Itri Eren MD

Gender: M
Medical School: University Of Cincinnati College Of Medicine
Graduation Year: 1981
Primary Specialty: Internal Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted26
Total Provider Services2783
Total Medicare beneficiaries receiving the provider services1156
The total charges that the provider submitted for all services$1,187,920.00
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.$267,996.66
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$198,742.99
Total Medicare Standardized Payment Amount$211,397.45
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File1
Total drug services, as defined from the Medicare Part B Drug ASP File47
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.47
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$1,269.00
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.$838.48
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.$821.56
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.$821.56
Total number of HCPCS codes associated with medical (non-ASP) services25
Total medical (non-ASP) services2736
Total Medicare beneficiaries receiving medical (non-ASP) services1156
The total charges that the provider submitted for medical services (non-ASP)$1,186,651.00
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.$267,158.18
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$197,921.43
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$210,575.89
Average age of beneficiaries76
Number of beneficiaries under the age of 65172
Number of beneficiaries between the ages of 65 and 74285
Number of beneficiaries between the ages of 75 and 84363
Number of beneficiaries over the age of 84336
Number of Female beneficiaries687
Number of Male Beneficiaries469
Number of Non-Hispanic White Beneficiaries1050
Number of Black or African American Beneficiaries61
Number of Hispanic Beneficiaries28
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 year660
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 benefits496
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation23%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia56%
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 cancer12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure38%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease52%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression54%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes46%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia65%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease53%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis61%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke17%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.2759

Source: data.cms.gov

Itri Eren 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
Vaccine for influenza for administration into muscle, 0.5 ml dosage 47 47 47 $17.84 $27.0 $17.48 154%
Established patient office or other outpatient visit, typically 15 minutes 132 69 132 $68.8 $219.0 $41.45 528%
Initial hospital inpatient care, typically 70 minutes per day 199 195 199 $194.95 $907.09 $148.3 612%
Initial nursing facility visit, typically 25 minutes per day 27 23 27 $87.45 $404.56 $58.3 694%
Initial nursing facility visit, typically 35 minutes per day 184 173 184 $124.73 $546.65 $96.14 569%
Initial nursing facility visit, typically 35 minutes per day 95 94 95 $124.73 $546.49 $88.36 618%
Initial nursing facility visit, typically 45 minutes per day 421 365 421 $159.79 $715.6 $122.94 582%
Initial nursing facility visit, typically 45 minutes per day 63 55 63 $159.79 $715.67 $120.3 595%
Subsequent nursing facility visit, typically 15 minutes per day 230 147 230 $65.85 $293.84 $49.46 594%
Subsequent nursing facility visit, typically 15 minutes per day 1103 334 1103 $65.85 $293.8 $46.72 629%
Subsequent nursing facility visit, typically 25 minutes per day 24 19 24 $87.15 $391.54 $68.33 573%
Subsequent nursing facility visit, typically 25 minutes per day 35 24 35 $87.15 $392.0 $60.29 650%
Administration of influenza virus vaccine 47 47 47 $24.25 $33.0 $23.76 139%
Source: 2017 Provider CMS Charge Data