Jacqueline Graziani CNP

Gender: F
Medical School: University Of Cincinnati College Of Medicine
Graduation Year: 2013
Primary Specialty: Nurse Practitioner

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted10
Total Provider Services524
Total Medicare beneficiaries receiving the provider services368
The total charges that the provider submitted for all services$72,412.00
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.$38,358.44
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$27,900.67
Total Medicare Standardized Payment Amount$29,518.92
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 File75
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.32
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$1,125.00
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.$314.83
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.$246.82
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.$246.82
Total number of HCPCS codes associated with medical (non-ASP) services8
Total medical (non-ASP) services449
Total Medicare beneficiaries receiving medical (non-ASP) services367
The total charges that the provider submitted for medical services (non-ASP)$71,287.00
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.$38,043.61
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$27,653.85
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$29,272.10
Average age of beneficiaries69
Number of beneficiaries under the age of 65113
Number of beneficiaries between the ages of 65 and 74129
Number of beneficiaries between the ages of 75 and 8484
Number of beneficiaries over the age of 8442
Number of Female beneficiaries219
Number of Male Beneficiaries149
Number of Non-Hispanic White Beneficiaries334
Number of Black or African American Beneficiaries23
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 year235
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 benefits133
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma10%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer9%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure19%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression40%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia54%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension70%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
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 disorders8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke27%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.7321

Source: data.cms.gov

Jacqueline Graziani CNP's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Injections of trigger points in 3 or more muscles 26 21 26 $51.75 $195.0 $40.82 478%
New patient office or other outpatient visit, typically 45 minutes 28 28 28 $136.28 $225.0 $97.1 232%
Established patient office or other outpatient visit, typically 15 minutes 109 99 109 $60.29 $102.0 $42.85 238%
Established patient office or other outpatient, visit typically 25 minutes 254 228 254 $88.85 $160.0 $65.11 246%
Established patient office or other outpatient, visit typically 40 minutes 18 18 18 $119.9 $233.0 $94.0 248%
Injection, methylprednisolone sodium succinate, up to 40 mg 72 30 37 $4.24 $15.0 $3.32 452%
Source: 2017 Provider CMS Charge Data