Roadmap to Wellness
| Provider: Test Hospital
Address: 1000 Test Drive, Suite 100,Testville, GA 77777 Number of Medicare Patients Checked: 1,000 |
Defined Potential Revenue |
Patient |
Preventive Service* |
Reimbursement |
| 2756911 – 1/1/0001 (555)555-5555 |
$785 | |
| Annual Wellness Visit | $171 | |
| Test for Glauucoma | $36 | |
| Abdominal Ultrasound for Aneurym | $112 | |
| Colonoscopy | $402 | |
| Pap Smear | $45 | |
| Lipid Profile | $19 | |
|
578942 – 1/1/0001 (555)555-5555 |
$618 | |
| Annual Wellness Visit | $171 | |
| Colonoscopy | $402 | |
| Pap Smear | $45 | |
|
4099559 – 1/1/0001 (555)555-5555 |
$649 |
|
| Annual Wellness Visit | $171 | |
| Prostate Screen | $26 | |
| Blood Sugar Test (Glocose) | $6 | |
| Colonoscopy | $402 | |
| Pap Smear | $45 | |
| 3735324 – 1/1/0001 (555)555-5555 |
$217 | |
| Annual Wellness Visit | $171 | |
| Blood Sugar Test (Glocose) | $6 | |
| Depression Screen | $40 | |
|
9123899 – 1/1/0001 (555)555-5555 |
$807 |
|
| Annual Wellness Visit | $171 | |
| Depression Screen | $40 | |
| Lipid Profile | $19 | |
| Colonoscopy | $402 | |
| Test for Glauucoma | $36 | |
| Mammogram | $139 | |
|
4974329 – 1/1/0001 (555)555-5555 |
$221 | |
| Annual Wellness Visit | $171 | |
| Lipid Profile | $19 | |
| Blood Sugar Test (Glocose) | $6 | |
| Prostate Screen | $26 | |
|
8863512 – 1/1/0001 (555)555-5555 |
$240 |
|
| Annual Wellness Visit | $171 | |
| Lipid Profile | $19 | |
| Blood Sugar Test (Glocose) | $6 | |
| Pap Smear | $45 | |
|
2397211 – 1/1/0001 (555)555-5555 |
$448 | |
| Annual Wellness Visit | $171 | |
| Abdominal Ultrasound for Aneurym | $112 | |
| Prostate Screen | $26 | |
| Mammogram | $139 | |
|
9508840 – 1/1/0001 (555)555-5555 |
$446 |
|
| Annual Wellness Visit | $171 | |
| Test for Glauucoma | $36 | |
| Obesity Counseling Referral | $100 | |
| Mammogram | $139 | |
|
3429443 – 1/1/0001 (555)555-5555 |
$673 | |
| Annual Wellness Visit | $171 | |
| Obesity Counseling Referral | $100 | |
| Colonoscopy | $402 |