Steven Benedict M.D.

Gender: M
Medical School: Medical College Of Ohio
Graduation Year: 1997
Primary Specialty: Neurology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted65
Total Provider Services3842
Total Medicare beneficiaries receiving the provider services1294
The total charges that the provider submitted for all services$900,577.00
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.$474,343.27
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$395,575.61
Total Medicare Standardized Payment Amount$366,189.49
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File3
Total drug services, as defined from the Medicare Part B Drug ASP File399
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.88
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$5,985.00
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.$2,175.12
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.$1,467.61
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.$1,545.34
Total number of HCPCS codes associated with medical (non-ASP) services62
Total medical (non-ASP) services3443
Total Medicare beneficiaries receiving medical (non-ASP) services1294
The total charges that the provider submitted for medical services (non-ASP)$894,592.00
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.$472,168.15
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$394,108.00
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$364,644.15
Average age of beneficiaries70
Number of beneficiaries under the age of 65329
Number of beneficiaries between the ages of 65 and 74468
Number of beneficiaries between the ages of 75 and 84359
Number of beneficiaries over the age of 84138
Number of Female beneficiaries703
Number of Male Beneficiaries591
Number of Non-Hispanic White Beneficiaries1156
Number of Black or African American Beneficiaries75
Number of Hispanic Beneficiaries30
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 year919
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 benefits375
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation12%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia23%
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 cancer11%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure20%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease24%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression38%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia55%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension73%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease35%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis8%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis60%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders7%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke23%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.626

Source: data.cms.gov

Steven Benedict 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
Assessment and recording of balance system during hot and cold irrigation of both ears 13 13 13 $39.41 $60.0 $35.68 168%
Injections of trigger points in 1 or 2 muscles 11 11 11 $48.97 $170.0 $44.34 383%
Injections of trigger points in 3 or more muscles 26 22 26 $62.07 $195.0 $52.58 371%
Insertion of needle into vein, patient 3 years or older 11 11 11 $16.4 $30.0 $14.85 202%
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 113 47 113 $294.5 $816.37 $240.34 340%
Observation, testing, and recording of abnormal eye movement 12 12 12 $99.8 $225.0 $86.54 260%
Assessment and recording of abnormal eye movement with patient in a rotating chair 13 13 13 $96.48 $200.0 $87.34 229%
Assessment of balance and postural instability 17 17 17 $94.14 $201.0 $77.62 259%
Tracing of electrical activity of heart using 1-3 leads with interpretation and report 21 21 21 $12.36 $26.0 $11.19 232%
Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days 23 23 23 $189.27 $400.0 $171.35 233%
Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck 26 26 26 $165.22 $600.0 $149.57 401%
Ultrasound scanning of head and neck vessel blood flow (inside the brain) 32 32 32 $239.19 $625.0 $216.55 289%
Ultrasound scanning for blood clot detection with microbubble injection in head and neck vessel blood flow (inside the brain) 11 11 11 $163.08 $625.0 $147.64 423%
Ultrasound study of arteries of both arms and legs 21 21 21 $81.86 $176.0 $74.11 237%
Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube 14 14 14 $126.61 $350.0 $106.44 329%
Measurement of brain wave (EEG) activity greater than 1 hour 12 12 12 $385.01 $671.25 $348.57 193%
Measurement and recording of brain wave (EEG) activity, awake and asleep 91 86 91 $57.71 $180.0 $48.16 374%
Measurement and recording of brain wave (EEG) activity, awake and asleep 74 73 74 $381.26 $600.0 $336.15 178%
Needle measurement and recording of electrical activity of muscles of arm or leg complete study 35 22 22 $46.14 $75.0 $39.19 191%
Needle measurement and recording of electrical activity of muscles of arm or leg complete study 563 286 312 $87.21 $197.16 $73.28 269%
Nerve transmission studies, 5-6 studies 11 11 11 $80.39 $160.0 $72.77 220%
Nerve transmission studies, 7-8 studies 64 64 64 $190.37 $354.0 $166.95 212%
Nerve transmission studies, 11-12 studies 11 11 11 $158.51 $316.0 $141.87 223%
Nerve transmission studies, 11-12 studies 245 222 245 $250.31 $503.0 $222.3 226%
Testing of autonomic (sympathetic) nervous system function, at least 5 minutes of tilt 21 21 21 $147.77 $284.0 $132.02 215%
Source: 2017 Provider CMS Charge Data