Daniel Barney M.D.

Gender: M
Medical School: University Of Rochester School Of Medicine And Dentistry
Graduation Year: 2007
Primary Specialty: Anesthesiology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted59
Total Provider Services576
Total Medicare beneficiaries receiving the provider services423
The total charges that the provider submitted for all services$281,619.50
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.$81,578.73
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$63,827.86
Total Medicare Standardized Payment Amount$63,664.58
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) services59
Total medical (non-ASP) services576
Total Medicare beneficiaries receiving medical (non-ASP) services423
The total charges that the provider submitted for medical services (non-ASP)$281,619.50
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.$81,578.73
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$63,827.86
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$63,664.58
Average age of beneficiaries71
Number of beneficiaries under the age of 6578
Number of beneficiaries between the ages of 65 and 74200
Number of beneficiaries between the ages of 75 and 84117
Number of beneficiaries over the age of 8428
Number of Female beneficiaries231
Number of Male Beneficiaries192
Number of Non-Hispanic White Beneficiaries393
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified15
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 year332
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 benefits91
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 dementia10%
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 cancer15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure15%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease22%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia56%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease36%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis6%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis66%
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 stroke10%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.3012

Source: data.cms.gov

Daniel Barney 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
Anesthesia for procedure on gastrointestinal tract using an endoscope 67 67 67 $129.66 $401.54 $101.3 396%
Anesthesia for procedure on lower intestine using an endoscope 84 84 84 $137.3 $433.64 $108.71 399%
Anesthesia for procedure on urinary system including use of an endoscope 12 12 12 $117.74 $424.13 $92.31 459%
Anesthesia for open or endoscopic total knee joint replacement 24 24 24 $300.06 $975.27 $230.69 423%
Anesthesia for open procedure on bones of lower leg, ankle and foot 18 18 18 $137.52 $532.64 $107.81 494%
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand 12 12 12 $102.95 $347.75 $80.72 431%
Anesthesia for nerve block and injection procedure, prone position 104 87 104 $127.67 $386.94 $100.09 387%
Injection of anesthetic agent, brachial (arm) nerve bundle 14 14 14 $65.98 $320.0 $51.72 619%
Injection of anesthetic agent, sciatic nerve 11 11 11 $72.99 $380.0 $57.22 664%
Injection of anesthetic agent, thigh nerve 36 36 36 $58.0 $334.44 $44.33 754%
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 52 52 52 $32.37 $65.0 $25.01 260%
Source: 2017 Provider CMS Charge Data