Medicare paid for more than 200 million office visits for established patients in 2012. Overall, health professionals classified only 4 percent as complex enough to command the most expensive rates. But 1,800 providers billed at the top level at least 90 percent of the time, a ProPublica analysis found. Experts question whether the charges are legitimate. More »
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Experts question the effectiveness of H.P. Acthar Gel, a drug made from pigs’ pituitary glands. Yet it cost Medicare more than $141 million in 2012, up from $7 million in 2008.
The top four prescribers of the drug were promotional speakers, researchers or consultants.
Illinois leads the country in group psychotherapy sessions in Medicare, and some top billers aren’t mental health specialists. The state’s Medicaid program has cracked down, but federal officials have not.
As news organizations analyze data on Medicare payments, doctors with disciplinary records keep popping up.
These charts show spending by state from 2001 to 2011, compared to national averages. Sort by the most-recent year or by state.
The Garden State costs Medicare more than any other state for ambulance rides per kidney dialysis patient. A new crackdown is set to start, but at one big dialysis center, ambulances remain everywhere.
The findings by the inspector general of the U.S. Department of Health and Human Services complement a recent ProPublica review that found many doctors bill for services very differently than their peers.
We found some doctors who billed for the most costly, most complex visits almost exclusively and charged top rates far more than their peers.
Use this tool to find and compare providers.
When choosing a doctor who's right for you, you don't have to rely exclusively on a friend's recommendation or a referral. Now you can check whether your medical provider practices similarly to his or her peers.
Medicare paid for more than 200 million office visits for established patients in 2012. Overall, health professionals classified only 4 percent as complex enough to command the most expensive rates. But 1,800 providers billed at the top level at least 90 percent of the time, ProPublica found.
How we made a news app to compare doctors Medicare billing patterns.
A ProPublica analysis of recently released data shows that dozens of physicians who received payments from Medicare in 2012 had been kicked out of Medicaid, charged with fraud, or settled claims of overbilling Medicare itself.