $87.26 490%
Insertion of central venous catheter for infusion, patient 5 years or older 24 24 24 $122.85 $330.58 $96.31 343%
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 12 12 12 $52.11 $118.75 $40.86 291%
X-ray of chest, 2 views, front and side 17 17 17 $15.84 $74.71 $11.69 639%
CT scan chest 29 25 29 $108.78 $815.52 $73.44 1110%
Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes 48 45 48 $12.32 $19.0 $9.66 197%
New patient office or other outpatient visit, typically 45 minutes 17 17 17 $160.33 $250.0 $125.69 199%
Established patient office or other outpatient visit, typically 15 minutes 50 38 50 $70.93 $115.0 $51.99 221%
Established patient office or other outpatient, visit typically 25 minutes 144 90 144 $104.53 $225.0 $79.22 284%
Established patient office or other outpatient, visit typically 40 minutes 23 19 23 $141.06 $275.0 $108.62 253%
Initial hospital inpatient care, typically 50 minutes per day 13 13 13 $135.79 $211.46 $106.46 199%
Initial hospital inpatient care, typically 70 minutes per day 309 271 309 $200.98 $296.47 $157.56 188%
Subsequent hospital inpatient care, typically 15 minutes per day 16 16 16 $38.98 $77.88 $30.56 255%
Subsequent hospital inpatient care, typically 25 minutes per day 567 290 567 $71.56 $100.37 $56.1 179%
Subsequent hospital inpatient care, typically 35 minutes per day 605 332 605 $103.13 $136.25 $80.84 169%
Hospital discharge day management, more than 30 minutes 13 13 13 $106.1 $137.92 $83.18 166%
Critical care delivery critically ill or injured patient, first 30-74 minutes 454 211 454 $222.59 $362.45 $173.92 208%
Critical care delivery critically ill or injured patient 13 11 12 $111.64 $229.54 $87.52 262%
Source: 2017 Provider CMS Charge Data