Calculate the following amounts for a nonPar who bills Medicare: Submitted charge (based on provider's regular fee) is $650 NonPAR Medicare physician fee schedule allow payment is $450 Limiting charge (115% of MPFS allowed amount) is?______

Medicare payment (80% of the MPFS allowed amount) is? ____ Beneficiary is billed the balance of the limiting charge $149.63 The Medicare write-off (not to be paid by Medicare of the beneficiary) is?____