Vicki Brown M.D.

Gender: F
Medical School: Ohio State University College Of Medicine
Graduation Year: 1992
Primary Specialty: Family Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted54
Total Provider Services1060
Total Medicare beneficiaries receiving the provider services185
The total charges that the provider submitted for all services$99,782.00
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.$57,280.03
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$42,559.72
Total Medicare Standardized Payment Amount$45,038.29
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File10
Total drug services, as defined from the Medicare Part B Drug ASP File129
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.66
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$11,778.00
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.$7,181.82
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.$7,003.80
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.$7,015.48
Total number of HCPCS codes associated with medical (non-ASP) services44
Total medical (non-ASP) services931
Total Medicare beneficiaries receiving medical (non-ASP) services185
The total charges that the provider submitted for medical services (non-ASP)$88,004.00
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.$50,098.21
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$35,555.92
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$38,022.81
Average age of beneficiaries70
Number of beneficiaries under the age of 6533
Number of beneficiaries between the ages of 65 and 7494
Number of beneficiaries between the ages of 75 and 8446
Number of beneficiaries over the age of 8412
Number of Female beneficiaries140
Number of Male Beneficiaries45
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 year150
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 benefits35
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation9%
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 cancer8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease26%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease14%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression21%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia54%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension64%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis38%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.0342

Source: data.cms.gov

Vicki Brown M.D.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Insertion of needle into vein for collection of blood sample 130 83 130 $3.0 $6.0 $2.9 207%
Manual urinalysis test with examination using microscope 17 14 17 $4.35 $9.0 $4.02 224%
Urine microalbumin (protein) analysis 23 21 23 $6.28 $13.0 $5.89 221%
Blood glucose (sugar) level 27 27 27 $5.39 $11.0 $5.28 208%
Vaccine for influenza for injection into muscle 26 26 26 $49.03 $64.0 $48.05 133%
Pneumococcal vaccine for injection into muscle 27 27 27 $187.92 $308.0 $184.17 167%
Vaccine for influenza for administration into muscle, 0.5 ml dosage 14 14 14 $17.84 $34.0 $17.48 195%
Established patient office or other outpatient visit, typically 15 minutes 213 113 213 $70.93 $124.0 $38.41 323%
Established patient office or other outpatient, visit typically 25 minutes 144 73 144 $104.53 $183.0 $63.2 290%
Administration of influenza virus vaccine 52 51 52 $24.25 $42.0 $23.76 177%
Administration of pneumococcal vaccine 32 32 32 $24.25 $42.0 $23.76 177%
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 14 14 14 $167.05 $288.0 $163.71 176%
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 60 60 60 $112.77 $192.0 $110.51 174%
Annual alcohol misuse screening, 15 minutes 74 74 74 $17.36 $30.0 $17.01 176%
Annual depression screening, 15 minutes 48 48 48 $17.36 $30.0 $17.01 176%
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 12 12 12 $12.04 $25.0 $11.8 212%
Source: 2017 Provider CMS Charge Data