Question
2. Medicare reimburses your practice $79.13 for HCPCS 99214, Office Visit, Established Patient (for contrast 99204, New Patient is reimbursed at $166.13). You, the physician,
2. Medicare reimburses your practice $79.13 for HCPCS 99214, Office Visit, Established Patient (for contrast 99204, New Patient is reimbursed at $166.13). You, the physician, want to know how much money you make on these patients. Calculate the cost for 99214 given the information below, how much do you make for your efforts, assume you devote 20 minutes per patient. Assume you see three patients per hour, work five days per week, and 48 weeks per year, what is your expected total income?
Standard Cost Profile for Nursing
(V+F)*P
Cost Category Variable Fixed Input Price Avg Total Cost
Salary (nurse) - 0.5 $32.00 ____________
Health Insurance - 0.5 $2.50 ____________
SSI (7.65% of salary) - - - ____________
Retirement (4% of salary) - - - ____________
Unemployment Ins (0.5% of salary) - - - ____________
Average total cost per visit ____________
Standard Treatment Profile
Service Unit Quantity ATC Total Cost
Appointment/Registration (visit) 1.0 $5.00 ________
Nursing (visit) 1.0 ____ ________
Medical Supplies (units) 4.0 $2.50 ________
Malpractice (visit) 1.0 $1.00 ________
Utilities (hour) 0.5 $1.00 ________
Rent (hour) 0.5 $7.00 ________
Pat. Acctg. (visit) 1.0 $6.00 ________
Other - $5.00 $5.00
Total Cost per Visit ________
Total Profit per Visit ________
Total Income per Year ________
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