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slides: Highest Paid Medicare Docs in Central MA

Friday, April 11, 2014

 

The Centers for Medicare and Medicaid just released Medicare reimbursement levels for healthcare providers for the entire county for 2012, and GoLocal looked at both the highest reimbursed doctors in the Commonwealth -- and also specifically Central MA.

See Highest Reimbursed Central MA Docs BELOW

Dr. Brad Baker, an opthalmologist in Worcester, offered the following as context:

"Medicare believes that publishing this data will provide transparency to consumers and possibly identify fraudulent medical practices. Transparency is important, as the public has a right to know how tax dollars are being spent, but publishing figures alone, without context or an understanding of how and why certain medications are used to treat specific conditions, can be very misleading.  More concerning, it can lead to an impression of abuse and mistrust between a patient and his/her physician," said Baker

Baker continued, "While it is supposed to increase transparency, and possibly expose fraudulent behavior, without context and comprehensive understanding, the benefit of such transparency may be overshadowed by the misperception of what these figures actually mean. For example, the cost of the medication and overhead associated with offering the treatment, may not be factored."

"As such publications continue, particularly if figures without explanation become the norm, it may lead to increased public scrutiny possible misinterpretations," warned Baker. 

 

Related Slideshow: Top 20 Medicare Payment Recipients in Central MA

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20. Robert Maloney

Internal Medicine

385 Grove St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $423,469.19

Total Amount Requested: $1,547,535.00

Total Amount Allowed: $488,125.93

Number of Patients: 649

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19. Wayne Glazier

Urology

85 Prescott St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $455,551.16

Total Amount Requested: $1,442,280.00

Total Amount Allowed: $595,989.18

Number of Patients: 1,127

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18. Alan Stark

Radiation Oncology

55 Lake Ave., Worcester

2012 Medicare Payment Data

Total Payment Amount: $475,764.02

Total Amount Requested: $2,015,888.21

Total Amount Allowed: $609,483.12

Number of Patients: 82

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17. Shankar Garg

Rheumatology

10 Winthrop St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $497,214.10

Total Amount Requested: $961,175.00

Total Amount Allowed: $626,191.11

Number of Patients: 160

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16. Firas Alkassab

Rheumatology

119 Belmont St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $513,392.11

Total Amount Requested: $2,227,470.00

Total Amount Allowed: $653,364.60

Number of Patients: 617

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15. Roger Kaldawy

Ophthalmology

258 Main St., Milford

2012 Medicare Payment Data

Total Payment Amount: $518,216.55

Total Amount Requested: $2,121,561.00

Total Amount Allowed: $695,728.26

Number of Patients: 1,567

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14. Adam Cerel

Cardiology

198 Groton Rd., Ayer

2012 Medicare Payment Data

Total Payment Amount: $524,198.28

Total Amount Requested: $1,511,815.00

Total Amount Allowed: $700,867.37

Number of Patients: 1,250

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13. Thomas Cahn

Dermatology

100 Hospital Rd., Leominster

2012 Medicare Payment Data

Total Payment Amount: $531,246.54

Total Amount Requested: $1,724,350.00

Total Amount Allowed: $718,601.39

Number of Patients: 2,298

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12. David Shepro

Hematology/Oncology

299 Lincoln St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $538,236.45

Total Amount Requested: $1,424,785.50

Total Amount Allowed: $677,310.31

Number of Patients: 456

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11. Seema Sheth

Dermatology

281 Lincoln St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $549,152.95

Total Amount Requested: $1,425,411.00

Total Amount Allowed: $694,588.04

Number of Patients: 442

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10. Seth Kates

Dermatology

100 Martin Luther King, Jr. Blvd., Worcester

2012 Medicare Payment Data

Total Payment Amount: $603,450.02

Total Amount Requested: $2,056,280.00

Total Amount Allowed: $799,299.71

Number of Patients: 2,134

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9. Terrence Hack

Internal Medicine

190 Groton Rd., Ayer

2012 Medicare Payment Data

Total Payment Amount: $614,649.71

Total Amount Requested: $1,637,736.00

Total Amount Allowed: $786,672.48

Number of Patients: 734

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8. Frank McCabe

Ophthalmology

67 Belmont St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $639,631.00

Total Amount Requested: $1,278,307.20

Total Amount Allowed: $816,326.48

Number of Patients: 706

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7. Melvyn Defrin

Ophthalmology

67 Belmont St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $641,256.24

Total Amount Requested: $1,192,851.30

Total Amount Allowed: $820,128.14

Number of Patients: 879

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6. Michael Bradbury

Ophthalmology

63 Lincoln St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $707,702.75

Total Amount Requested: $1,750,386.50

Total Amount Allowed: $905,414.90

Number of Patients: 763

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5. Shalesh Kaushal

Ophthalmology

291 Lincoln St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $964,396.92

Total Amount Requested: $3,447,714.74

Total Amount Allowed: $1,246,879.67

Number of Patients: 1,657

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4. Gisela Velez

Ophthalmology

190 Groton Rd., Ayer

2012 Medicare Payment Data

Total Payment Amount: $975,565.14

Total Amount Requested: $2,344,830.60

Total Amount Allowed: $1,233,367.25

Number of Patients: 410

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3. Thomas Fitzgerald

Radiation Oncology

55 Lake Ave., Worcester

2012 Medicare Payment Data

Total Payment Amount: $1,038,066.04

Total Amount Requested: $4,474,451.37

Total Amount Allowed: $1,299,848.44

Number of Patients: 253

Prev Next

2. Brad Baker

Ophthalmology

67 Belmont St., Worcester

2012 Medicare Payment Data

Total Payment Amount: $1,128,766.16

Total Amount Requested: $2,168,246.70

Total Amount Allowed: $1,432,902.43

Number of Patients: 784

Prev Next

1. Charles Birbara

Rheumatology

25 Oak Ave., Worcester

2012 Medicare Payment Data

Total Payment Amount: $1,984,129.83

Total Amount Requested: $4,105,143.50

Total Amount Allowed: $2,510,670.50

Number of Patients: 865

 
 

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