Daniel Mulligan M.D.

Gender: M
Medical School: Toledo Medical College
Graduation Year: 2005
Primary Specialty: Urology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted47
Total Provider Services746
Total Medicare beneficiaries receiving the provider services401
The total charges that the provider submitted for all services$446,313.60
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.$81,891.64
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$59,760.87
Total Medicare Standardized Payment Amount$61,070.63
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) services47
Total medical (non-ASP) services746
Total Medicare beneficiaries receiving medical (non-ASP) services401
The total charges that the provider submitted for medical services (non-ASP)$446,313.60
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.$81,891.64
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$59,760.87
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$61,070.63
Average age of beneficiaries71
Number of beneficiaries under the age of 6580
Number of beneficiaries between the ages of 65 and 74179
Number of beneficiaries between the ages of 75 and 84103
Number of beneficiaries over the age of 8439
Number of Female beneficiaries95
Number of Male Beneficiaries306
Number of Non-Hispanic White Beneficiaries370
Number of Black or African American Beneficiaries12
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 year296
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 benefits105
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia11%
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 cancer22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia58%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension69%
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/osteoarthritis45%
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 stroke8%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.6344

Source: data.cms.gov

Daniel Mulligan 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
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 67 54 67 $101.82 $648.0 $75.0 864%
Insertion of stent in urinary duct (ureter) using an endoscope 20 12 20 $148.88 $2546.55 $116.72 2182%
Biopsy of prostate gland 22 22 22 $133.69 $929.0 $81.06 1146%
Imaging of urinary tract 35 26 34 $17.64 $89.0 $13.83 644%
New patient office or other outpatient visit, typically 30 minutes 14 14 14 $76.49 $214.5 $38.55 556%
New patient office or other outpatient visit, typically 45 minutes 49 49 49 $129.34 $292.51 $92.65 316%
Established patient office or other outpatient visit, typically 10 minutes 13 13 13 $25.37 $92.31 $19.89 464%
Established patient office or other outpatient visit, typically 15 minutes 99 92 99 $50.74 $142.54 $36.37 392%
Established patient office or other outpatient, visit typically 25 minutes 212 175 212 $78.22 $197.4 $55.73 354%
Established patient office or other outpatient, visit typically 40 minutes 63 56 63 $110.63 $261.33 $75.74 345%
Subsequent hospital inpatient care, typically 25 minutes per day 51 34 51 $71.9 $234.71 $56.37 416%
Source: 2017 Provider CMS Charge Data