Nicholas Brown DPM

Gender: M
Medical School: Kent State University College Of Podiatric Medicine
Graduation Year: 1999
Primary Specialty: Podiatry

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted72
Total Provider Services3397
Total Medicare beneficiaries receiving the provider services508
The total charges that the provider submitted for all services$505,410.00
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.$239,808.88
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$172,172.70
Total Medicare Standardized Payment Amount$181,778.64
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File2
Total drug services, as defined from the Medicare Part B Drug ASP File118
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.63
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$833.00
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.$205.00
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.$149.13
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.$149.13
Total number of HCPCS codes associated with medical (non-ASP) services70
Total medical (non-ASP) services3279
Total Medicare beneficiaries receiving medical (non-ASP) services508
The total charges that the provider submitted for medical services (non-ASP)$504,577.00
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.$239,603.88
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$172,023.57
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$181,629.51
Average age of beneficiaries73
Number of beneficiaries under the age of 65107
Number of beneficiaries between the ages of 65 and 74169
Number of beneficiaries between the ages of 75 and 84136
Number of beneficiaries over the age of 8496
Number of Female beneficiaries295
Number of Male Beneficiaries213
Number of Non-Hispanic White Beneficiaries399
Number of Black or African American Beneficiaries90
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 year359
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 benefits149
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma9%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease45%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes49%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia53%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis59%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders4%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.7077

Source: data.cms.gov

Nicholas Brown DPM's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Drainage of multiple abscess 12 11 12 $201.14 $399.0 $152.56 262%
Removal of skin and tissue first 20 sq cm or less 77 18 77 $61.24 $223.0 $45.5 490%
Removal of skin and tissue first 20 sq cm or less 236 44 236 $111.57 $223.0 $83.13 268%
Removal of tissue from 1 to 5 finger or toe nails 149 79 149 $30.98 $62.0 $20.48 303%
Removal of tissue from 6 or more finger or toe nails 1050 358 1050 $43.55 $69.0 $29.85 231%
Removal of nail 29 22 24 $135.22 $433.0 $93.76 462%
Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15 12 15 $271.63 $785.0 $212.95 369%
Destruction of up to 14 skin growths 93 33 93 $105.77 $207.0 $76.39 271%
Injections of tendon sheath, ligament, or muscle membrane 116 64 116 $51.67 $114.98 $37.08 310%
X-ray of ankle, minimum of 3 views 16 15 16 $29.88 $65.0 $23.42 278%
X-ray of foot, minimum of 3 views 141 99 139 $27.57 $61.0 $20.39 299%
Ultrasound of arm or leg 61 55 61 $35.16 $70.0 $27.22 257%
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 123 63 123 $58.43 $185.28 $41.91 442%
New patient office or other outpatient visit, typically 30 minutes 166 166 166 $105.1 $173.0 $69.49 249%
Established patient office or other outpatient visit, typically 10 minutes 95 74 95 $42.05 $69.0 $28.18 245%
Established patient office or other outpatient visit, typically 15 minutes 27 13 27 $50.5 $117.0 $36.17 323%
Established patient office or other outpatient visit, typically 15 minutes 602 262 602 $70.93 $117.0 $49.12 238%
Injection, triamcinolone acetonide, not otherwise specified, 10 mg 111 59 110 $1.84 $7.0 $1.34 523%
Source: 2017 Provider CMS Charge Data