Carly Brown CAA

Gender: F
Medical School: Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University
Graduation Year: 2017
Primary Specialty: Anesthesiology Assistant

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted48
Total Provider Services181
Total Medicare beneficiaries receiving the provider services171
The total charges that the provider submitted for all services$110,327.00
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.$18,527.32
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$14,616.50
Total Medicare Standardized Payment Amount$14,831.46
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) services48
Total medical (non-ASP) services181
Total Medicare beneficiaries receiving medical (non-ASP) services171
The total charges that the provider submitted for medical services (non-ASP)$110,327.00
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.$18,527.32
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$14,616.50
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$14,831.46
Average age of beneficiaries72
Number of beneficiaries under the age of 6523
Number of beneficiaries between the ages of 65 and 7488
Number of beneficiaries between the ages of 75 and 8443
Number of beneficiaries over the age of 8417
Number of Female beneficiaries87
Number of Male Beneficiaries84
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 year144
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 benefits27
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma11%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression29%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes39%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis61%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.4939

Source: data.cms.gov

Carly Brown CAA's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Anesthesia for procedure on gastrointestinal tract using an endoscope 14 14 14 $67.33 $402.07 $52.79 762%
Anesthesia for procedure on lower intestine using an endoscope 27 27 27 $70.8 $422.74 $59.46 711%
Anesthesia for procedure on urinary system including use of an endoscope 14 13 14 $65.0 $388.14 $50.96 762%
Anesthesia for open or endoscopic total knee joint replacement 14 14 14 $166.39 $993.57 $130.45 762%
Source: 2017 Provider CMS Charge Data