Jayne Minier M.D.

Gender: F
Medical School: Wayne State University School Of Medicine
Graduation Year: 1984
Primary Specialty: General Surgery

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted51
Total Provider Services261
Total Medicare beneficiaries receiving the provider services158
The total charges that the provider submitted for all services$87,743.64
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.$31,869.16
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$25,262.53
Total Medicare Standardized Payment Amount$23,069.44
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) services51
Total medical (non-ASP) services261
Total Medicare beneficiaries receiving medical (non-ASP) services158
The total charges that the provider submitted for medical services (non-ASP)$87,743.64
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.$31,869.16
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$25,262.53
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$23,069.44
Average age of beneficiaries72
Number of beneficiaries under the age of 6527
Number of beneficiaries between the ages of 65 and 7467
Number of beneficiaries between the ages of 75 and 8448
Number of beneficiaries over the age of 8416
Number of Female beneficiaries123
Number of Male Beneficiaries35
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 year133
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 benefits25
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation15%
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 cancer27%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease32%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes28%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia50%
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 osteoporosis11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis52%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke11%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.4608

Source: data.cms.gov

Jayne Minier 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
Removal of gallbladder with X-ray study of bile ducts using endoscope 14 14 14 $115.62 $284.51 $101.67 280%
New patient office or other outpatient visit, typically 45 minutes 14 14 14 $160.33 $312.86 $120.24 260%
Established patient office or other outpatient visit, typically 15 minutes 45 31 45 $70.93 $141.27 $54.63 259%
Established patient office or other outpatient, visit typically 25 minutes 40 29 40 $104.53 $203.93 $83.07 245%
Subsequent hospital inpatient care, typically 25 minutes per day 17 16 17 $71.56 $143.0 $53.86 266%
Source: 2017 Provider CMS Charge Data