Jackson Liu MD

Gender: M
Medical School: Northeastern Ohio University College Of Medicine
Graduation Year: 2000
Primary Specialty: Nephrology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted22
Total Provider Services3744
Total Medicare beneficiaries receiving the provider services916
The total charges that the provider submitted for all services$560,788.00
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.$467,856.80
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$348,295.07
Total Medicare Standardized Payment Amount$368,008.57
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) services22
Total medical (non-ASP) services3744
Total Medicare beneficiaries receiving medical (non-ASP) services916
The total charges that the provider submitted for medical services (non-ASP)$560,788.00
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.$467,856.80
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$348,295.07
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$368,008.57
Average age of beneficiaries73
Number of beneficiaries under the age of 65173
Number of beneficiaries between the ages of 65 and 74279
Number of beneficiaries between the ages of 75 and 84318
Number of beneficiaries over the age of 84146
Number of Female beneficiaries462
Number of Male Beneficiaries454
Number of Non-Hispanic White Beneficiaries843
Number of Black or African American Beneficiaries44
Number of Beneficiaries With Race Not Elsewhere Classified14
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 year623
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 benefits293
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia20%
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 failure53%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression31%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes65%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia66%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease63%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis49%
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 stroke8%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries3.7408

Source: data.cms.gov

Jackson Liu 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
Hemodialysis procedure with one physician evaluation 406 147 406 $71.8 $100.0 $54.67 183%
Dialysis procedure including one evaluation 56 16 56 $84.58 $100.0 $50.81 197%
Dialysis services (4 or more physician visits per month), patient 20 years of age and older 659 85 659 $279.68 $350.0 $213.87 164%
Dialysis services (2-3 physician visits per month), patient 20 years of age and older 36 24 36 $234.66 $280.0 $183.98 152%
New patient office or other outpatient visit, typically 45 minutes 44 44 44 $160.33 $180.0 $111.7 161%
Established patient office or other outpatient visit, typically 15 minutes 707 386 707 $70.93 $80.0 $48.68 164%
Established patient office or other outpatient, visit typically 25 minutes 392 240 392 $104.53 $120.0 $72.76 165%
Initial hospital inpatient care, typically 50 minutes per day 147 111 147 $135.79 $145.0 $97.75 148%
Initial hospital inpatient care, typically 70 minutes per day 226 214 226 $200.98 $220.0 $148.93 148%
Subsequent hospital inpatient care, typically 15 minutes per day 280 138 280 $38.98 $50.0 $29.69 168%
Subsequent hospital inpatient care, typically 25 minutes per day 622 284 622 $71.56 $80.0 $55.01 145%
Subsequent hospital inpatient care, typically 35 minutes per day 17 16 17 $103.48 $120.0 $81.12 148%
Source: 2017 Provider CMS Charge Data